Nutrition Chapters 13 And 14

Front 1

Who holds the ultimate responsibility for meeting all the client's nutrition needs?

Back 1

physician

Front 2

Who prescribes the client's diet and writes the diet order in the medical record?

Back 2

physician

Front 3

Who writes orders that relate to nutrition care, including orders for comprehensive nutrition assessments, diet counseling, and evaluation of food intakes?

Back 3

physician

Front 4

The ___ will only see those clients with written orders for special diets or other nutrition services.

Back 4

dietitian

Front 5

Who identifies clients who need nutrition services and communicates information to the physician or dietitian?

Back 5

nurse

Front 6

Who alerts potential diet medication interactions which can alter a drug's effectiveness or affect a client's nutrition status?

Back 6

nurse

Front 7

Who communicates to clients about pertinent information?

Back 7

nurse

Front 8

Who encourages clients to eat, measures weight and height, records information about food intake, and answers questions about special diets?

Back 8

nurse

Front 9

Who is involved in the nutritional care of patients?

Back 9

physician, dietitian, nurse

Front 10

What effects nutritional status?

Back 10

1. health problems
2. treatments
3. immobility and pressure sores
4. indirect effects such as the costs of healthcare

Front 11

Without physical activity, the muscles begin to lose ___ and ___.

This contributes to ___.

Back 11

nitrogen, calcium
malnutrition

Front 12

What effects nutritional status?

Back 12

1. health problems
2. treatments
3. immobility and pressure sores
4. indirect effects such as the costs of healthcare

Front 13

The breakdown of skin and underlying tissues due to constant pressure and lack of oxygen to the affected area?

Back 13

pressure sores

Front 14

___, ___, and ___ are all associated with the development of pressure sores.

Back 14

immobility, poor food intake, PEM

Front 15

A physician's written statement in the medical record of the client's diet prescription?

Back 15

diet order

Front 16

The evaluation of the many factors that influence or reflect a client's nutrient and nutrition education needs?

Back 16

nutrition assessment

Front 17

Provision of a client's nutrient and nutrition education needs based on a complete nutrition assessment.

Back 17

medical nutrition therapy

Front 18

a nonnutrient found in the husks of grains, legumes, and seeds

Back 18

phytate

Front 19

a nonnutrient found in significant amounts in rhubarb, spinach, beets, nuts, chocolate, tea, wheat bran, and strawberries

Back 19

oxalate

Front 20

a brief review of clinical signs or symptoms associated with each organ system

Back 20

review of body systems

Front 21

asks the client to recount everything eaten in a typical day and what times meals and snacks are rountinely eaten.

Back 21

usual intake

Front 22

A diet that changes as a client's tolerances permit.

Back 22

progressive diet

Front 23

The total amount of material in the colon; includes dietary fiber, undigested food, intestinal secretions, bacterial cell bodies, cells shed from the intestinal mucosa

Back 23

residue

Front 24

___ 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.

Back 24

care plans

Front 25

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.

Back 25

care maps (also known as clinical pathways or critical pathways)

Front 26

The 3 goals of nutrition therapy are:

Back 26

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.

Front 27

a tool for quickly identifying clients most likely to be at risk for malnutrition so that they can receive complete nutrition assessments?

Back 27

nutrition screening

Front 28

The ___ asks the client to recount everything eaten or drunk the previous day

Back 28

24 hour recall

Front 29

What are 4 methods for gathering food intake data?

Back 29

1. 24 hour recall
2. food frequency questionnaire
3. calorie counts
4. food records/food diary

Front 30

diets that include all foods and meet the nutrient needs of a healthy person

Back 30

standard (or regular diets)

Front 31

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.

Back 31

modified (or therapeutic diets)

Front 32

a diet order is also known as a ___.

Back 32

diet prescription

Front 33

Who provides a diet order?

Back 33

physician

Front 34

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

Back 34

diet manuals

Front 35

foods that are liquid and transparent at body temperature are called? If unsupplemented, it is deficient in many nutrients.

Back 35

clear liquids

Front 36

___ includes both clear and opaque liquids. If supplemented can meet nutritional needs.

Back 36

full liquid

Front 37

___ records focus on a client's medical problems and the strategies being used to address those problems

Back 37

traditional problem oriented medical records (POMR)

Front 38

___ records focus on observable medical goals.

Back 38

goal oriented medical records

Front 39

___ records are being replaced by ___ records.

Back 39

traditional problem oriented medical POMR), goal oriented medical

Front 40

___ is the most abundant serum protein.

Back 40

albumin

Front 41

___ transports iron.

Back 41

transferrin

Front 42

Who conducts complete nutrition assessments?

Back 42

dietitian

Front 43

Fact: Urinary acidity affects the reabsorption of medications from the kidneys back into the blood.

Back 43

*

Front 44

An acidic urine limits the ___ of acidic drugs. Give an example.

Back 44

excretion, aspirin

Front 45

Large doses of vitamin C with aspirin ___ urine's acidity and aspirin remains in the blood longer.

Back 45

increases

Front 46

This typically asks clients how their daily food intake compares to the daily food guide.

Back 46

food frequency quesionnaire

Front 47

clients food intake that can be directly observed and analyzed is called?

Back 47

calorie counts

Front 48

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).

Back 48

hair, skin, digestive tract

Front 49

Serum proteins are synthesized in the ___.

Back 49

liver

Front 50

What are the four serum proteins used to evaluate a person's protein status?

Back 50

1. albumin
2. transferrin
3. transthyretin
4. retinol-binding

Front 51

___ than body requirements describes the nutrition problems of ppl who are overweight or obese.

Back 51

more

Front 52

___ 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.

Back 52

less

Front 53

Who writes the diet order?
Who writes the diet prescription?

Back 53

physician
nurse

Front 54

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

Back 54

residue

Front 55

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

Back 55

medical records