nutrition Flashcards

1
Q

nurses role in pt. nutrients

A
  • assessing the nutritional needs of the client
  • monitor and intervene with clients requiring acute and chronic nutritional care
  • incorporate the families nutritional habits
  • teaching community groups regarding nutrition
  • collaborative approach
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2
Q

what is deceiving about physical appearance

A

a client who has a healthy weight can be malnourished

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3
Q

a diet hisotry is an assessment of

A
  • foods
  • fluids
  • supplements
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4
Q

what’s included in the client diet history

A

time
type

amount of food eaten for:

  • breakfast
  • lunch
  • dinner
  • snacks

time, type, and amount of fluids consumed throughout the day

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5
Q

diet manifestations

A
  • hair that is dry or brittle, skin that has dry patches
  • poor wound healing or sores
  • lack of subcutaneous fat or muscle wasting
  • irregular cardiovascular measurements
  • enlarged spleen or liver
  • general weakness or impaired coordination
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6
Q

calculating weight

A
  • same time of day wearing similar clothing to ensure accurate weight
  • daily fluctuations generally are indicative of water weight changes
  • percentage weight change calculation
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7
Q

weight with sickness

A
  • illness, weight loss is monitored to prevent or detect malnutrition
  • starvation or chronic diseases, weight loss indicating severe malnutrition
  • acute disease or injury, weight loss indicting severe
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8
Q

what is BMI

A

measurements compare the weight to height to estimate the effect of the individual’s body weight

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9
Q

factors to consider when calculating BMI

A

large muscle mass compared to height can have an increased BMI

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10
Q

healthy BMI

A

18.5- 24.9

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11
Q

underweight bmi

A

less than 18.5

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12
Q

overweight bmi

A

25-29.9

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13
Q

obesity bmi

A

greater than or = to 30

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14
Q

BMI calculation

A

weight divided by height

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15
Q

fluid intake

A

adults: 2,000 to 3,000 ml per day

total average output: 1,750 to 3,000 ml a day

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16
Q

how are protein levels measured?

A

albumin levels

17
Q

how many adults have obesity

A

36.5% have obesity and an estimated 68.5% have obesity or are overweight

18
Q

what is obesity

A

a chronic condition caused by calories intake in excess of energy expenditure

19
Q

what factors can obesity be affected by

A
culture
metabolism
environment
socioeconomics
behaviors
20
Q

what might obestiy be linked to

A

protective measurements within the body to prevent weight loss during calorie restrictions, which cause it to secrete hormones that stimulate the appetite to maintain a specific weight

21
Q

as wight increases the body

A

accepts a higher weight as the expected weight and seeks to maintain it

22
Q

obesity risk factors

A
  • genetic predispositions
  • hormones
  • behavioral factors
23
Q

obesity expected findings

A
  • depression, low self-esteem
  • avoidance of health-related appointments
  • no desire to exercise
  • measurements of difference between peripheral lower body obesity and central obesity
  • coronary artery disease
  • excess fat at the waist
    men: .95 or greater
    women: .8 or greater
24
Q

nursing care for obesity

A
  • maintain low-fowlers position: maximize chest expansion
  • monitor respiratory status and pulse oximetry continuously
  • supplement oxygen as needed
  • monitor blood pressure
  • monitor frequency for medication adverse effects
  • use bariatric equipment