Jean Inman Domain II Questions & answers

Jean Inman Domain II

Nutrition Care Process is - ANS-standardized, consistent structure and framework used
to provide nutrition care

Steps of the NCP include - ANS-ADIME; assess, diagnose, intervene, monitor and
evaluate

Nutrition Screening is - ANS-process of discovering characteristics associated with
dietary problems

Nutrition screening is completed by - ANS-all health care team members

Screen tools include; - ANS-subjective global assessment, mini nutritional assessment,
nutrition screening initiative

*nutrition screen initiative was developed specifically for the elderly

Assessment includes; - ANS-reviewing data, assessment data clustered for comparison
, compare to standards

Dietary intake assessments include; - ANS-diet history, food record, 24hr recall, food
frequency lists

Anthropometric adjustments for amputations - ANS-entire leg 16%, below the knee 6%,
entire arm 5%, below the elbow 2.3%

UBW values and nutrition indication - ANS-85-95% -- mild depletion
75 to 84% -- moderate
>75% -- severe

Triceps skin fold thickness definition and normal values include; - ANS-TSF; measure
body fat reserves/calorie reserves

normal values; male 12.5mm/female 16.5mm

Arm muscle area definition - ANS-measure skeletal muscle mass (somatic protein)

,determined by TST + arm circumference

normal values; male 25.3cm/female 23.2cm

important in growing children

BMI Values - ANS->18.5 -- underweight
18.5-24.9 -- normal
25-29.9 -- overweight
30-34.9 -- obesity class 1
35-39.9 -- obesity class 2
>40 -- obesity class 3

waist circumference definition and normal values - ANS-independent risk factor for
disease

normal values; male >40, female >35

Waist/ hip ratio; values that indicated risk - ANS-WHR; ration between waist and hip
values male 1.0 or greater
female 0.8 or greater

Physical assessment of hair;
thin, sparse, dull dry easily pluck-able indicates - ANS-chemotherapy, vitamin c, protein
deficiency, copper

Physical assessment of eyes;
pale, dry, poor vision - ANS-vitamin A, zinc, riboflavin deficiencies, iron

Physical assessment of lips; swollen, red, dry, cracked - ANS-riboflavin (B2), pyridoxine
(B6), niacin deficiencies

Physical assessment of tongue; smooth, slick, purple, white coating - ANS-vitamin or
iron deficiencies

Physical assessment of gums; sore, red, swallowed, bleeding - ANS-vitamin c
deficiencies

Physical assessment of teeth; missing, loose, loss of enamel - ANS-calcium deficiency,
poor intake

, Physical assessment of skin; pale, dry, scaly - ANS-iron, folic acid, zinc deficiency,
ascorbic acid, essential fatty acids

Physical assessment of nails; brittle, thin, spoon-shaped - ANS-iron or protein
deficiency

Serum albumin lab value and indications - ANS-a. 3.5-5.0g/dl
b. hypoalbuminemia associated with edema
c. levels above normal 2/2 dehydration
d. not a good indicator for PEM

Serum transferin lab value and indications - ANS-a. >200mg/dl
b. controlled by iron storage, raises with iron deficiency
c. decreased with protein-energy deficiency

TTHY transthyretin, PAB pre albumin lab value and indications - ANS-a. 16-40mg/dl
b. quickly assess changes in protein
c. influenced by iron status, trauma, infection

Rentinol-binding protein (RBP) lab value and indications - ANS-a. 3-6mg/dl
b. circulates with preablumin
c. binds and transports retinol (vitamin A)

Hematocrit (Hct) lab value and indications - ANS-1. Men 44% women 38%, pregnant
women 33%
b. volume of packed cells in whole blood

Hemoglobin (Hb) lab value and indications - ANS-a. men 14-17gm/dl, women
12-15gm/dl, pregnant women <11
b. iron-containing pigment of red blood cells
c. low levels indicate generalized anemia

Serum ferritin lab value and indications - ANS-a. males 12-300ng/ml, female
10-150ng/ml
b. indicates size of iron storage pool

Serum creatinine lab value and indications - ANS-a. 0.6-1.4mg/dl
b. related to muscle mass; measure somatic protein
c. may indicate renal disease, or muscle wasting