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40 Cards in this Set

  • Front
  • Back
Maisie Green is a frail, elderly widow who lives in a nursing home and has been confined to her bed for some time. Why might she be experiencing metabolic stress and have increased kcal and protein needs?
Pressue sores
A patient complains that he is dissatisfied with his diet and would like more information about the restrictions. Which of the following healthcare workers is responsible for providing diet education to the patient?
The nutrition counselor
A brief assessment for quickly identifying clients at risk for malnutrition so that they can receive complete nutrition assessments is called a
nutrition screening
Nutrition screenings should be completed on each client within _____ after admission.
24 hours
Which of the following is included in a food and nutrition history?
Food availability
Which of the following is a limitation to the value of a 24-hour recall?
A 24-hour period may not be typical
Why might food frequency questionnaires be less accurate than 24-hour recalls?
They typically list only common foods
For children a sharp drop in a previously steady growth pattern suggests:
malnutrition
Which of the following clients is at greatest risk of malnutrition?
A 30-year-old woman, 5'6", 192obs, with a recent unexplained weight loss of 25lbs
After blood is centrifuged to remove cells, and clotting factors are still present, the fluid that remains is called
plasma
Physical findings are most appropriately used to
reveal problems for other assessment techniques to confirm
Which protein is a “marker” of acute inflammation, and becomes elevated only when the body is fighting disease?
C-reactive protein
To evaluate growth patterns in pediatric patients, Eva must obtain weight, height, and head circumference and plot it on:
a growth chart
Changes in hydration and diarrhea due to illness affect nutrition status primarily by
altering metabolism and excretion.
Gastrointestinal surgeries can most profoundly affect nutritional status by impairing
digestion and absorption.
The provision of a client's nutrient and nutrition education needs based on a complete nutrition assessment
medical nutrition therapy.
In a health care facility, who holds the ultimate responsibility for ensuring that all the patient's nutritional needs are met?
Physicians
Due to illness, Diane has been placed on bowel rest. This is most likely to affect her nutritional status via
food intake.
Robert is being treated for hypertension with a diuretic. This is most likely to affect his nutritional status via
excretion.
Martha is being treated with pelvic radiation for extensive spread of cervical cancer. This is most likely to affect her nutritional status via changes in
absorption.
A sodium-controlled diet is often used to prevent fluid retention and may be recommended for the treatment of: the treatment of:
congestive heart failure.
Which of the following is included in implementing nutrition care?
revising the care plan
When long-term dietary changes are necessary, a nutrition care plan should
determine the individual’s readiness to change.
What is the most accurate method to determine a patient’s kcalorie needs?
Indirect calorimetry
Liquid diets are often prescribed
following oral or facial surgeries.
A patient on a sodium-controlled diet has been observed ordering Chinese take-out only a few hours after his nutrition consult. The patient reports that a “little salt won’t hurt me.” The nutrition counselor:
concludes that the patient is not ready to learn and implement the diet changes.
Sierra is cleaning her kitchen and refrigerator. Which of the following foods Mr. Whitaker is 5’8”, weighs 145 lbs., and has been diagnosed with esophageal cancer. His hematocrit is 28 and his albumin level is 3.1 g/dL. Which of the following diets would assist in improving his nutrition status?
High-kcalorie, high-protein diet
Which of the following approaches is likely to be helpful in implementing long-term dietary changes?
Encourage only one or two changes at a time.
Which of the following fulfills the purpose of following up on a nutrition care plan?
Comparing outcome measures to initial values
Which of the following is an important benefit of follow-up care?
It allows evaluation and, if necessary, modification of the nutrition care plan
What does the "S" stand for in the SOAP note charting format?
Subjective
The “D” of ADIME stands for
diagnosis
What is the most accurate method to determine kcalorie needs in overweight or obese patients who are not critically ill?
Mifflin-St. Jeor equation
Use the Harris-Benedict equation (presented below) to estimate daily energy needs for a 32-year-old woman who is 165 cm tall and weighs 46 kg. Use a stress factor of 1.2. RMR = 655.1 + [9.563 x weight (kg)] + [1.85 x height (cm)] - [4.676 x age (years)]
1500 kcal
People with _____ allergies may also react to lupine flour, which may be used as a wheat flour additive in Europe and Australia.
peanut
Most young children outgrow allergies to milk, egg, wheat, or soy by _____ years of age.
5
What type of nutrition intervention provides referrals to local agencies and arranges transfer of nutrition care to another location?
coordination of nutrition care
he two inter-related components of nutrition education are
planning and implementation
Providing information about a modified diet is an example of
nutrition education
Motivating the individual to change behaviors to achieve goals is an example of
nutrition counseling