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When can a patient with a colostomy resume a regular diet?
CORRECT ANSWER:
6 weeks post op
What are some nursing interventions when a patient experiences
nausea?
CORRECT ANSWER:
-Avoid foods that delay gastric emptying: high fat and high protein
foods.
-Avoid irritating foods: such as spicy foods, caffeine
-Eat simple carbs: toast, crackers, oatmeal, etc
-Avoid drinking liquids with meals (exacerbates nausea)
-Elevate HOB
Foods that exacerbate Gout
CORRECT ANSWER:
Purine rich foods:
-Beans
-Red meat
-Shellfish
-Organ meats
,-Peas
-Lentils
-honey
What is the dawn phenomenon?
CORRECT ANSWER:
Natural increase in early morning blood glucose and insulin
requirements due to overnight release of growth hormone. Treated
by increasing the amount of insulin provided overnight.
Hyperglycemia S/S
CORRECT ANSWER:
Polydipsia, polyuria, polyphagia, nausea, vomiting, blurred vision,
poor wound healing
When a patient has an infection or disease process, how should the
nurse manage nutritional needs?
CORRECT ANSWER:
Increase caloric intake due to increased metabolic rate
What are some interventions for a patient with COPD?
CORRECT ANSWER:
COPD patients do not have the energy reserve to consume large
meals.
-6 small meals per day
-HIGH PROTEIN , HIGH FAT, ND HIGH CALORIE foods
-Consume high calorie foods first!!
-Encourage nutritional supplements between meals
-Add gravies and sauces to prevent dry mouth and increase caloric
intake
-Consume foods that are easy to chew (decreases energy
expenditure)
,What is the Smogyi effect?
CORRECT ANSWER:
Morning Hyperglycemia in response to overnight hypoglycemia.
Monitor blood glucose over night.
hypoglycemia nursing interventions
CORRECT ANSWER:
10-15 g of carbs;
Parenteral glucose or glucagon (1 mg subq or IM) (+ carbs);
50% D5W via IV push
-15 g readily absorbable carbs
-4 oz soda
-1 tbsp honey or 4 tsp sugar
-two to three glucose tablets
-6-10 hard candies
General nutritional guidelines for a client with diabetes:
CORRECT ANSWER:
Carbs: 130 g/day RDA from grains, fruits, legumes, milk. No simple
carbs and compose 45-65% AMDR (acceptable macronutrient
distribution range).
Fats: sat fat less than 7% of total calories, trans fatty acid less than
1% of total daily caloric intake, limit fried foods.
Cholesterol: 200-300 mg/day
Fiber: 14 g per 1000 calories from beans, oats, veggies, whole grains
Protein: 15-20% AMDR total caloric intake from meats, eggs, fish,
nuts, beans, & soy products
, Sodium: 2300 mg per day limit
NO TOBACCO, LIMIT ALCOHOL
Hyperlipidemia? NO ALCOHOL
Artificial sweeteners okay, except preggo! sucrose (table sugar) can
be included in diabetic diet as long as adequate insulin is available
1 serving of Carbs is:
CORRECT ANSWER:
15 grams
-1 slice of bread
-1/2 cup of pasta
-1/2 canned fruit in juice (not syrup)
-1/4 cup dried fruit
-3 cups vegetables (raw)
-4-6 snack crackers
Celiac Disease interventions
CORRECT ANSWER:
1. Maintain a gluten-free diet, substituting corn, rice, and millet as
grain sources.
2. Instruct the parents and child about lifelong elimination of gluten
sources such as wheat, rye, oats, and barley.
3. Administer mineral and vitamin supplements, including iron, folic
acid, and fat-soluble vitamins A, D, E, and K.
TEACHINGS
4. Teach the child and parents about a gluten-free diet and about
reading food labels carefully for hidden sources of gluten
5. Instruct the parents in measures to prevent celiac crisis.
6. Inform the parents about the Celiac Sprue Association.