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Nutrition/Metabolism
Health Assessment
| Question | Answer |
|---|---|
| Body Mass Index is based on | Height and Weight |
| Factors that can affect BMI are | Fluid retention, muscle mass, and fat |
| BMI ranges for underweight, normal, overweight, obesity and extreme obesity | underweight < 18.5 Normal 18.5-24.9 Overweight 25-29.9 Obestity 30-34.1 (class 1) 35.0-39.9 (class 2) Extreme obesity > or = 40 |
| Waist circumference is the most common measurement to determine the extent of | Visceral fat in relation to body fat |
| Waist circumference risk factors for women and men | Women > 35 Men > 40 |
| Disorders related to increased waist circumference are | Type 2 diabetes, hypertension, abnormal cholesterol & triglyceride level and cardiovascular diseases (heart attack and stroke) |
| Indicators of GOOD nutrition status | Alert, good posture, weight in normal range, shinny hair, healthy skin, pink gums, bright eyes. |
| Indicators of POOR nutrition status | withdrawn, overweight, dry brittle hair, pale mouth and gums, eyes dull, abdomen flaccid or distended |
| Hydration assessment can be altered by | Exposure to heat, availability of fluids, intake of alcohol or diuretic fluids: coffee, caffeine rich soft drinks, and people taking diuretic medications (messes up electrolyte balance) |
| Subjective Data for Nutrition/Metabolism assessment | Present Health concern- do you have any N/V, indigestion or constipation. Have you lost or gained any weight Past health history- Have you experienced any trauma, surgery or serious illness Family history- Any family obese? Lifestyle-Prepare own meals |
| Abdominal ascites is seen in | starvation and liver disease |
| 3 types of body builds are | Ectomorph, Mesomorph, Endomorph |
| Height begins to wane in the 5th decade of life because | the intervertebral discs become thinner and spinal kyphosis increases |
| Extreme shortness is seen in | achondroplastic dwarfism and Turner's syndrome |
| Extreme tallness is seen in | Gigantism (excessive secretion of growth hormone) and in Marfan's syndrome |
| Objective Data (Hydration) you want to check | Input and output, skin turgor (pinch skin, if it stays then sign of dehydration), pitting edema (fluid retention), skin moisture and tongue's condition |
| Imbalances in either direction of Input and output intake suggest | impaired organ function and fluid overload or inability to compensate for losses resulting from dehydration |
| By weighing a clients at risk for hydration changes, what is normal? | weight is stable or changes less than 2 to 3 lb over 1-5 days. |
| Tenting in the skin indicates | fluid loss,but is also present in malnutrition or loss of collagen in aged individuals |
| Pitting edema is a sign of | fluid retention especially in cardiac and renal diseases |
| Veins fill and empty in ___ secs | 3-5 secs |
| Filling or emptying that takes more than 6-10secs suggests | fluid volume deficit |
| A tongue that is dry with visible papillae and several longitudinal furrows suggests | loss of normal third-space fluid and dehydration |
| An eyeball that is boggy and lacks normal tension suggests | loss of normal third space fluid and dehydration |
| Elevated pulse rate and blood pressure indicate | Overhydration |
| Blood pressure registers lower than usual or drops more than 20 mmhg from lying to standing position indicate | fluid volume deficit, especially if the pulse rate is also elevated. |
Created by:
Jmariez
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