exam 3 nutr

weight loss

Fluid retention may cause all of the following except:

dietary restrictions

When performing a nutrition assessment, the practitioner should include what information as part of the patient's food and nutrition history?

14-20 days

The normal half-life of albumin is

nutritional genomics

The study of the effects of diet on gene expression is called:

adjusting the types of treatments offered to the patient

What element would most likely be included as part of the nutrition intervention step of the nutrition care process?

stand with the feet together

For an adult's height to be accurately measured, the person should:

head circumference

What technique would most likely be used to assess brain development in an infant?

depression due to loss of his spouse

John Wilson is a 74-year-old retired schoolteacher. He is 5' 8" tall and weighs 136 pounds. His wife died nine months ago. During a routine visit to the doctor, it was noted that his weight had decreased 21 pounds since his visit a year ago. Mr. Wilson does not have any medical problems, though he does report feeling depressed and lonely. The physician ordered a panel of lab tests including hemoglobin, hematocrit, and albumin, which all were low.The most likely cause of Mr. Wilson's weight loss is:

alkaline phosphatase

Which laboratory test would most likely be used to evaluate liver function?

it is not effective for monitoring short-term changes in food intake

A disadvantage to using a food frequency questionnaire is:

critical pathway

A coordinated program of treatment that merges the care plans of different health practitioners is a:

impaired physical mobility

John Wilson is a 74-year-old retired schoolteacher. He is 5' 8" tall and weighs 136 pounds. His wife died nine months ago. During a routine visit to the doctor, it was noted that his weight had decreased 21 pounds since his visit a year ago. Mr. Wilson does not have any medical problems, though he does report feeling depressed and lonely. The physician ordered a panel of lab tests including hemoglobin, hematocrit, and albumin, which all were low.What nursing diagnosis would be most appropriate for Mr. Wilson?

DNA molecules

Genetic information is encoded in BLANK within the nuclei of almost all of the cells in the body.

genes

Segments of a DNA strand that can be translated into proteins are called:

Subjective Global Assessment (SGA)

Which type of assessment evaluates a person's risks of malnutrition by ranking vey variables from the medical history and physical examination?

a weakened immune system

The nurse realizes that malnutrition is a common problem among people who are hospitalized and that it is associated with:

5th

Growth charts with BMI-for-age percentiles can be used to assess risk of underweight and overweight in children over two years of age: the _____ percentile is used as a cutoff to identify children who may be malnourished.

impaired dentition

Which nursing diagnosis has nutritional implications?

handgrip strength

Muscle weakness due to wasting would mostly likely be evaluated by which test?

84%

Joe, a 69-year-old widower, has lost 27 pounds since his wife's death a year ago. He is 5' 11", and his usual body weight is 173 pounds. What is his %UBW?

insufficient secretion of bile salts

What is an example of a symptom or effect of an illness that would likely lead to impaired digestion and absorption?

food record

Which method of collecting a dietary history is the most time-consuming and requires the highest degree of motivation to complete?

physician

A patient's diet order is most often prescribed by the:

shiny hair

What clinical sign is an indicator of good nutritional status?

24

Though a dietitian or dietetic technician may perform a patient's nutrition screening, it should occur within ___ hours of admission.

use a movable headboard and fixed footboard

A nurse is examining a 3-week old infant. What step should be preformed to correctly measure the length of the infant?

incontinence

Which medical problem is not generally associated with malnutrition?

kcalorie count

When direct observations are used to generate an estimate of a client's current food intake, the procedure is called a:

creatine kinase

Elevated blood levels of BLANK may indicate a heart attack, brain tissue damage, or skeletal muscle injury

46

The human body contains ____ chromosomes.

144 pound

John Wilson is a 74-year-old retired schoolteacher. He is 5' 8" tall and weighs 136 pounds. His wife died nine months ago. During a routine visit to the doctor, it was noted that his weight had decreased 21 pounds since his visit a year ago. Mr. Wilson does not have any medical problems, though he does report feeling depressed and lonely. The physician ordered a panel of lab tests including hemoglobin, hematocrit, and albumin, which all were low. what would be Mr wilsons ideal body weight

PEM

Weight gain due to fluid retention in a patient with liver cirrhosis can mask symptoms of:

fluid retention

Among people who are ill, significant weight loss may be masked by:

ask the patient his weight before measuring it

What steps should the nurse include in order to successfully measure a patient's weight?

