Nutrition/ethics

Question 0

What is ethical delimma ?

Answer 0

There is no right or wrong decision , conflict of 2 or more values …. Eg: if a patient want to live or die

Question 1

What is ethics ?

Answer 1

Determine right or wrong on the bassis of VALUES, PRINCIPLES, and BELIEFS …. With PRINCIPLES - AUTONOMY is self determination - BENEFICENCE- doing good for you patient & CONFIDENTIALLY is the hippa law

Question 2

What is the nurse code of ethics ??

Answer 2

Provides a guideline , guides your nursing practice , being and advocate for your patient , if you don’t abide your not being professional …. Developed by the American nursing association

Question 3

What is nursing accountability ?

Answer 3

Being responsible for your own action

Question 4

What is liability ? How do you determine who is more liable ?

Answer 4

Legal responsibility ….. The person that is closest to the situation

Question 5

What is an incident report ?

Answer 5

Anything that happens out of the ordinary !

Question 6

What is the nurse practice act ??

Answer 6

The scope of practice ,every state has their own NPA STATE LAW , what your responsible for , what kind of deciplinary action and be taken against you , what to do to get license

Question 7

What is the good Samaritan act ?

Answer 7

Protects health care profession , if they stop to aid in emergency , liability is limited …… 2 stipulation - is that you are not negligent , and not reembursed for you service

Question 8

What is standard of care ?

Answer 8

What a reasonable prudent nurse would do …. Eg: brought to court and another nurse says what you did was reasonable , someone that has similar qualification to you………. If what you do falls below the standard of care , and a nurse that does the same as you says that is is called ….NEGLIGENT

Question 9

What is an informed consent ?

Answer 9

Approval by patient or someone authorize to have procedure complete …….responsibility as a nurse - get it signed by the physician , the physician educates the patient …. The patient has to be alert and oriented , and sign before any sedatives ……..IN CASE OF EMERGENCY if you can’t get concent —- you can give care to stabilize the patient

Question 10

What is the BVNPT ?

Answer 10

Board vocational nurse physiatric technician they renew , issue and take away license … , 30 CEU’s - continue education units q2yrs ….. BVNPT enforce the NPA

Question 11

How much water is recommended per day ?

Answer 11

8 glasses to maintain hydration

Question 12

What is the purpose of fat ? How many kcal of energy per gram?

Answer 12

9 calories per gram !!!!! Most concentrates source of energy ……provide satiety (fullness) …. Add flavor and aroma to food ……, carry fat soluble vitamins ….. Insulate cushions and protects organs , conserves heat on concentration … Adipose tissue - body storage form of fat

Question 13

Describe safe and acceptable use of SRD’S ?

Answer 13

Get a phycians order , remove q2hrs and perform R.O.M …check for circulation , use two finger space. To make sure it’s not tight , tie a slip not to non movable place like the bed

Question 14

what are the types of fat ? what food source are for each ?

Answer 14

SATURATED & UNSATURATED&raquo_space;»> SATURATED – coconut palms , palm kernel oil , fat in meat & poultry , egg yolk , butter , cream , milk , cocoa butter , bacon ….SOLID AT ROOM TEMP , INCREASE BLOOD CHOLESTEROL ANDN CARDIOVASCULAR DISEASE , ………………….UNSATURATED _ canola oil , olive oil , peanut oil , nut , avocado , corn oil , soybean oil , fish oil

Question 15

what is cellulose ?

Answer 15

cant be digested , but helps to form the bulk of the stool ….they are found in plant and absorbs water

Question 16

what is the purpose of protein ? how many kcal of energy per gram ? what are recommended food sources ?

Answer 16

provides energy if not enough carbs or fat , IMPORTANT FOR TISSUE AND ORGANS , BULID AND REPAIR BODY TISSUE …..4 calories per gram . ………FOOD — chicken , fish , milk , cheese , soy

Question 17

what is the purpose of carbohydrates ? how many kcal of energy per gram ? what are recommended food sources ?

Answer 17

main function is to provide energy ….FOOD—-PASTA , BREAD , RICE , VEG , POTATO & CORN……4 KCAL PER GRAM ……..( whole grain healtier because it breaks down faster .

