Assignment
Part 1: Nutrition Handout
Answer all questions in your own words. No citations are needed for this assignment as the answers are located in your textbook. Please ensure your answers are brief so they will fit inside each box.
1. Complete the following table.
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Nutrient
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Function and deficiency
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Sources
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Carbohydrates
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Fiber
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Proteins
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Fats
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Fat-soluble vitamins A,D,E, K
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Water-soluble vitamins B and C complex
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2. Identify the diagnostic criteria for the following eating disorders:
Anorexia nervosa
Bulimia nervosa
3. What is an enteral feeding?
4. What are three benefits of enteral feedings?
5. Identify five complications of enteral tube feedings and a possible cause for each
6. What is parenteral feeding?
7. What are three benefits of parenteral feedings?
8. Identify five complications of parenteral tube feedings and a symptom of each complication
9. Complete the table below
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Condition
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Description
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Nutritional interventions
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Helicobacter pylori
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Malabsorption syndromes
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Diverticulitis
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Diabetes mellitus
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Inflammatory bowel disease
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10. What is dysphagia?
11. List the four levels of the dysphagia diet
12. List the five components of a nutritional assessment and briefly explain each
13. Complete the table below
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Assessment area
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One sign of poor nutrition
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Posture
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Gums
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Tongue
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Teeth
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Legs, feet
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Nails
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Hair
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Weight
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Gastrointestinal function
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Muscles
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14. Identify three factors that contribute to childhood obesity. Use table below.
15. Identify three factors that influence an adolescent's diet.
16. Identify three factors that influence the nutritional status of the older adult.
17. Give one nursing diagnosis for a patient with altered nutritional status.
18. Give two goals for a client with nutritional problems.
19. What is aspiration? List two aspiration precautions you should utilize for patients at risk.
20. Explain the goal of transition from parenteral nutrition to enteral nutrition.
21. Explain the goal of transition from parenteral nutrition to oral feeding.
22. Describe lipid emulsions and how it benefits patients with altered nutritional status.
23. What is medical nutrition therapy?
24. Which nutrition is the body's most preferred energy source?
A. Carbohydrate
B. Fat
C. Protein
D. Vitamin
25. Mrs. Nelson is talking with the nurse about the dietary needs of her 22-month-old son. Which of the following responses by the nurse would be appropriate?
A. Your son needs fewer calories in relation to her body weight now than she did as an infant.
B. Your son needs less protein in his diet now because he is not growing as fast.
C. Your son should be drinking at least one quart of milk per day.
D. Use skim milk to cut down on the fat in your son's diet.
26. All of the following clients are at risk for alteration in nutrition except:
A. Client A, who has been allowed nothing by mouth (NPO) for seven days following bowelsurgery and is receiving 3000ml of 10% dextrose per day.
B. Client B, a 17-year-old girl who weighs 90 pounds and frequently complains about her baby fat.
C. Client C, who is 86 years old, lives alone, and has poorly fitting dentures.
D. Client D, whose weight is 10% above his ideal body weight.
27. Which of the following is the most accurate method of bedside confirmation of placement of a small-bore nasogastric tube?
A. Assess the client's ability to speak.
B. Test the pH of withdrawn gastric contents.
C. Auscultate the epigastrium for gurgling or bubbling.
D. Assess the length of the tube that is outside the client's nose.
Part 2
1. A nurse responds to the cardiac monitor alarm of a patient and observes that the patient has atrial flutter. The patient is sitting up in the bed and is responsive. Which of the following actions should the nurse take first?
a. Institute carotid sinus massage
b. Assess the patient for dyspnea
c. Initiate CPR
d. Place the patient Trendelenburg position
2. The night after an exploratory laparotomy, a patient who has a nasogastric tube attached to low suction reports nausea. A nurse should take which of the following action first?