2 years

A child's height is measured in the standing position once she or he reaches the age of _____.

14-20 days

The normal half-life of albumin is:

transferrin

What lab value responds to both PEM and iron status?

nuts

Jose Salazar has been hospitalized following a motor vehicle accident. He has several broken bones, including his left jaw, two ribs on the left side, and a compound fracture of his left leg. According to his medical record, he is 47 years old, his height is 5' 9", and his weight is 171 pounds. His current medications include lovastatin to lower his cholesterol and an MAO inhibitor to treat depression.What food should be excluded from Mr. Salazar's diet for the time being?

grapefruit juice

Jose Salazar has been hospitalized following a motor vehicle accident. He has several broken bones, including his left jaw, two ribs on the left side, and a compound fracture of his left leg. According to his medical record, he is 47 years old, his height is 5' 9", and his weight is 171 pounds. His current medications include lovastatin to lower his cholesterol and an MAO inhibitor to treat depression.Because Mr. Salazar is taking lovastatin, he should be counseled to avoid:

chiropractic

One example of a CAM therapy involving physical manipulation is _____.

order a new food tray from the kitchen

The nurse removes a patient's meal tray from the food cart and discovers that the food is not appropriate for the diet order. The nurse should:

foods allowed and not allowed on each diet

What information would be most likely be included as part of diet manual?

fat-restricted diet

A patient with disease of the liver or gallbladder may benefit from a:

folate

Methotrexate interferes with metabolism of:

appetite enhancer

Megestrol acetate is best described as a(n):

blenderized liquid diet

The most appropriate diet for a patient whose jaw was broken in a motor vehicle accident is a:

the diet should be supplemented with a low-residue commercial formula

If a patient requires a clear liquid diet for more than one or two days:

identify expected outcomes and plan strategies that can correct problems

In terms of implementation of care plans, the nurse recognizes that her major role is to:

strengthen the effects of certain drugs

Compounds in grapefruit juice can:

wasting

The stress of Kati's condition places her at risk of hypermetabolism. What kind of complication is most closely associated with hypermetabolism as a result of stress?

a loss of lean tissue

If Kati's enteral feeding is not providing adequate energy and protein to meet her nutritional needs, she will experience:

62 to 104 g

Kati's protein needs are estimated at 1.2 to 2 g/kg of body weight based on her condition. Based on this estimation , her daily protein intake would then be BLANK g per day

clinical signs and lung function tests

Emphysema associated with COPD is most often diagnosed by:

swelling

While caring for a patient who has been injured, the nurse recognizes which signs of inflammation that accompanies altered blood flow?

heart rate, respiratory rate, and blood pressure

Because the immediate stress response can cause a variety of systemic effects, the nurse should closely monitor her patient's:

96

Mr. Jones, a critically ill patient, is 5'9" tall and weighs 176 pounds. The nurse recommends that he receive a minimum of ______ grams of protein daily.

Increase respiratory distress

Excessive kcalorie intake in COPD patients may:

zinc

What micronutrient plays a role in immunity and wound healing?

glucose levels

Mr. Morgan is a critically ill patient in the ICU who is on TPN. The nurse understands that monitoring his _____ can help to determine if he is being overfed.

indirect calorimetry

In critically ill patients, ____ is used to measure the resting metabolic rate (RMR):

glutamine

Which amino acid has been shown to have beneficial effects on critically ill patients?

restoring fluids and electrolytes

What describes the immediate care concerns of the clinician during a patient's time of severe stress?

94

Mary is a 59-year-old patient who suffered multiple broken bones in a motor vehicle accident. She weighs 138 pounds. The nurse chooses a protein factor of 1.5 g/kg to estimate her protein needs and calculates that Mary's protein requirements are approximately ___grams per day.

fluid imbalance

A patient who is on a tube feeding gains 9 pounds in 3 days. The nurse realizes that this may most likely indicate:

altered metabolic processes

A patient who has developed MODS would most likely demonstrate what signs or symptoms associated with liver failure?

