Rd Exam - Domain Ii

Front 1

Steps to the Nutrition Care Process

Back 1

Assess, Diagnose, Monitor and Evaluate

Front 2

First step of Nutrition Care Process

Back 2

Nutrition Assessment

Front 3

Purpose of Nutrition Assessment in NCP

Back 3

obtain adequate information in order to identify potential/possible nutrition related problems

Front 4

Initiation of Nutrition Assessment occurs from

Back 4

Referral/screening of individuals or groups for nutritional risk factors

Front 5

Critical thinking skills include

Back 5

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

Front 6

Documentation of Nutrition Asessment

Back 6

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

Front 7

Nutritional Screening is a _____-_______ measure

Back 7

Nutritional Screening is a COST-EFFECTIVE measure.

Front 8

Who can participate in Nutrition Screening?

Back 8

All health care team members can participate.

Front 9

SCREENING IS NOT A PART OF THE 4 STEP NUTRITION CARE PROCESS.

Back 9

Because all health care team members can participate.

Front 10

Objects for review in Nutrition Screening

Back 10

Client's history, Lab results, weight, Physical Signs

Front 11

Effective screening is based on a mechanicism of SPECIFICITY and SENSITIVITY

Back 11

Specificity - Can ID patients without a condition

Sensitivity - can ID those who have the condition

Front 12

Types of Nutritional History Asessments

Back 12

Diet History
Food Record
24-hour Recall
Food Frequency List

Front 13

Diet History

Back 13

Usual food habits and present patterns of eating

-Watch out for leading questions

Front 14

Food Record

Back 14

Exact record of everything eaten ina specific period of time.

-Kept by Patient

Front 15

24 Hour Recall

Back 15

Mental recall of everything eaten in previous 24 hours

-Best information when dietitian is involved (to help clarify)

Front 16

Food Frequency Questionaire

Back 16

How often an item is consumed

-Do not need dietitian's help

Front 17

Anthropometrics measure the body

Back 17

they include height and weight

Front 18

Desirable Body Weight - Females

Back 18

Medium Frame - 105 lbs for first 5'
-add/subtract 5 lbs for each additional inch

Small/Large Frame - add/subtract 10%

Front 19

Desirably Body Weight - Females

Back 19

Medium Frame - 100 lbs for first 5'
-add/subtract 5 lbs for each additional inch

Small/Large Frame - add/subtract 10%

Front 20

Weight change formula

Back 20

[(usual weight - actual) / usual] x 100

stresses significance of weight change.
Used to assess potential nutritoin risk of drug/alcohol abuse

Front 21

Triceps Skinfold Thickness - TSF

Back 21

measures body fat reserves
measures calorie reserves

Male: 12.5mm
Female: 16.5mm

Front 22

Arm Muslce Area - AMA

Back 22

measures skeletal muscles (somatic protein)

Important for growing children
Possible Protein/Energy Malnutrition

Male: 25.3cm
Female: 23.2cm

Front 23

Body Mass Index - BMI

Back 23

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

Front 24

Waist to Hip Ratio

Back 24

1.0 or greater in Men
0.8 or greater in Women

Increased risk of obesity-related diseases

Front 25

Waist Circumference

Back 25

<40 Males
<35 Females

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

Front 26

Nutrition Focused Physical Exam

HAIR

Back 26

IF thin, sparse, dull dry

COULD BE: chemotherapy, vitamin C protein Deficiency

Front 27

Nutrition Focused Physical Exam

IF HAIR IS EASILY PLUCKABLE

Back 27

Protein Deficiency

Front 28

Nutrition Focused Physical Exam

EYES

Back 28

IF: pale, dry, poor vision

COULD BE: vitamin A, zinc or riboflavin deficiencies

Front 29

Nutrition Focused Physical Exam

LIPS

Back 29

IF: swollen, red, dry, cracked

COULD BE: riboflavin, pyridoxine, niacin deficiencies

Front 30

Nutrition Focused Physical Exam

TONGUE

Back 30

IF: smooth, slick, purple, white coating

COULD BE: Vitamin or Iron deficiencies

Front 31

Nutrition Focused Physical Exam

GUMS

Back 31

IF: sore, red, swollen, bleeding

COULD BE: Vitamin C deficiency

Front 32

Nutrition Focused Physical Exam

TEETH

Back 32

IF: missing, loose, loss of enamel

COULD BE: Calcium, deficiency or poor intake

Front 33

Nutrition Focused Physical Exam

SKIN

Back 33

IF: pale, dry, scaly

COULD BE: iron, folic acid and zinc deficiency

Front 34

Nutrition Focused Physical Exam

NAILS

Back 34

IF: birtle, think, spoon-shaped

COULD BE: iron or protein deficiency

Front 35

Biochemical measures are the most...

Back 35

accurate means of measuring nutritional status

Front 36

Serum Albumin

Back 36

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

High in dehydration

Front 37

Serum Transferrin

Back 37

>200 mg/dl Visceral protein

Shorter half life than albumin

Rises with Iron deficiency
Deteremined from TIBC

Front 38

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

Back 38

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

Transthyretin best for evaluation protein status

Front 39

Hematocrit

Back 39

Volume of packed cells in whole blood

Men 44%
Women 38%
Pregnant 33%

Front 40

Hemoglobin

Back 40

Iron-containing pigment of red blood cells

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

Front 41

BUN - Blood Urea Nitrogen

Back 41

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

Renal patient should be less than 100

Front 42

Serum Creatinine

Back 42

0.6 - 1.4 mg/dl

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

Front 43

Urinary Creatinine Clearance

Back 43

Measures GFR

Front 44

Creatinine Height Index

Back 44

Estimates lean body mass
Ratio of excreted creatinine in 24 hours to height

Front 45

Total Lymphocyte Count - TLC

Back 45

2000 - 3500 cell/cu mm
Measures immunocompetency

Front 46

C-Reactive Protein

Back 46

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

Front 47

BEE Activity Factors
Sedentary
Active
Stressed

Back 47

1.2 - Sedentary
1.3 - Active
1.5 - Stressed