Rd Exam - Domain Ii - Tough Questions

Front 1

Critical thinking skills include

Back 1

Observe verbal/nonverbal cues
Determine appropariate data to collect
Select tools & procedures and apply in valid, reliable ways
Validate, organize and categorize data

Front 2

Documentation of Nutrition Asessment

Back 2

Date/Time
Pertinent data with comparison standards
Partions perceptions, values and motivation related to problem
Changes in patients understandings, behaviors and outcomes

Front 3

Triceps Skinfold Thickness - TSF

Back 3

measures body fat reserves
measures calorie reserves

Male: 12.5mm
Female: 16.5mm

Front 4

Arm Muslce Area - AMA

Back 4

measures skeletal muscles (somatic protein)

Important for growing children
Possible Protein/Energy Malnutrition

Male: 25.3cm
Female: 23.2cm

Front 5

Body Mass Index - BMI

Back 5

Weight to height
Health for adults 18.5 - 24.9
Healthy for Elderly 24 - 29

Front 6

Waist to Hip Ratio

Back 6

1.0 or greater in Men
0.8 or greater in Women

Increased risk of obesity-related diseases

Front 7

Waist Circumference

Back 7

<40 Males
<35 Females

independent risk factor for disease when accompanied by total body fat (BMI)

Front 8

Nutrition Focused Physical Exam

HAIR

Back 8

IF thin, sparse, dull dry

COULD BE: chemotherapy, vitamin C protein Deficiency

Front 9

Nutrition Focused Physical Exam

IF HAIR IS EASILY PLUCKABLE

Back 9

Protein Deficiency

Front 10

Nutrition Focused Physical Exam

EYES

Back 10

IF: pale, dry, poor vision

COULD BE: vitamin A, zinc or riboflavin deficiencies

Front 11

Nutrition Focused Physical Exam

LIPS

Back 11

IF: swollen, red, dry, cracked

COULD BE: riboflavin, pyridoxine, niacin deficiencies

Front 12

Nutrition Focused Physical Exam

TONGUE

Back 12

IF: smooth, slick, purple, white coating

COULD BE: Vitamin or Iron deficiencies

Front 13

Nutrition Focused Physical Exam

GUMS

Back 13

IF: sore, red, swollen, bleeding

COULD BE: Vitamin C deficiency

Front 14

Nutrition Focused Physical Exam

TEETH

Back 14

IF: missing, loose, loss of enamel

COULD BE: Calcium, deficiency or poor intake

Front 15

Nutrition Focused Physical Exam

SKIN

Back 15

IF: pake, dry, scaly

COULD BE: iron, folic acid and zinc deficiency

Front 16

Nutrition Focused Physical Exam

NAILS

Back 16

IF: birtle, think, spoon-shaped

COULD BE: iron or protein deficiency

Front 17

Serum Albumin

Back 17

3.5 - 5 g/dl Visceral (blood organ) protein

High in dehydration

Front 18

Serum Transferrin

Back 18

>200 mg/dl Visceral protein

Shorter half life than albumin

Rises with Iron deficiency
Deteremined from TIBC

Front 19

TTHY Transthyretin, PAB (prealbumin), Retinol-Binding Protien RBP

Back 19

19 - 43 mg/dl
Visceral protein with short half lifes (2-3 days)

Transthyretin best for evaluation protein status

Front 20

Hematocrit

Back 20

Volume of packed cells in whole blood

Men 44%
Women 38%
Pregnant 33%

Front 21

Hemoglobin

Back 21

Iron-containing pigment of red blood cells

Men 14 - 17 gm/dl
Women 12 - 15 gm/dl
Pregnant <11

Front 22

BUN - Blood Urea Nitrogen

Back 22

10 - 20 mg/dl
related to protein intake
Indicator of renal Disease

Renal patient should be less than 100

Front 23

Serum Creatinine

Back 23

0.6 - 1.4 mg/dl

Related to muscle mass (somatic protein)
May indicate muscle wastage or renal disease

Front 24

Urinary Creatinine Clearance

Back 24

Measures GFR

Front 25

Total Lymphocyte Count - TLC

Back 25

2000 - 3500 cell/cu mm
Measures immunocompetency

Front 26

C-Reactive Protein

Back 26

Maker of acute infalmmatory stress
As it declines, Nutritional therapy is beneficial