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Nutrition Chapter 16,17,18
Essentials of Nutrition and Diet Therapy
47
Other
Undergraduate 1
12/10/2007

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Term
One factor that may contribute to malnutrition in hospitalized patients is:
Definition
unserved meals due to medical tests
Term
Bed rest has adverse effects on muscle tone, bone calcium, plasma volume, and gastric secretions after as little as:
Definition
3 days.
Term
The focus of care in the hospital should be:
Definition
the patient
Term
The purpose of nutrition screening is to:
Definition
identify patients at risk for nutrition problems.
Term
If a patient weighed 150 lb 6 months ago and now weighs 130 lb, the patient's weight loss would be considered:
Definition
severe.
Term
A measurement that may be used to calculate height in patients who are confined to bed is:
Definition
knee height.
Term
Tests used to measure immune system integrity include:
Definition
lymphocyte count.
Term
Underreporting of food intake is most likely in:
Definition
an overweight woman.
Term
Nutrition diagnoses are:
Definition
standardized and based on evidence-based practice.
Term
Parenteral feeding solutions are prepared by the:
Definition
pharmacist.
Term
People at high risk for drug-nutrient interactions include:
Definition
older men and women
Term
Drugs that may cause weight gain include:
Definition
steroids.
Term
One of the potential side effects associated with use of nonsteroidal antiinflammatory drugs is:
Definition
stomach irritation and bleeding.
Term
Use of the antibiotic neomycin may decrease absorption of:
Definition
fat-soluble vitamins
Term
Warfarin (Coumadin) is an anticoagulant because it interferes with the action of:
Definition
vitamin K.
Term
People who use monoamine oxidase inhibitors for treatment of depression need to avoid foods high in:
Definition
tyramine
Term
The hypoglycemic effects of oral medications used to control type 2 diabetes mellitus are enhanced when these drugs are taken with:
Definition
alcohol
Term
Aspirin is absorbed more quickly if it is taken:
Definition
on an empty stomach
Term
One of the reasons that hospital patients are at greater risk for drug-nutrient interactions than they used to be is because:
Definition
hospitalized patients are more acutely ill.
Term
The two members of the healthcare team who work closely to monitor drug-nutrient interactions are:
Definition
the clinical dietitian and the pharmacologist.
Term
Provision of optimal nutrition during chronic illness reduces but does not completely prevent loss of:
Definition
lean body mass.
Term
In critically ill patients with major trauma, sepsis, and inflammation, nitrogen balance is likely to be:
Definition
negative
Term
A patient who has had a gastrectomy should be fed using:
Definition
tube feeding via jejunostomy.
Term
The best position for patients who are receiving enteral tube feedings is:
Definition
with the head slightly elevated
Term
To prevent microbial contamination, enteral formulas should not hang in an open delivery system for longer than:
Definition
8 hours
Term
Two parameters that are often used to determine tolerance of enteral tube feedings are:
Definition
residual volumes and diarrhea
Term
A patient who is expected to require parenteral nutrition for 7 to 10 days and who requires about 1800 kcal per day is likely to be fed using:
Definition
peripheral parenteral nutrition
Term
A common cause of diarrhea in patients receiving enteral tube feedings is:
Definition
use of certain medications
Term
In patients receiving enteral or parenteral nutrition, daily weight measurements are helpful to show:
Definition
hydration status
Term
The form of carbohydrate used in parenteral nutrition formulas is:
Definition
dextrose.
Term
Describes a medical disorder caused by physician diagnosis, manner, or treatment.
Definition
iatrogenic
Term
A pattern or model serving as an example; a standard or ideal for practice or behavior based on a fundamental value or theme
Definition
paradigm
Term
Measures of plasma protein
Definition
Basic measures include serum albumin, prealbumin, hemoglobin, and hematocrit
Additional ones may be: prealbumin, thyroxin binding protein, serum transferrin, or iron-binding capacity and ferritin
Term
Measures of protein metabolism/products of protein metabolism
Definition
basic 24 hour urine test are used to measure urinary creatinine and urea nitrogen levels; these materials are products of protein metabolism.
Term
clear liquid diet
Definition
clear fat free broth, bouillon, Fruit juices(as tolerated) flavored fruit drinks, fruit flavored gelatin, fruit ices, and popsicles, soft drinks(as tolerated), coffee and tea, decaffinated coffee and tea, cereal beverages such as potsum, sugar, honey, salt, hard candy, poly cose (Ross), residue-free suppliments.
Term
Full liquid
Definition
Clear fat free broth, bouillon, strained or blended cream soups, all fruits and fruit juices, cooked refined cereals, milk, cream, milk drinks, yogart, same plus sherbert, ice cream, puddings, custard, frozen yogart, same as clear liquid and margarine, pepper, all supplements.
Term
soft liquid diet
Definition
all cream soups plus full and clear liquid diet foods, cooked cereal, cornflakes, rice, noodles, maceroni, spaghetti, white bread, crackers, melba toast, zwirback, eggs(NOT FRIED), mild cheese, cottage and cream cheese, fowl, fish, sweetbreads, tender beef, veal lamb, liver, bacon, gravy, potatoes baked mashed creamed scalloped, tender cooked whole bland vegetables, fresh lettuce, tomatos cooked fruit:applesauce ripe peaches, orange and grapefruit section without membrane
Term
drugs which increase appetite
Definition
antihistamines, antianxiety drugs, tricyclic antidepressants, insulin, steroids
Term
drugs that suppress appetite
Definition
selective serotonin reuptake inhibitor (SSRI), Amphetamines, Alcohol.
Term
What drugs cause impairment of salivary flow, causing dry mouth, along with a sour metallic taste
Definition
Drugs such as Tricyclic antidepressant amitriptyline (Elavil).
Term
What drug will cause bitter test when it is secreted into the saliva
Definition
The antibiotic clarithromycin (Biaxin)
Term
What drugs will suppress natural oral bacteria, resulting in oral yeast overgrowth or candidiasis
Definition
Antibiotics such as tetracycline
Term
What drug will cause DYSGEUSIA (abnormal or impaired sense of taste) by causing a metallic taste in the mouth
Definition
Metronidazole (Flagyl) and antibiotic
Term
What drugs may cause damage to rapidly growing cells, causing stomatitis, glossitis, and or esophagitis
Definition
Antineoplastic medications (Cisplatin or Methotrexate)
Term
What drugs are typical for causing stomach irritation and can even cause severe or sudden gastric bleeding
Definition
Nonsteroidal antiinflammatory drugs (NSAIDS) such as acetylsalicyclic acid (Aspirin) and Ibuprofen (Advil or Motrin) and naproxen (Aleve, Anaprox)
Term
Which drugs cause slow peristalsis resulting in constipation
Definition
Anticholinergic medications (antipsychotics, antidepressants, antihistamines)
Term
Which antibiotic allows for overgrowth of Clostridium difficile reulting in pseudomembranous colitis
Definition
Ciprofloxacin (Cipro)
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