82-136 g

Laura is a critically ill patient. She is 5' 4" tall and weighs 150 pounds. What are Laura's protein needs?

cytokines

What compound is produced by white blood cells and participates in the inflammatory process?

small, frequent meals

A COPD patient who complains of abdominal discomfort and dyspnea may benefit from:

preventing excessive wasting

In what way does nutrition support play a role in treatment of MODS?

Ireton-Jones energy equation

What method was developed for estimating energy needs in a patient with traumatic injuries?

cigarette smoking

The most common risk factor associated with development of COPD is:

naturopathic medicine

What form of alternative medicine proposes that ill health results from internal disruptions in the body?

food-medication interactions

Jose Salazar has been hospitalized following a motor vehicle accident. He has several broken bones, including his left jaw, two ribs on the left side, and a compound fracture of his left leg. According to his medical record, he is 47 years old, his height is 5' 9", and his weight is 171 pounds. His current medications include lovastatin to lower his cholesterol and an MAO inhibitor to treat depression.Before leaving the hospital, Mr. Salazar will need nutrition education on:

mouth and tongue sores

A patient who suffers from migraine headaches wants to take feverfew to prevent their recurrence. What adverse effect has been associated with the use of feverfew?

many patients find the diet unpalatable

Sodium restriction is difficult to implement on a long-term basis because:

emphasize foods the patient can eat

A patient is discouraged by the dietary restrictions for her low-sodium diet. The most appropriate response from the nurse is to:

chicken broth, apple juice, popsicle

What menu selections would be appropriate for a patient placed on a clear liquid diet?

helping a patient to open containers and set up the food tray

Health care personnel can best help hospitalized patients improve their food intake by:

celery

Jennie Wilson is a 42-year-old administrative assistant who recently underwent sleeve gastrectomy surgery to treat her obesity and weight-related problems: diabetes and hypertension. Ms. Wilson will need nutrition education before being discharged from the hospital.What foods should Ms. Wilson be advised to avoid to prevent possible obstruction of the gastric outlet?

nasogastric

What tube placement site would be the most appropriate for a client who is expected to be on a tube feeding for less than 4 weeks?

4 mm

A "12 French" feeding tube has a diameter of:

gallbladder disease

Long-term TPN administration may result in complications such as:

medical nutrition therapy

Currently, the primary treatment for many inborn errors that involve nutrient metabolism is:

patients get tired of the taste

A patient suffering from weakness and lethargy is using an oral supplement to take in extra nutrients. A disadvantage of using oral nutrition supplements is that:

decreasing gastric acid production

The medication M.L. takes is a proton-pump inhibitor medication that works by:

alcohol, coffee, and spicy foods

The nurse recognizes that a patient with peptic ulcer disease should avoid food that may irritate the gastrointestinal lining, such as:

scleroderma

What condition is known as a potential cause of esophageal dysphagia?

serving brightly colored foods

What method would most likely improve a patient's acceptance of pureed foods in a dysphagia diet?

gallbladder disease

Rapid weight loss following bariatric surgery increases the risk of developing:

dysphagia

Repeated bouts of pneumonia may be associated with which condition affecting the upper gastrointestinal tract?

dysphagia

The nurse is working with a client who recently suffered from a stroke. The client complains of painful swallowing, nasal regurgitation during swallowing, and coughing during meals. The nurse recognizes these as symptoms of:

a patient with severe swallowing disorder

Which person would be the most appropriate candidate when considering home nutrition support?

standard formulas

Types of formulas that contain complete proteins are called:

milk and milk products

Dietary treatment of galactosemia depends primarily on the elimination of:

osteoporosis

What complication is most closely associated with surgical gastrectomy?

eat slowly and chew food thoroughly

What suggestion for achieving and maintaining weight loss following bariatric surgery is most appropriate?

soft foods, such as mashed potatoes

A nurse is working with a patient who is suffering from dysphagia. The most appropriate foods the nurse can suggest might be:

clear liquid, liquid, pureed, regular

What is the diet progression following bariatric surgery?

milkshakes

What food should be limited in a post-gastrectomy diet unless tolerated by the patient?

1/2 cup

Following bariatric surgery, the gastric pouch may eventually stretch to hold about _____ of food.