a. Administer antiemetic medication
b. Determine the patency of the patient's NG tube
c. Instruct the patient to take deep breaths
d. Asses the patient's pain level
3. A nurse from medical-surgical unit is asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?
a. a client with a cast for a fractured femur and who has numbness and discoloration of the toes
b. a client with balanced skeletal traction and who needs assistance with morning care
c. a client who had an above-the-knee amputation yesterday and has a temperature of 101.4F degrees
d. a client who had a total hip replacement 2 days ago and needs blood glucose
4. A nurse is caring for four clients and is preparing to do her initial rounds. Which client should the nurse assess first?
a. A patient with diabetes being discharged today
b. A patient with a trach with lots of secretions
c. A patient scheduled for PT this morning
d. A patient with a pressure ulcer that needs a dressing change
5. A nurse enters a room and finds a client lying on the floor. Which action should the nurse perform first?
a. Call for help
b. Determine if the patient is responsive
c. Assist the patient back to bed
d. Ask the patient what happened
6. The nurse plans care for a client in the post-anesthesia care unit. Which assessment should the nurse make first?
a. Respiratory status
b. Level of consciousness
c. Level of pain
d. Reflexes and movement of extremities
7. A nurse in the clinic is reviewing the diet of a 28-year old female who reports several months of intermittent abdominal pain, abdominal bloating, and flatulence. Which is a priority for the nurse to counsel the client to avoid in her diet?
a. Fiber
b. Yogurt
c. Broccoli
d. Simple carbs
8. A nurse in a long term facility is planning care for an elderly client with confusion. Which action should the nurse take first?
a. Sit the patient in the activity chair
b. Apply a vest restraint
c. Apply wrist restraints in the bed
d. Have a staff member sit with the patient for the entire shift
9. The nurse is providing care in the emergency department to the client with chest pain. Which action is most important for the nurse to do first?
a. Start an IV
b. Administer oxygen
c. Administer morphine
d. Start a lidocaine IV drip
10. A nurse arrives on the scene of a multi-motor vehicle accident. The nurse determines that which of the following clients should be seen first?
a. A 48 year old male who is pale, diaphoretic and reporting chest pain and shortness of breath
b. a 16 year old male with ecchymosis, pain, and swelling of the right arm
c. a 42 year old female who has a laceration on the forehead and is reporting neck and shoulder pain
d. an 8 year old child who is crying and reports abdominal pain
11. A nurse is working on a poison control hot-line and gets a call from a mother who reports her child has apparently taken part of a bottle of adult acetaminophen capsules. The priority action for the nurse to take first is:
a. tell the mother to position the child lying down on her side
b. tell the mother to dial 911 and request an ambulance
c. have the mother give the child a glass of milk
d. Instruct the mother how to make the child throw up
12. A nurse on the cardiac unit is caring for four clients and is preparing to do initial rounds. Which client should the nurse assess first?
a. Patient scheduled for cardiac ultrasound
b. A patient with syncope being discharged today
c. A patient with chronic bronchitis on nasal cannula
d. A patient with a foot ulcer with a dressing change due
13. A nurse enters a room and finds lying face down on the floor, bleeding from a gash in the head. Which action should the nurse perform first?
a. Determine level of consciousness
b. Push call bell for help
c. Turn patient to assess
d. Go out in the hall for help
14. A nurse is working on the night shift with a nursing assistant. The nursing assistant comes to the nurse stating that the other nurse working on the unit is not assessing a client with abdominal pain despite multiple requests. Which of the following actions by the nurse is best?
a. Ask the other nurse if she needs help
b. Assess the patient and let the other nurse know what to do
c. Ask the patient if he is satisfied with his care
d. Contact the nursing supervisor to address the situation
15. The nurse is reviewing immunizations with the caregiver of a 72 year old client with a history of cerebral vascular disease. The caregiver learns that which immunization is a priority for the client?
a. Hepatitis A vaccine
b. Lyme disease vaccine
c. Hepatitis B vaccine
d. Pneumococcal vaccine
Format your assignment according to the following formatting requirements:
1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
3. Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.