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Nutrition Essentials for Nursing Practice Questions and Answers (100% Correct Answers) Already Graded A+

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Nutrition Essentials for Nursing Practice Questions and Answers (100% Correct Answers) Already Graded A+

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Nutrition Essentials For Nursing
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Nutrition Essentials for Nursing

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Nutrition Essentials for Nursing Practice
Questions and Answers (100% Correct
Answers) Already Graded A+
What role do nurses play in nutritional care? [ ANS: ] - screen
hospitalized patients to identify those at nutritional risk

- serve as a liaison between dietitian and physician

- available as a nutrition resource when dietitians are not
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- reinforce nutrition counseling provided by the dietitian

- basic nutrition education

Nutrition screening [ ANS: ] - a quick look at a few variables to
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identify individuals who are malnourished or who are at risk for
malnutrition so that an in-depth analysis can follow

- can be custom designed for a particular population or a specific
disorder

- no universally agreed upon tool that is valid and reliable at
identifying risk of malnutrition in all populations at all times

Role of the Joint Commission (JCAHO) [ ANS: ] - sets health-care
standards and accredits health-care facilities that meet those
standards

- specifies that nutrition screening be conducted within 24 hours
after admission

- allows facilities to determine screening criteria, how risk is
defined, and who performs the screening

Malnutrition [ ANS: ] - "bad nutrition"

or any nutritional imbalance including overnutrition

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- in practice, usually means undernutrition or inadequate intake of
protein and/or calories that causes loss of fat stores and/or muscle
wasting

Nutrition Screen - Acute Care [ ANS: ] Common parameters in
hospital setting:

- dementia?

- difficulty swallowing?

- advanced age? (80+ years)
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- abnormal BMI?

- nausea/vomiting?

- decreased appetite?
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Nutritional Assessment [ ANS: ] - an in-depth analysis of a person's
nutritional status (by dietitian)

- in the clinical setting, nutritional assessments focus on moderate-
to high-risk patients with suspected or confirmed protein-energy
malnutrition

- patients who are identified to be a low or no nutritional risk are
re-screened within a specified period of time to determine if status
has changed

- referred to as the nutrition care process

=> 4 steps (ADIME): Assessment Diagnosis

Intervention Monitoring/

Evaluating

ABCD of an Assessment [ ANS: ] Anthropometric data

Biochemical data

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Clinical data

Dietary data

Anthropemetric data [ ANS: ] - physical measurements

- BMI (body mass index)

=> formula:

wt.(kg) / ht.(m)^2

**1 kg = 2.2 lb. and 1 in. = 2.54 cm**
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=> healthy: 18.5 -24.9

=> underweight: < 18.5

=> overweight: 25 - 29.9
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=> obese: > 30

- IBW (ideal body weight)

=> Females: 100 lb. + 5 lb.(x), for every inch over 5 ft.

=> Males: 106 lb. + 6 lb.(x), for every inch over 5 ft

- % change in wt.

=> unintentional

=> formula:

((usual body wt. - current body wt.) / (usual)) x 100

- Estimating calorie and protein needs

Anthropometric Data: What skews weight measurements? [ ANS: ]
- hydration status

=> dehydration (lose fluid weight)

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- edema

- anasarca

- fluid resuscitation

- chronic liver or renal disease

- congestive heart failure (excess weight)

Anthropometric Data: Pros & Cons [ ANS: ] Pros:

- easy measurements
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Cons:

- not always properly measured

- BMI does not take muscle mass into account
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- Can still be malnourished

Body Mass Index (BMI) [ ANS: ] - an index of a person's weight in
relation to height used to estimate relative risk of health problems
related to weight

- quick and easy to measure ht. and wt.

- requires little skill

- actual measures, not estimates, should be used whenever
possible to ensure accuracy and reliability

=> a patient's stated ht. and wt. should only be used when there
are no other options

Weight Change [ ANS: ] - usually, weight changes are more
reflective of chronic, not acute, changes in nutritional status

- "significant" unintentional weight loss:

--- 1 week: > 2% loss of body weight --- 1month: > 5%

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