Question 18

what are vitamins? diffrenciate between fat and water soluble vitamins ?

Answer 18

organic compound for the function of the body …… FAT SOLUBLE VITAMINS are able to store and can be toxic which are vitamin A ,D ,E,K ………………..WATER SOLUBLE VITAMINS dose not store and excreat in the URINE , less likely to be toxic .are found in vitamins B & C

Question 19

what are good food source of vitamin C , B vitamins , iron & calcium ?

Answer 19

vitamin C _ CITRUS , FRUITS , GREEN PEPPERS …..B VITAMINS - whole grains - maintain hoemeostasis – 4-5 bread or cereal , good for a lot of functions …….IRON — lean red meat and leafy greens …….CALCIUM - dairy products , salmon

Question 20

For which individual is it especially important to take multivitamins ?

Answer 20

people with weakend immune system , elderly , pregnancy , people under stress

Question 21

what are key electrolytes ?

Answer 21

minerals are electrolyte that carry a positive or negative charge ……MAJOR KEY ELECTROLYTES ARE - CALCIUM for the bones - SODIUM & POSTASSIUM - important for nerve function ,, they stimulate your muscle to contract

Question 22

what is an indiviuals basic caloric need ?

Answer 22

the amount of calories you need …eg; if your in and accident and bleeding … your caloric intake goes up

Question 23

what is RDA?

Answer 23

recommended daily allowance …, found on cereal boxes and tells how much you need depending on if your a man or woman

Question 24

Describe recommendation/adaptations for the nutrition for older adults ?

Answer 24

thickner , puree , if choking or aspiration put pt in high fowlers position , taking enough calories

Question 25

how do you know if they need it ?

Answer 25

you assess them & check doctor order

Question 26

what can be done for a patient with decrease appitite ?

Answer 26

eating more frequent meals , supplement (nutrition ) or appittie stimulant

Question 27

what is and American diet characterized by ?

Answer 27

high sodium & fat eg : burger and fries from mcdonalds …..can lead to obesity and cardiovascular disease

Question 28

describe the different type diets ? CLEAR LIQUID

Answer 28

for a patient coming out of surgery ,like broth , water , jello , ice tea , apple juice , popcicle

Question 29

low sodium

Answer 29

cannned soup , , table salt , deli meat, cheese processed food ….people with hyertension and edema

Question 30

low cholesterol

Answer 30

lean meat , bacon , butter , potato chips

Question 31

FULL LIQUID -

Answer 31

FULL LIQUID -soup , ,milk , pudding , custard , milk shake ….used after clear liquid .

Question 32

Describe assistance needed for eating for a blind patient ?

Answer 32

use a clock to describe to them where the different types of food are ..whats at 3,6,9,12 …..allow them to feed themselves

Question 33

how is weight loss best achieved ?

Answer 33

decrease carbs , decrease calories , smaller frequent meals , increase activity ( excersize ) and a balance diet .

Question 34

what food prevent / treat constipation ?

Answer 34

foods high in fiber , like , fruits , beans , veggies and grains ….treat with activity and fluids …….WATER PREVENT AND TREAT CONSTIPATION

Question 35

What is the nurse responsibility related to admission, transfer and discharge of patients ?

Answer 35

Assess the patient , take inventory on all their belongings …RN- DOES THE PRIMARY AND ADIMISSION ASSESSMENT ….LVN- can assist ………………….if the patient is nervous and anxious to decrease - orient them to their enviorment

Question 36

what is done with patients valuables on admissions ?

Answer 36

sign a form saying they want it with them , (not gaurenteed safety ) sent it home or sent it to a safe if the patient wants

Question 37

when does discharging planning begin and what does it involve ?

Answer 37

begin on admission/ when they are going to be dischcarged  
to take care of patients needs 
vital signs before they leave 
medications 
equipment 
diet 
activity level 
cand they drive 
RN-instion for their care /teaching 
doctor order the discharge

Question 38

what should a nurse do for a patient who want to leave AMA ?

Answer 38

have them sign out
say they understand the risk of leaving AMA
* if they refuse to sign before they leave you cant stop them from leaving if they are competent …..