Supplemental Feedings

Question 1

Who should not do underwater weighing for assessing body fat percentage?

Answer 1

Those with lung disease

Question 2

What is dual energy x-ray absorptiometry?

Answer 2

DXA scan to measure bone density

Question 3

What are anthropometric methods to determine body composition?

Answer 3

SKinfold measurements
US
Height and circumference methods

Question 4

Which has a better correlation with cardiac disease: waist to hip ratio, or BMI?

Answer 4

Waist to hip

Question 5

Where is the waist measurement?

Answer 5

1 in above the umbilicus

Question 6

Where is the hip measurement?

Answer 6

Widest portion of the buttocks and greater trochanters

Question 7

True or false: the waist to hip ratio is a good indicator of malnutrition

Answer 7

False-has no lower limit

Question 8

BMI loses accuracy in what two populations?

Answer 8

The fit and the old

Question 9

Why are CBC useful in determining nutritional status?

Answer 9

RBC sacrificed when nutrition is low

Question 10

Why is BMP useful when determining nutritional status?

Answer 10

Total protein/albumin

Glucose

Question 11

What is the Nutritional risk screening (NRS) tool?

Answer 11

Tool for assessing potential for malnutrition

Question 12

What is the range of scores for the NRS?

Answer 12

0-3, with 3 being severe nutritional impairment

Question 13

What is the MUST?

Answer 13

Hospital screen for malnutrition.

Question 14

What should you do if a pt has bad teeth?

Answer 14

Make food mechanically soft

Question 15

When should pureed food be used?

Answer 15

Bad teeth and tongue

Question 16

If the pt cannot swallow, what should be used?

Answer 16

Tube feeding

Question 17

If the GI tract is not working, what feeding measure should be used?

Answer 17

Parenteral

Question 18

What is a soft mechanical diet?

Answer 18

Diet containing ground of pureed foods that are easy to chew

Question 19

What is a pureed diet?

Answer 19

Pudding like consistency

Question 20

What are thin liquids?

Answer 20

Like water/juice

Question 21

What are nectar thickened liquids?

Answer 21

Milkshake consistency

Question 22

What are honey thickened liquids?

Answer 22

Honey consistency

Question 23

What are pudding thickened?

Answer 23

Hold is shaped when spooned

Question 24

What are NG tubes used for?

Answer 24

Short term nutritional support

Question 25

What is a G tube? When should it be used?

Answer 25

Gastric tube–tube inserted into the stomach. 6-12 weeks

Question 26

What is a PEG tube?

Answer 26

Percutaneous endoscopic gastrostomy tube

Question 27

What is a J tube?

Answer 27

Tube connected to the jejunum

Question 28

What is the main problem with G tubes?

Answer 28

Regurgitation/reflux

Question 29

What is the harris-benedict equation used for?

Answer 29

Determining calorie requirements for pts with tubes

Question 30

Why do you add dye to formula?

Answer 30

To see if regurgitation is present

Question 31

What is peripheral parenteral nutrition?

Answer 31

Peripheral IV food

Question 32

What is TPN (total parenteral nutrition)?

Answer 32

Central line or PICC placed

Question 33

What is the issue with PN?

Answer 33

Limited by osmolality and volume. Vein able to sustain rate

Question 34

How long is PN used for?

Answer 34

Short term

Question 35

What should you consider with stroke pts, as far as nutritional needs are concerned?

Answer 35

Aspiration pneumonia