NUTRITION TOOLS, STANDARDS, AND GUIDELINES NUTRIENT Flashcards

1
Q

seeks to guarantee that all patients get prompt and uniform nurse evaluations

A

PHYSICAL ASSESSMENT

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2
Q

• Provide care for client that use individualize, holistic, effective and efficient.

A

PHYSICAL ASSESSMENT

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3
Q
  1. Initial assessment
  2. Problem-Focused
  3. Emergency
  4. Time-Lapsed
A

4 TYPES OF ASSESSMENT

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4
Q

age and developmental stage of the child.

A

PA considerations

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5
Q

Implement behaviors that show respect for child’ s age, gender, cultural values and personal preferences.

A

PA considerations

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6
Q

• Modify language and communicate style to be consistent with child’ s needs.

A

PA considerations

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7
Q

• Modify language and communicate style to be consistent with child’ s needs.

A

PA considerations

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8
Q

Gather as much information as possible by observation first

A

PA considerations

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9
Q

important to all levels of nursing practice.

A

PHYSICAL ASSESSMENT

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10
Q

an essential skill that falls within the scope of nursing practice. It can be helpful because it can help determine the status of your health.

A

PHYSICAL ASSESSMENT

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11
Q

help you have open communication with your doctor and give you an opportunity to share information about your symptoms and overall health.

A

PHYSICAL ASSESSMENT

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12
Q

help you assess which areas of your health need attention so they don ’t cause bigger issues later on.

A

PHYSICAL ASSESSMENT

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13
Q

• Blood Pressure
• Cholesterol
• Blood glucose level
• Body mass index

A

PHYSICAL ASSESSMENT example

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14
Q
  1. Inspection
  2. Palpation
  3. Percussion
  4. Percussion
A

4 TECHNIQUES USED IN PHYSICAL ASSESSMENT

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15
Q

It involves using vision to differentiate between normal and abnormal discoveries. Examining body parts for color, shape, symmetry, motion, and texture

A

Inspection

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16
Q

It involves the use of hands to touch body parts for data collection. It detects body temperature, moisture, turgor, texture, tenderness, thickness, and distention.

A

Palpation

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17
Q

It is the technique in which one or both hands are used to strike the body surface to produce a sound called percussion note. The character of the sound determines the location, size and density of underlying structure to verify abnormalities.

A

Percussion

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18
Q

It is a general term that refers to the process of listening to the sound within the body , usually using a stethoscope

A

Auscultation

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19
Q

SKIN
HAIR
NAILS

A

INTEGUMENTARY

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20
Q

client’ s skin is consistent in tone, free of blemishes, and feels pleasant. He has healthy skin turgor and a normal range for skin temperature.

A

SKIN

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21
Q

thick, silky hair that is uniformly spaced out and varying amounts of body hair. Additionally, no evidence of illness or infestation has been found.

A

HAIR

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22
Q

are light brown and have a convex curve in their shape. It is smooth and the epidermis is still present.

A

NAILS

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23
Q

revert to their normal color in less than 3 seconds when pushed between the fingers (Blanch Test).

A

NAILS

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24
Q

The customer has a rounded, symmetrical, normocephalic head.

A

HEAD

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25
Q

• When the skull is palpated, there are no nodules, masses, or depressions.

A

HEAD

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26
Q

uniformly smooth, without any nodules or lumps, and with consistent consistency.

A

FACE

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27
Q

Make sure there is good communication between management and staff

A

VISION AND THE EYES

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28
Q

hair is spread equally

equivalent amount of movement

A

Eyebrows:

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29
Q

even distribution and a modest outward curl.

A

Eyelashes

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30
Q

no discharges, no discoloration, and closed symmetrically with 15-20 unconscious blinks a minute.

A

Eyelids

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31
Q

translucent and had few visible capillaries.

A

Bulbar conjunctiva

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32
Q

white

A

sclera

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33
Q

pink, lustrous, and smooth.

A

palpebral conjunctiva

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34
Q

neither torn or edematous.

A

lacrimal gland

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35
Q

PERRLA

A

pupils

36
Q

round and flat.

A

iris

37
Q

moved parallel to one another and in synchrony when the extraocular muscle was tested.

A

eyes

38
Q

symmetrical

Color same as facial skin

aligned with the outer canthus of the eye

Movable, firm and not tender

Pinna recoils after it is folded

A

Auricles

39
Q

Distal third contains hair follicles and glands

Pearly gray color, semitransparent

A

External Ear Canal and Tympanic Membrane

40
Q

Normal voice tones audible

Able to repeat the phrases correctly in both ears

A

Gross Acuity Test

41
Q

heard in both ears or is localized at the center of the head (Weber negative)

A

Weber’s test

42
Q

o Air-conducted hearing is greater than bone-conducted hearing (positive Rinne)

A

• Rinne test

43
Q

• Symmetric and straight
• No discharge or flaring
• Uniform color
• Not tender; no lesions
• Air moves freely as the client breathes through the nares
• Mucosa pink
• Clear watery discharge
• Nasal septum intact and in midline

A

Nose

44
Q

Not Tender

A

Facial Sinuses

45
Q

• Symmetrical anterior thorax
• no thorax deformities, masses, or swelling
• Loud, high-pitched bronchial breath sounds over the trachea.
• Soft, breezy, low-pitched vesicular breath sounds over most of the peripheral lung fields

A

Thorax and Lungs

46
Q

• Dome-shaped abdomen
• Soft to palpation
• There are no visible lesions or scars
• The aorta is midline without bruit or visible pulsation.

