Nutrition ch.44 Flashcards

1
Q

Macrominerals help to balance the what of the body?

A

pH

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2
Q

what is the term for sufficient food that is available on a consistent basis; and the household has resources to obtain appropriate food for a nutritious diet.

A

food security

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3
Q

what are vitamins A,D,E, and K that are stored in the fatty compartments of the body.

A

fat-soluble vitamins

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4
Q

what is the structural part of plants that is not broken down by the human digestive enzymes therefore it does not contribute calories to the diet.

A

fiber

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5
Q

When the body is unable to burn glucose it burns fat and this produces a chemical called what… This occurs when there is too little insulin for the amount of glucose in the body

A

ketone

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6
Q

specific nutritional therapies to treat an illness, injury, or condition

A

Medical nutrition therapy

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7
Q

are inorganic elements essential to the body as catalysts in biochemical reactions.

A

minerals

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8
Q

growth, normal pregnancy, maintenance of lean muscle mass and vital organs, and wound healing are the result of what balance

A

positive nitrogen balance.

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9
Q

in what conditions would you have negative nitrogen balance

A

infection, burns, fever, starvation, head injury, and trauma.

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10
Q

what are vitamins C and the B complex (which is eight vitamins).

A

water soluble

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11
Q

why shouldn’t infants not have regular cow’s milk during the first year of life.

A

it causes gastrointestinal bleeding, is too concentrated for the infant’s kidneys to manage, increases the risk of milk product allergies, and is a poor source of iron and vitamins C and E

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12
Q

what is the Valsalva maneuver and what is it’s purpose

A

(holding the breath and “bearing down”) The increased venous pressure created by the maneuver prevents air from entering the bloodstream during catheter insertion

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13
Q

Delayed gastric emptying is a concern if how many mL of GRV(gastric residual volume) or more remains in the patient’s stomach on each of two consecutive assessments(1 hour apart) or if a single GRV measurement exceeds how many mL

A

250 and 500

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14
Q

what are the multiple benefits of breastfeeding for the infant and mother

A

fewer food allergies and intolerance; fewer infant infections; easier digestion; increased time for mother and infant interaction.

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15
Q

if and infant is allergic or intolerant to cow’s milk, what alternative formula is used.

A

soy protein.

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16
Q

why shouldn’t honey and corn syrup be included into the infants diet

A

they are potential sources of botulism toxin, and is potentially fatal in children under 1 year of age.

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17
Q

what are the most important nonmilk source of protein for infants 4 to 11 months.

A

cerals

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18
Q

caregivers should introduce new foods for potential allergies at what rate and approximately how many days apart

A

one at a time and 4 to 7 days apart.

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19
Q

Toddlers who consume more than 24 ounces of milk daily in place of other foods sometimes develop what condition and why?

A

Milk anemia, because milk is a poor source of iron

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20
Q

Toddlers need to drink ____ until the age of ____ to make sure that there is adequate intake of fatty acids this necessary for brain and neurological development

A

Whole milk, two years

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21
Q

Iodine supports increased ___ activity

A

Thyroid

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22
Q

Pregnancy occurring within how many years of Menarche places a mother and fetus at risk because of anatomical and physiological immaturity

A

Four years

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23
Q

Protein intake throughout pregnancy is increase to how many grams daily

A

60 grams

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24
Q

Folic acid intake is particularly important for ____ synthesis and the growth of what cells

A

DNA synthesis, red blood cells

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25
Q

Fetal neural tube defects, anencephaly, or maternal megaloblastic anemia are caused by an inadequate intake of what substance.

