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NUCO 2130 > Nutrition part 2 > Flashcards

Nutrition part 2 Flashcards

1
Q

BMR

A

the energy required to carry on the involuntary activity of the body at rest

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2
Q

males have a higher BMR due to

A

larger muscle mass

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3
Q

BMR rate for men of body weight per hour is

A

1 cal/kg

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4
Q

BMR rate of body weight per hour for women is

A

0.9 cal/kg

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5
Q

BMR is

A

basal metabolic rate

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6
Q

factors that increase BMR are

A

growth, infections, fever, emotional tension, extreme environmental temperatures, elevated levels of hormones

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7
Q

factors that decrease BMR are

A

aging prolonged fasting and sleep

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8
Q

A client is discussing weight loss with a nurse. The patient says, “I will not eat for two weeks, then I will lose at least 10 pounds.” What should the nurse tell the client

A

“That will decrease your metabolic rate and make weight loss more difficult.”

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9
Q

the step in calculating caloric requirements is

A

multiplying weight (in pounds) by 10 for women and 11 for men then multiplying their usual activity level

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10
Q

for activity level, sedentary is

A

1.2

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11
Q

for light activity , walking not more than 2 hours, the active level is

A

1.3

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12
Q

the activity level for moderate activity, heavy house work or gardening is

A

1.4

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13
Q

for high activity , sports, labor intensive occupation . the active level is

A

1.5

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14
Q

How much of calories is required for a female with light activity (weight 130 lb)

A

1690 Cal

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15
Q

the serum albumin levels are

A

3.5 to 5.5 g/dl

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16
Q

hematocrit (HCT) ranges for men and women are

A

39-50 percent for meant and 35-45 percent for women

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17
Q

hemoglobin (hb) for ranges in men and women are

A

13.5-17.5 g/dl and 12-15.5 g/dl

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18
Q

most imprint nursing interventions are

A

stimulating appetite and assisting with eating

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19
Q

other nursing interventions include

A

monitoring nutritional status and teaching nutritional information

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20
Q

A nurse is feeding a client. Which of the following statements would help a person maintain dignity while being fed?

A

what part of your dinner would you like to eat first?

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21
Q

how many cups for fruit per day

A

2 cups

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22
Q

how many grains per day

A

6 oz

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23
Q

how many retables per day

A

2.5 cups

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24
Q

how many meat and beans per day

A

5.5 oz

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25
Q

how much milk or dairy

A

3 cups

26
Q

1 cup equals

A

8 oz

27
Q

clear liquid diet are

A

clear liquids at room temp, clear juice

28
Q

full liquid diet

A

plus, milk, puddings, custards, votable juice

29
Q

soft diet are

A

regular diet shout food hard to digest or to chew

30
Q

after oral or facial surgery we provide these diets

A

purred diet or mechanical soft diet

31
Q

pureed diet are

A

blenderized liquid diet

32
Q

mechanical soft diet are

A

regular diet with modification for texture (chopped, ground or blenderized.

33
Q

transitional diets after surgery or parental nutrition are

A

clear liquid, full liquid, soft diet, and reg diet

34
Q

A client has been prescribed a clear liquid diet. What food or fluids can be served

A

gelatin

35
Q

what are two enteral nutrition that we give pt with dyshpagia

A

nasogastric (NG) tube or nasointestinal (NI) tube

36
Q

dyshpagia

A

painful/diffiuctly swallowing

37
Q

dyshasia

A

difficulty in speech

38
Q

how long do NG tube and NI tube last for nutritional enteral support?

A

<4 weeks

39
Q

levin tube for NG tubes are

A

firm and large

40
Q

dobbhoff tube for NG tubes re

A

smaller and softer

41
Q

NG tubes are not for

A

gastroesphageal reflux gastric stasis

42
Q

Nasointestinal tube

A

s passed through the nose and into the upper portion of the small intestine.

43
Q

dumping sydrom is when

A

there is gas, bloating, nausea diarrhea cramping and light headedness wit NI tubes

44
Q

dumping syndrome is caused by

A

caused by overdistention of the small intestine (pyloric valve in the stomach)

45
Q

when confirming with aspirate PH and visual assent of NG tube

A

ph <5.5, off-white, yellow or grassy green

46
Q

when confirming with aspirate PH and visual assent of NI tube

A

ph > 7, bile-stained, yellow or brownish, greenish brown

47
Q

with carbon dioxide monitoring (CO2 detector) of enteral nutrition

A

yellow detest co2, bad. remove the tubing.

48
Q

we also can examine the tubing if its in the right place by

A

radiographic examination

49
Q

Long term national support for nutrtional support are

A

PEG tube and PEG/J tube

50
Q

Percutaneous endoscopic gastronomy (PEG) tube is placed

A

placed into the stomach

51
Q

PEG/J tube are placed

A

into he jejunum thought the stomach

52
Q

who gets the low-profile gastrostomy device (LPGD)

A

people who are active or children

53
Q

complications for enteral feeding are (part 1)

A

aspiration , clogged tube, nasal erison

54
Q

complication for enteral feeding are (part 2)

A

diarrhea, nausea, vomiting, dissension, unplanned extubation, stoma infection

55
Q

TPN (Toal parenteral nutrition)

given through and how it is delivered

A

hypertonic, central venous access device

56
Q

PPN (partial parenteral nutriton) what type of solution and how it is delivered

A

isotonic , compliments similar to TPN, peripheral vein access

57
Q

which two parenteral are given through intravenous route

A

TPN PPN

58
Q

complication of parenteral nation

A

insertion problems, phlebitis and fiction with sepsis

59
Q

complication of parenteral nutrition part 2

A

fluid, electrolyte, acid-base imbalances, metallic alteration, (liver and gallbladder disease)

60
Q

when is parenteral used?

A

used only when enteral intake is inadequate or contraindicated

61
Q

if these complications of parenteral nutrition are present

A

should be gradually discontinued ASAP

NUCO 2130 (2 decks)

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