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79 Cards in this Set
- Front
- Back
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The nurse recognizes that ?? is a greatest risk for undernutrition?
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a 5 month old infant
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When assessing a patients nutritional status, the nurse recalls that the best definition of optional nutritional status is?
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sufficient nutrients to provide for daily body requirements and for increased metabolic demands
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the nurse is providing nutritional info to a mom of a 1 year old. what should she say?
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it is important to maintain adequate fat and caloric intake
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a prego is interested in brest feeding. what info should she share?
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breast milk provides the nutrients necessary for growth as well as natural immunity
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a mom of a 13 year old girl is concerned about her reacent weigh gain and appetite what should you say.
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suggestions for snacks high in protein, iron and calcium
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assessing a 30 year old unemployed immigrant from an underdeveloped country been in US for 1 month. what nutritional status might the nurse expect?
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osteomalacia
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during a nutritional assessment of a 22 yearold male refugee, the nurse must remember to:
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clarify what is meant by the term "food"
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What is true concerning a nutritional assessment?
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it identifies patients who are at risk of malnutrition
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the initial nutriional screening should include what?
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measurement of weight and weight history
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a patient is asked to indicate on a form how many times he eats a specific food. what is this metohod of diatary information?
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food frequency questionaire
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a 68 yr od female is complaining of constipation. what concern exists with her nutritional status
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the absorption of nutrients may be impaired
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why is it important for a nurse to aske a patient what meds they take during a nutritional assessment
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certain drugs can affect the metabolism of nutrients
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what is the best response to a person who stated his food just doesnt have any taste anymore
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when did you first notice this change
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a 15 yr old girl thinks she is fat. what should you say?
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how much do you think you should weigh
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what is appropriate foods for a 3 yr old
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finger foods and nutritious snacks that cant cause choking
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what is most likely to affect the nutritional status of an 82 yr old
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living alone on a fixed income
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what is the most common anthropometric measurements of a nutritional assessment?
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height and weight
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if a 29 yr old women weighs 146 and the nurse determines her ideal body weight to be 120. how ould dthe nurse classify the women's weight
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obese 100 x 146/120 = 121%
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to perform a tricepts skinfold assessment, the examiner would do what:
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after applying the calipers, wait 3 sec before taking the reading. repeat 3 times
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when assessing muscle mass and fat sores on a 40 yr old female the nurse would use
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mid upper arm cercumference
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when evaluating a mid upperarm cercumferenace and triceps skinfold of an 82 yr old what should you remember
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these measurements may not be accurate because of changes in skin and fat distribution
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skeletal protein reserves of a patient who has been hosp. for frequent chronic lung disease, what should be included
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mid arm muscle area
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what is the best description for measuring frame size?
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with the right arm extended forward and the elbow extended, measure the distance from fingertips to the condyle of the humerus
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to determin total body fat at home, obtain measurements of:
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waist and hip cercumferences
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who is increased resk for obesity-related diseases?
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29yr old female whose % ideal body weight is 125% waist is 33 inches and hips 36 inches
(.92) |
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the mom of a 8 yr old boy is concerned about his weight. to determain whether this is a problem, the nurse will measure?
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waist to hip ratio
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what is true when determining the body mass index of a 80 yr old man in a wheelchair
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height measurements may not be accurate because of changes in bone
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what lab test could determin iron deficient 30 yr old female
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hemoglobin and hematocrit
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a 50 yr old women with elevated serum, cholesterol and triglycerides levels needs teaching in relation to these test with what?
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info regarding lwo saturated fat diet
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a person lost 20 pounds quick, what lab test should be obtained
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total lymphocyte count
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to obtain an accurate nigrogen balance and creatinine height index, the nurse must ensure that
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an accurate 24 hr urin specimen has been collected
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when evaluating the results of lab tests, the nurse knows
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variations based on biocultural differences may exist
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imbalanced nutrition as a result of dysphagia , the following data would be expected to find
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inadequate food intake
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a 21 yr old woman has been on a low protein liquid diet for 2 months what would be expected
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decreased serum albumin
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when assessing an 80 yr old, the nurse knows what physiologic change occurs?
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slowed gastriointestinal motility
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when planning nutritional interventions for a healthy active 74 yr old women, should remember?
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decrease the # of calories she is eating because of the decrease in energy required from loss of lean body mass
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during adolescence, unless disease is suspected laboratory evaluation of hemoglobin, hematocrit levels and?