A

Folic acid

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26
Q

Women of childbearing age need to consume how many micrograms of folic acid daily, increasing to how many micrograms daily during pregnancy

A

400, 600

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27
Q

Lactating women needs how many calories per day above the usual allowance because the production of milk increases energy requirements

A

500

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28
Q

Protein requirements during lactation a greater than those required during what for the woman

A

Pregnancy

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29
Q

Water-soluble vitamins such as vitamins B and C is necessary to ensure adequate levels in what

A

Breast milk

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30
Q

intake of what substances should be avoided in breast milk

A

Caffeine, alcohol, and drugs

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31
Q

Decreased drug absorption with food and overdose associated with liver failure is caused by what analgesic

A

acetaminophen

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32
Q

Absorbed directly through stomach; decreased drug absorption with food; decreased folic acid, vitamins C and K, and iron absorption is caused by what analgesic

A

Aspirin

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33
Q

Decreased phosphate absorption is caused by what anti-acid

A

Aluminum hydroxide

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34
Q

Decreased Folic acid absorption is caused by what antiacid

A

Sodium bicarbonate

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35
Q

Taste alteration is caused by what antiarrhythmic drugs

A

Amiodarone (codarone)

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36
Q

Anorexia, decreased renal clearance in older people is caused by what Antiarrhythmic drug

A

Digitalis

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37
Q

Decreased drug absorption with food, taste alteration is caused by what antibiotic

A

Penicillin

38
Q

Decreased vitamin K absorption is the effect of what antibiotic

A

Cephalosporin

39
Q

Decreased vitamin B6, niacin, vitamin D

A

Rifampin (rifadin)

40
Q

Decreased drug absorption with milk and antiacids; decrease nutrient absorption of calcium, riboflavin, vitamin C caused by binding is the effect of what antibiotic

A

Tetracycline

41
Q

Decreased folic acid is the effect of what antibiotic

A

Trimethoprim/sulfamethoxazole

42
Q

Pour oral hygiene and periodontal disease are potential risk factors for what systemic diseases

A

Joint infections, ischemic stroke, cardiovascular disease, diabetes mellitus, and aspiration pneumonia

43
Q

Caution older adults to avoid grapefruit and grapefruit juice is because of what reason

A

They alter absorption of many drugs

44
Q

Symptoms of dehydration and all the adults include what

A

Confusion; weakness; hot, dry skin; furrowed tongue; rapid pulse; and high urinary sodium

45
Q

What anticoagulant acts as a antagonist to vitamin K

A

Warfarin (Coumadin)

46
Q

What anticonvulsant increase absorption with food

A

Carbamazepine (tegretol)

47
Q

This anticonvulsant decrease calcium absorption, decreases Vitamins D & K and folic acid, taste alteration occurs, and decreased drug absorption with food

A

Phenytoin (Dilantin)

48
Q

What antidepressant stimulates appetite

A

Amitriptyline

49
Q

What Antidepressant causes an alteration in taste and is a appetite stimulant

A

Clomiprimine (anafranil)

50
Q

What antihypertensive causes taste alteration and anorexia

A

Captopril (capoten)

51
Q

Enhanced drug absorption with food and decreased vitamin B6 are caused by what antihypertensive

A

Hydralazine

52
Q

Taste alteration, weight gain for all beta blockers

A

Labetalol (normodyne)

53
Q

Decrease vitamin B12, folic acid, iron are caused by what antihypertensives.

A

Methyldopa

54
Q

What steroids Increase appetite and weight, increase Folic acid, decrease calcium ( osteoporosis with long-term use), and promotes gluconeogenesis of protein

A

All steroids

55
Q

Taste alteration, decreased vitamin B6 and drug absorption of food occurs in what anti-parkinson drug

A

Levodopa (dopar)

56
Q

Wanted to antipsychotic drug increases appetite

A

Chlorpromazine

57
Q

What bronchodilator stimulates appetite

A

Albuterol sulfate

58
Q

What bronchodilator has the effect of causing anorexia

A

Theophylline

59
Q

Decreased fat soluble vitamins A D E K and vitamin D 12 and iron are found in what cholesterol-lowering drug

A

Cholestyramine (prevalite)

60
Q

Decrease in Drug absorption of food is the effect from what diuretics

A

Furosemide (lasix) and spironolactone (aldactone)

61
Q

Decreased magnesium, zinc, and potassium is from the effect of what diuretic

A

Thiazide

62
Q

Decreased absorption fat-soluble vitamins ADE K and carotene is from the effect of what laxative

A

Mineral oil.

