NUR242 / NUR 242 Exam 2 Study Guide
Medical-Surgical Nursing Concepts
100% Correct Galen
Nutrition Module
Carbohydrates: n,firstn,substance n,body n,uses n,for n,energy n,production n,and n,then,ONLY n,source n,of n,energy
n,production n,for n,the n,brain n , Protein: n,second n,source n,of n,energy. n,Lack n,of n,protein n,intake n,leads n,to n,muscle
n,breakdown n,to n,use n,as n,source n,of n,protein. n,A n , byproduct n,of n,protein n,metabolism n,are n,amino n,acids. n,Protein
n,assists n,with n,on n,optic n,pressure n,and n,therefore n,helps n,hold n,fluid n,in n , vascular n,space.
Fats: n,the n,lastn,to n,be n,broken n,down. n,A n,byproductn,are n,ketone n,bodies n,which n,are n,acidic
Diets:
Clear n,Liquid: n,broth, n,gelatin, n,popsicle, n,tea n,with n,lemon, n,fruit n,juice n,without
n,pulp, n,ginger-ale n , Prohibited: n,anything n,that n,is n,not n,a n,clear n,liquid n,at n,room
n,temperature n,Purpose: n,maintain n,hydration n,and n,fluid n,balance
Uses: n,postoperative, n,acute n,vomiting
n,o r n,diarrhea
Fulln,Liquid n,Diet: n,custard, n,milkshakes, n,soups, n,all n,clear
n,liquids n,Prohibited: n,solid n,foods, n,nuts, n,james, n,fruit
Purpose: n,nutrition n,without n,chewing
Uses: n,GI n,upset, n,progressing n,diet n,after n,surgery
Low-Fat, n,Low-Cholesterol n,Diet: n,vegetables, n,lean n,meats, n,fruits,
n,cereals n , Prohibited: n,marbled n,meats, n,avocados, n,milk, n,bacon,
n,egg, n,yolks, n,butter n , Purpose: n,reduce n,calories n,from n,fat,
n,minimize n,cholesterol n,intake
Uses: n,atherosclerosis, n,cystic n,fibrosis, n,cardiac n,disease
Sodium-Restricted n,Diet: n,cold n,baked n,chicken, n,salad n,(no n,dressing), n,fruit, n,raw n,vegetables
Prohibited: n,coldn,cut n,meat n,s, n,cheese, n,fried n,food, n,milk n,products, n,canned n,food, n,table n,salt n,added n,to
n,food n,Purpose: n,lower n,body n,water n,and n,promote n,excretion
Uses: n,heart n,failure, n,hypertension, n,cirrhosis
High-Roughage, n,High-Fiber n,Diet: n,cracked n,wheat n,bread, n,minestrone n,soup, n,fiber n,fortified n,cereal, n,fruits,
n,vegetables n , Prohibited: n,white n,bread, n,baked n,goods n,made n,with n,white n,flour
,Purpose: n,maximizen,bulk n,in
n,stool n,Uses: n,constipation,
n,bowel n,disorders
Low-Residue n,Diet: n,meats, n,buttered n,rice, n,white n,bread, n,baked n,goods, n,processed n,foods n,with
n,white n,flour n , Prohibited: n,whole n,what n,flour n,breads n,and n,baked n,goods n,corn, n,bran
Purpose: n,minimized n,intestinal n,activity
Uses: n,GI/elimination n,problems, n,lower n,bowel n,surgery
High-Protein n,Diet: n,skim n,milk, n,eggs, n,learn n,meats, n,nuts, n,nut
n,butters n , Prohibited: n,soft n,drinks, n,junk n,food
Purpose: n,re-establish n,anabolism n,or n,raise n,albumin n,levels
n,Uses: n,burns, n,infection, n,hyperthyroidism
Renal n,Diet: n,unsalted n,vegetables, n,white n,rice, n,canned n,fruits, n,sweets
Prohibited: n,beans, n,cereal, n,citrus n,fruits, n,tablen,salt n,added n,to n,food, n,canned n,vegetables
n,Purpose: n,keep n,protein, n,potassium n,and n,sodium n,low
Uses: n,renal n,failure
Low n,Phenylalanine n,Diet: n,fats, n,fruits, n,jams, n,low-phenylalanine
n,milk n , Prohibited: n,meat, n,eggs, n,beans n,and n,bread
Purpose: n,low-proteinn,diet n,to n,prevent n,brain n,damage n,from n,amino n,acid