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urinalysis for glucose and protein are adequate
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what is appropriate when collecting current dietary intake info?
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have the pt complete a food diary for 3 days, 2 weekdays and 1 weekend day
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who is most likely to have an anergic response when assessing skin test antigens?
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an individual with malnutrition
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what measures fat, lean body mass and bone mineral density?
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dual energy x ray absorptiometry
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what is measurement is an early indicator of protein malnutrition?
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serum transferrin
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when evaluating serum albumin levels, the nurse must keep in mind that:
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low serum albumin levels may be caused by reasons other than protein calorie malnutrition
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what condition is due to inadequate intake of both protein and calories?
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marasmus
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can HIV women breast feed her baby?
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no, because HIV can be transmitted thru breast milk
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Riboflavin deficiency is seen how?
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tongue is magenta in color
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what are the risk factors for metabolic syndrome?
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fasting plasma glucose level greater than 110
blood pressure 140/90 |
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the internal structures of the breast are?
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the breast is composed of fibrous, glandular, and adipose tissue
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where are most breast tumors located
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upper outer quadrant of the breast
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Axillary lymph system are located where?
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central, lateral, pectoral, and subscapular
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If a patient reports a recent breast infection, the nurse would expect to find:
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ipsilateral axillary node enlargement
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females develop breasts when?
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breasts usually develop between 8 and 10 years of age
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Unilateral enlargement of the right breast with associated tenderness in a 10 yr old female is:
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most likely normal breast development
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a 14 yr old is worried about not having reached menarche. What should be asked?
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the age she began to develop breasts
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a women says her breasts change all month long, what is the best response
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changing hormones during the monthly menstrual cycle, cyclic breast changes are common
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what should a new prego need to know about her breasts
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she can expect her areolae to become larger and darker in color
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what should be know about breast milk
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colostrum is a fluid that contains antibodies and usually present after the fourth month of pregnancy
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what happens to older women's breasts?
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after menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag
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What should a nurse tell a 70 yr old man with bilateral gynecomastia?
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explain that this condition may be the result of hormonal changes and recommend that he see his physician
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13 yr old black girls are expected to find on the basis of TAnners data on sexual maturity?
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her 2nd sex characheristics will appear earlier than those of white girls her age
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what culture group has the lowest risk for breast cancer
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American indian women
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Breast cancer in black women in the US???
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is the leading cause of CANCER death among black women
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the appropriate response to a patient stating she has pain her left breast is?
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I would like some more info about the pain in your left breast
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a females noticed a few drops of clear discharge from her right nipple, what should the nurse do next?
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ask her some questions about the medication she is taking
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what is true about benign breast disease?
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The presence of benign breast disease makes i more difficult to examine the breasts
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The nurse should explain to women that mammography may?
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NOT detect all palpable lumps
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What is accurate with regard to breast feeding?
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breast feeding may reduce the risk of breast cancer
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who would be at risk for breast cancer?
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a 65 yr old whose mom had breast cancer
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if a breast is slightly larger then the other, what should be said?
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this finding is not unusual, but the nurse should verify that this change is not new
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what is an abnormal finding during inspection of breasts
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a woman whose nipples are in different planes (deviated)
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if a patient has an inverted left nipple, what should be done?
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should be determined whether the inversion is recent change
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how should a screen for nipple/skin retraction during a breast exam be done?
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have the woman slowly lift her arms above her head and note any retraction or lag in movement
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what position is most likely to make significant lumps more distinct during breast palpatation
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supine with arms raised over her head
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what would the nurse consider to be outside normal limits during a breast exam
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a patient has had 2 pregos, and her youngest is 10, her breast tissue is soft and small amount of thick yellow discharge from both nipples
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the nurse should plant to ??? when a pt says she noticed a new lump
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paplate the unaffected breast first
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the nurse documents this as a small, round, firm, distrinct, lump located at 2oclock 2 cm from the nipple. It is nontender and fixed, what is missing
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the info about the exact size of the lump
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what is the proper breast self examination?
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the best time to perform BSE is 4-7 days after the first day of the menstrual period
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what should be tought about BSE?
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BSE on a monthly basis will help you feel familiar with your own breasts and their normal variations
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why do women's breasts change as they age
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decreases in progesterone and estrogen after menopause causes atrophy of the glandular tissue in the breast. this is normal
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if a change in consistency of a lump is becoming harder, what should be done?
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because of the change, it should be further evaluated by a physician
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