63
Q

Potassium replacement or potassium chloride causes what effect in Drugs nutrition interaction

A

Decreased vitamin B12

64
Q

Is the consumption of a diet consisting predominantly a plant foods

A

Vegetarianism

65
Q

Some vegetarians avoid meat fish and poultry but eat eggs and milk they are called what

A

Ovo-lacto vegetarian

66
Q

A vegetarian that drinks milk but avoids eggs

A

Lactovegetarians

67
Q

People that only consume plant foods

A

Vegans

68
Q

This diet primarily consists of brown rice grains and herb teas

A

Zen macrobiotic

69
Q

This type of diet only eats fruits nuts honey and olive oil

A

Fruitarian

70
Q

Patients fed only by IV infusion of what are at risk for nutritional deficiencies

A

5% or 10% dextrose

71
Q

Is a measurement system of the size and makeup of the body. nurses obtain height and weight for each patient on hospital admission or entry into any healthcare setting

A

Anthropometry

72
Q

Rapid weight gain a loss is important to note because it usually reflects what change

A

Fluid shifts

73
Q

1 pint or 500 ML of fluid equals how many pounds

A

1 pound

74
Q

How do you calculate BMI

A

Dividing the patient’s weight in kilograms by height in meters squared.

75
Q

The patient is overweight is his or her BMI is at what

A

25 to 30

76
Q

To be migrated and 30 is defined as what

A

30 is defined as obesity and places a patient at higher medical risk of corner heart disease, some cancers, diabetes mellitus, and hypertension

77
Q

What factors that frequently alter test results for malnutrition

A

Fluid balance, liver function, kidney function, and the presence of disease

78
Q

Laboratory tests used to study nutritional status include measures of what

A

Albumin, transferrin, prealbumin, retinal binding protein, total iron binding capacity, and hemoglobin

79
Q

What is a metabolic half-life of albumin

A

21 days

80
Q

What is the metabolic half-life of transferrin

A

8 days

81
Q

What is a metabolic half-life of prealbumin

A

Two days

82
Q

What is a metabolic half-life of retinal binding protein

A

12 hours

83
Q

What are some factors that affect Serum albumin levels

A

Hydration; hemorrhage; renal or hepatic disease; large amounts of drainage from wounds, drains, burns, or the G.I. tract; steroid administration; Exogenesis albumin infusions; age; and trauma, burns, stress, or surgery

84
Q

Albumin level is a better indicator for kinda of illnesses

A

Chronic illnesses

85
Q

Prealbumin level is preferred for what conditions

A

Acute conditions

86
Q

What are some myogenic causes of dysphagia

A

Mystenia gravis, aging, muscular dystrophy, polymyositis

87
Q

What are some neurogenic causes of dysphagia

A

Stroke, cerebral palsy, Gullian-barre syndrome, multiple sclerosis, amyotrophic lateral sclerosis a.k.a. Lou Gehrig’s disease, diabetic neuropathy, Parkinson’s disease

88
Q

What are some obstructive causes

A

Benign peptic stricture, lower esophageal ring, candidiasis, head and neck cancer, inflammatory masses, trauma/surgical resection, anterior mediastinal, cervical spondylosis

89
Q

What are some complications of dysphagia include

A

Aspiration pneumonia, dehydration, decreased nutritional status, and weight loss.

90
Q

Where the warning signs a dysphasia

A

Cough during eating; change in voice tone quality after swallowing; abnormal movements of the mouth, tongue, or lips; slow, weak, imprecise, or uncoordinated speech. Abnormal gag, delayed swallowing, incomplete or clearance or pocketing, regurgitation, Pharyngeal pulling, delayed or absent trigger of swallow, and inability to speak consistently are other signs of dysphasia

91
Q

What is silent aspiration

A

It often occurs without a cough and symptoms usually do not appear for 24 hours so aspiration counts for most of 40 to 70% of aspiration in patients with dysphasia following stroke