A

Abdomen

47
Q

length and size are symmetrical

without swelling or erythema.

atraumatic in appearance without tenderness or deformity.

Full range of motion is noted to all joints.

Muscle strength is 5/5 bilaterally.

A

EXTREMITIES

48
Q

equipment used to measure various bodily components such as muscle, bones, and adipose tissue or body fat.

A

ANTHROPOMETRIC MEASUREMENTS TOOL

49
Q

Tool comprised of rods that can be configured for many body measurements.

may reference a small or large bone

A

Anthropometer

50
Q

a tool to measure the lengths of the human body.

A

Anthropometer

51
Q

a sliding caliper usually between 140-200mm used to measure width of small bones, such as wrist, knee, elbow, ankle.

A

Small Bone Anthropometer

52
Q

measures knee height and other bone lengths, such as forearm

A

Segmometer

53
Q

used to locate the midpoint of upper arm for body test measurement

A

Segmometer

54
Q

usually has a 3m range and is the size of a standard handheld tape measure for easy transport.

A

Segmometer

55
Q

a sliding caliper usually with a range of 600mm used to measure large bones, such as shoulder width and chest depth. Chest depth can also be measured by a breadth caliper.

A

Large Bone Anthropometer

56
Q

measures the anterior-posterior chest depth, shoulder, and pelvis, usually has a range of 50cm / 20 inch.

A

Breadth Caliper

57
Q

measures the height of bedridden patients, elderly persons, and persons in wheelchairs, by means of measuring the height of the leg

A

Knee Height Caliper

58
Q

usually rigid metal and about 80cm long (just under 2.5 ft). It may sometimes be referred to as a rigid segmometer.

A

Knee Height Caliper

59
Q

a collection of calipers and measurement instruments for complete anthropometric evaluation

A

Anthropometry Kit

60
Q

usually includes a small bone and large bone anthropometer, a stadiometer, anthropometric tape measure, segmometer, and transport case. a complete kit usually includes a skinfold caliper as well

A

Anthropometry Kit

61
Q

measure wrist, ankle, waist. Also for locating midpoint of upper arm for body fat testing.

A

Anthropometric Tape Measure

62
Q

Has a thin (6mm wide), flat, flexible steel blade with blank space before the zero (6-8cm), and uses the metric system, about 2 meters in length.

A

Anthropometric Tape Measure

63
Q

To measure wrist, ankle, waist. Also, for locating midpoint of upper arm for body fat testing.

A

Anthropometric Tape Measure

64
Q

• Body fat caliper with jaws that measure the thickness of skinfolds, usually with a range of 60- 100mm.

A

Skinfold Caliper

65
Q

• Measure skinfold thickness at multiple sites on the body in order to calculate body fat percentage

A

Skinfold Caliper

66
Q

Height Meter a straight vertical meter usually 200- 300cm in length.

A

Stadiometer

67
Q

Used to measure height of a person standing up

A

Stadiometer

68
Q

includes a variety of healthy foods

A

healthy eating

69
Q

the distance from the bottom of the feet to the top of the head in a human body, standing erect.

A

Height/stature

70
Q

a measurement of mass

A

Weight

71
Q

a measure that relates body weight to height

A

BODY MASS INDEX (BMI)

72
Q

A Belgian mathematician who created the formula for BMI

A

Lambert Adolphe Jacques Quetelet

73
Q

ho renamed the formula to BMI

A

Ancel Benjamin Keys

74
Q

calculated by dividing a person’s height in meters squared by their weight in kilograms.

A

BMI

75
Q

for muscle builders, long distance athletes, pregnant women, the elderly or young children.

A

BMI is not used

76
Q

BMI is interpreted by using standard weight status categories that are the same for all ages and for both men and women

A

for adults 20 years and older

77
Q

Below 18.5

A

Underweight

78
Q

18.5 – 24.9

A

Normal

79
Q

25.0 – 29.9

A

Overweight

80
Q

30.0 and Above

A

Obese

81
Q

BMI classifications do not depend on age or sex.

A

For adults

82
Q

BMI is interpreted relative to a child’s age and sex, because the amount of body fat changes with age and varies by sex.

A

For children and adolescents between 2 and 20 years old

83
Q

Less than 5th percentile

A

Underweight

84
Q

5th percentile to less than 85th percentile

A

Healthy weight

85
Q

85th percentile to less than 95th percentile

A

Overweight

86
Q

Equal to or greater than the 95th percentile

A

Obese