n,imbalance n , Uses: n,Phenylketonuria n,(PKU)
,Enteral n,Feeding: n,liquid n,food n,delivered n,to n,the n,stomach n,or n,lower n,GI n,tract n,via n,a n,tune n,inserted n,into n,the
n,stomach, n,duodenum n , or n,jejunum
Conditions:
-need n,for n,additional n,nutritional n,support
-GI n,problems n,(crohn’s n,disease, n,ulcerative n,colitis, n,malabsorption)
-side n,effects n,of n,oncology n,treatments
-head n,and n,neck n,disorders n,or n,traumas
-depression
-eating n,disorders
-alcoholism
n,Complications:
-tube n,displacements
-aspirations
-GI n,cramping, n,vomiting, n,diarrhea
-hypersomolar n,nonketotic n , coma
-glucose n,intolerance
TPN: n,total n,parenteral n,nutrition: n,provides n,all n,of n,pts n,calorics n,and n,nutrient n,requirements n,except n,for n,lipids
n,which n,can n,be n , admin n,separately; n,due n,to n,high n,dextrose n,and n,osmolarity, n,this n,infusion n,MUST n,be n,infused
n,in n,a n,CENTRAL n,LINE
PPN: n,partial n,orn,peripheral n,parenteral n,nutrition: n,provides n,some n,of n,pts n,caloric n,and n,nutrients n,requirements;
n,this n,infusions n , has n,lower n,dextrose n,and n,osmolarity n,so n,it n,can n,be n,infused n,through n,peripheral n,access;
n,both n,TPN n,and n,PPN n,require n,a n,specific n , rate n,to n,ensure n,the n,pt n,is n,not n,exposed n,to n,too n,many n,solutes n,at n,a
n,given n,time, n,a n,medication n,error n,related n,into n,infusion n,rate n,of n,a n , TPN n,or n,PPN n,infusion n,is n,potentially
n,fatal n,to n,the n,pt
Keeping n,pts n,on n,TPN n,or n,PPN n,Safe:
-insiden,at n,only n,the n,ordered n,rate
-change n,IV n,tubing/filter n,every n,24 n,hours
-keep n,refrigerated n,until n,needed n,then n,bring n,to n,room n,temperature
-gradually n,taper n,off n,TPN n,according n,to n,orders
-lumber n,used n,for n,TPN n,should n,not n,be n,used n,for n,any n,other n,types n,of
n,infusion n,Required n,monitoring n,for n,pts n,receiving n,TPN/PPN:
-daily n,monitoring: n,daily n,weights, n,adequate n,I/O, n,glucose, n,temperature n,and n,electrolytes n,(initially)
-at n,least n,3 n,times n,a n,week: n,BUN, n,Electrolytes
-weekly: n,CBC, n,albumin n,levels, n,platelets, n,PT, n,liver n,function n,tests
Impact n,of n,Nutrition n,onn,the n,body
Sodium: n,the n,major n,electrolyte n,found n,inn,extracellular n,fluidn,space; n,sodium n,is n,important n,in n,conduction n,of
n,nerve n,impulses n , and n,muscle n,movement.
-Because n,sodium n,is n,important n,in n,nerve n,and n,muscle n,functionality n,(making n,things n,move) n,then n,we n,will n,see
n,signs n,and n , symptoms n,that n,related n,to n,movement
-Sodium n,is n,also n,important n,in n,relation n,to n,water n,balances; n,if n,the n,body n,has n,a n,high n,level n,of n,sodium, n,then n,the
n,body n,tries n,to n , retain n,water n,to n,maintain n,homeostasis
• Hyponatremia: n,condition n,when n,sodium n,levels n,are n,below n,normal n,limits; n,sodium n,values n,are n,obtained
from n,a n,normal n , blood n,test; n,nutrition n,and n,electrolyte n,restoration n,can n,help n,with n,hyponatremia, n,food
n,
n,to n,suggest:
-cheese, n,milk n,(high n,in n,calcium n,and n,in n,sodium)
-celery, n,pre-made n,meals n,such n,as n,canned n,or n,frozen n,dinners, n,condiments n,like n,ketchup, n,salted n,nuts,
, bacon
, n , shrimp, n,ham, n,bread, n,tofu n,or n,soy n,products