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55 Cards in this Set

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Who holds the ultimate responsibility for meeting all the client's nutrition needs?
physician
Who prescribes the client's diet and writes the diet order in the medical record?
physician
Who writes orders that relate to nutrition care, including orders for comprehensive nutrition assessments, diet counseling, and evaluation of food intakes?
physician
The ___ will only see those clients with written orders for special diets or other nutrition services.
dietitian
Who identifies clients who need nutrition services and communicates information to the physician or dietitian?
nurse
Who alerts potential diet medication interactions which can alter a drug's effectiveness or affect a client's nutrition status?
nurse
Who communicates to clients about pertinent information?
nurse
Who encourages clients to eat, measures weight and height, records information about food intake, and answers questions about special diets?
nurse
Who is involved in the nutritional care of patients?
physician, dietitian, nurse
What effects nutritional status?
1. health problems
2. treatments
3. immobility and pressure sores
4. indirect effects such as the costs of healthcare
Without physical activity, the muscles begin to lose ___ and ___.

This contributes to ___.
nitrogen, calcium
malnutrition
What effects nutritional status?
1. health problems
2. treatments
3. immobility and pressure sores
4. indirect effects such as the costs of healthcare
The breakdown of skin and underlying tissues due to constant pressure and lack of oxygen to the affected area?
pressure sores
___, ___, and ___ are all associated with the development of pressure sores.
immobility, poor food intake, PEM
A physician's written statement in the medical record of the client's diet prescription?
diet order
The evaluation of the many factors that influence or reflect a client's nutrient and nutrition education needs?
nutrition assessment
Provision of a client's nutrient and nutrition education needs based on a complete nutrition assessment.
medical nutrition therapy
a nonnutrient found in the husks of grains, legumes, and seeds
phytate
a nonnutrient found in significant amounts in rhubarb, spinach, beets, nuts, chocolate, tea, wheat bran, and strawberries
oxalate
a brief review of clinical signs or symptoms associated with each organ system
review of body systems
asks the client to recount everything eaten in a typical day and what times meals and snacks are rountinely eaten.
usual intake
A diet that changes as a client's tolerances permit.
progressive diet
The total amount of material in the colon; includes dietary fiber, undigested food, intestinal secretions, bacterial cell bodies, cells shed from the intestinal mucosa
residue
___ sets goals and expected outcomes that aim to resolve the client's immediate and long-term nutrition problems. It also describes the interventions necessary to achieve the goals.
care plans
charts or tables that outline a plan of care for a specific diagnosis, treament, or procedure, with a goal of providing the best outcome at the lowest cost.
care maps (also known as clinical pathways or critical pathways)
The 3 goals of nutrition therapy are:
1.To meet the client's nutrient needs.
2.To meet the client's needs for nutrition.
3.To meet the client's needs for nutrition education.
a tool for quickly identifying clients most likely to be at risk for malnutrition so that they can receive complete nutrition assessments?
nutrition screening
The ___ asks the client to recount everything eaten or drunk the previous day
24 hour recall
What are 4 methods for gathering food intake data?
1. 24 hour recall
2. food frequency questionnaire
3. calorie counts
4. food records/food diary
diets that include all foods and meet the nutrient needs of a healthy person
standard (or regular diets)
regular diets that are adjusted to meet special nutrient needs are called what? These diets can be adjusted in consistency, level of energy and nutrients, amount of fluid, or number of meals, or by the inclusion or elimination of certain foods.
modified (or therapeutic diets)
a diet order is also known as a ___.
diet prescription
Who provides a diet order?
physician
a book that describes the foods allowed and restricted on a diet, outlines the rationale and indications for use of each, and provides sample menus
diet manuals
foods that are liquid and transparent at body temperature are called? If unsupplemented, it is deficient in many nutrients.
clear liquids
___ includes both clear and opaque liquids. If supplemented can meet nutritional needs.
full liquid
___ records focus on a client's medical problems and the strategies being used to address those problems
traditional problem oriented medical records (POMR)
___ records focus on observable medical goals.
goal oriented medical records
___ records are being replaced by ___ records.
traditional problem oriented medical POMR), goal oriented medical
___ is the most abundant serum protein.
albumin
___ transports iron.
transferrin
Who conducts complete nutrition assessments?
dietitian
Fact: Urinary acidity affects the reabsorption of medications from the kidneys back into the blood.
*
An acidic urine limits the ___ of acidic drugs. Give an example.
excretion, aspirin
Large doses of vitamin C with aspirin ___ urine's acidity and aspirin remains in the blood longer.
increases
This typically asks clients how their daily food intake compares to the daily food guide.
food frequency quesionnaire
clients food intake that can be directly observed and analyzed is called?
calorie counts
Signs of malnutrition appear most rapidly in parts of the body where cell replacement occurs @ a high rate, such as the ___, ___, and ___ (including the mouth and tongue).
hair, skin, digestive tract
Serum proteins are synthesized in the ___.
liver
What are the four serum proteins used to evaluate a person's protein status?
1. albumin
2. transferrin
3. transthyretin
4. retinol-binding
___ than body requirements describes the nutrition problems of ppl who are overweight or obese.
more
___ than body requirements describes the nutrition problems of ppl with PEM and those who are likely to develop PEM. These ppl may be unable to eat enough food to meet their body's metabolic demands or may lose weight despite a seemingly adequate nutrient intake.
less
Who writes the diet order?
Who writes the diet prescription?
physician
nurse
the total amount of material in the colon; includes dietary fiber and undigested food, intestinal secretions, bacterial cell bodies, and cells shed from the intestinal mucosa
residue
These are legal documents that record a client's health history; the assessment, diagnosis and prognosis of medical problems; the measures being taken to treat those problems; and the results of test and therapy
medical records