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FUNDIS NUTRITION
| Question | Answer |
|---|---|
| TRUE OR FALSE. INCREASED FIBER INTAKE INCREASES FECAL EXCRETION OF CHOLESTEROL. | TRUE |
| HOW DOES SATURATED FAT AFFECT CHOLESTEROL? | RAISED SERUM CHOLESTEROL LEVEL |
| WHICH OF THE FOLLOWING PLANT PROTEIN IS CONSIDERED A COMPLETE PROTEIN? A. LEGUMES B. GRAINS C. VEGETABLES D. SOY | D. SOY |
| WHAT IS THE RECOMMENDED CARBOHYDRATES DAILY INTAKE TO AVOID KETOSIS? | 50 TO 100 MILLIGRAMS PER DAY |
| WHAT FACTORS DECREASE BMR? | AGING, PROLONGED FASTING, SLEEP |
| WHAT FACTORS INCREASE BMR? | GROWTH, INFECTION, FEVER, EMOTIONAL TENSION, EXTREME ENVIRONMENTAL TEMP, ELEVATED HORMONE LEVELS (ESP. EPINEPHRINE AND THYROID) |
| MICRONUTRIENTS ARE NECESSARY FOR _______. | REGULATING BODY PROCESSES |
| WHAT ARE THE 3 MACRONUTRIENTS THAT PROVIDE ENERGY AND BUILD TISSUES? | CARBOHYDRATES, FAT (LIPIDS), PROTEIN |
| WHICH IS THE EASIEST AND QUICKEST TO DIGEST? A. CARBS B. LIPIDS C. PROTEIN | A. CARBS |
| WHICH OF THE FOLLOWING IS FAT-SOLUBLE? (MAY HAVE MORE THAN ONE ANSWER) VITAMIN C, VITAMIN A, VITAMIN E OR VITAMIN K | VITAMIN A,VITAMIN E,VITAMIN K |
| WHAT TYPE OF FAT IS FOUND IN VEGETABLES? SATURATED OR UNSATURATED. | UNSATURATED |
| WHAT IS THE MOST CONCENTRATED SOURCE OF ENERGY? A. CARBS B. PROTEIN C. FAT | C. FAT |
| WHERE DOES THE DIGESTION OF FAT TAKE PLACE? | SMALL INTESTINE |
| WHICH MICROMINERAL DOES THE THYROID NEED? A. ZINC B. MANGANESE C. IODINE D. IRON | C. IODINE |
| WHAT VITAMIN METABOLIZES ALCOHOL? | VITAMIN B |
| WHAT METHODS ARE USED FOR CHECKING NG TUBE PLACEMENT? | PH LEVEL OR X-RAY |
| YOU ARE CHECKING THE PH LEVEL OF THE ASPIRATION FROM AN NG TUBE, WHAT PH LEVEL WOULD INDICATE YOU HAVE THE CORRECT PLACEMENT? | 5.5 OR LOWER |
| HOW DO YOU CHECK A NASOINTESTINAL TUBE PLACEMENT? | X-RAY |
| TRUE OR FALSE. ALBUMIN SYNTHESIS DECLINES WITH AGE. | TRUE |
| WHAT PHYSIOLOGIC FACTORS CAUSE OBESITY? | INCREASED NUMBER OF FAT CELLS DECREASED BROWN FAT THAT BURNS CALORIES INSULIN RESISTANCE HORMONE IMBALANCE LOWERED BMR SET POINT |
| WHAT ARE THE ENVIRONMENTAL FACTORS THAT CAUSE OBESITY? | MINIMAL ACTIVITY, AVAILABILITY OF FOODS IN A MULTITUDE OF SETTINGS AT ALL TIMES |
| WHAT IS A NORMAL HEMOGLOBIN LEVEL? | 12-18g/dL DECREASED --- ANEMIA |
| WHAT IS A NORMAL HEMATOCRIT RANGE? | 40%-50% DECREASED --- ANEMIA INCREASED ---DEHYDRATION |
| WHAT IS A NORMAL SERUM ALBUMIN LEVEL? | 3.5 - 5.5 g/dL DECREASED --- MALNUTRITION |
| WHICH OF THE FOLLOWING IS CONSIDERED ARE A LIQUID DIET? (MAY HAVE MORE THAN ONE ANSWER) A. ICE POPS B. GELATIN C. PUDDINGS D. MILK | A. ICE POPS B. GELATIN |
| WHAT TYPE OF PATIENTS ARE GOOD CANDIDATES FOR NASOINTESTINAL TUBE? | PATIENTS WITH DEMINISHED GAG REFLEX, GASTRIC TUMOR OR SLOW GASTRIC MOTILITY |
| WHAT IS DUMPING SYNDROME? | A RISK IN NASOINTESTINAL FEEDING WHERE DISTENTION OF THE SMALL INTESTINE OCCURS ACCOMPANIED BY GAS, BLOATING, NAUSEA, DIARRHEA, CRAMPING, AND LIGHTHEADEDNESS. |
| WHY IS IT THAT PH MEASUREMENT IS NOT RECOMMENDED FOR NASOINTESTINAL TUBE PLACEMENT? | PH LEVEL OF RESPIRATORY FLUID IS 6.0 OR HIGHER AND THE PH LEVEL OF THE INTESTINAL FLUID IS 7.0 OR HIGHER, CAN BE DIFFICULT TO DIFFERENTIATE THE TWO. |
| TRUE OR FALSE. PH BECOMES LESS HELPFUL IN CONTINUOUS FEEDING. | TRUE BECAUSE THE NUTRITIONAL FORMULA BUFFERS THE PH OF GASTROINTESTINAL SECRETIONS. |
| WHAT FEEDING METHOD IS IDEAL FOR A PATIENT WITH GASTRIC PROBLEMS WHO REQUIRES A LONG-TERM NUTRITIONAL SUPPORT? | JEJUNOSTOMY IS A GOOD ALTERNATIVE BECAUSE IT BYPASSES THE STOMACH (GASTRIC PROBLEMS) AND NOT EASILY DISLODGED. |
| WHICH FEEDING METHOD IS A GOOD OPTION FOR CHILDREN OR ACTIVE PATIENTS WHO REQUIRE LONG-TERM CONTINUOUS OR INTERMITTENT FEEDING? | LOW PROFILE GASTROSTOMY DEVICE (LPGD) BECAUSE IT'S EASILY CONCEALED, IMMERSIBLE IN WATER AND LESS LIKELY TO GET DISLODGED. IT'S A SMALL BUTTON-SIZE CAP THAT OPENS TO ACCESS A FEEDING TUBE. |
| TRUE OR FALSE. CYCLIC OR INTERMITTENT AT REGULAR INTERVALS IN EQUAL PORTIONS IS RECOMMENDED FOR GASTRIC FEEDING. | TRUE. BOLUS INTERMITTENT FEEDING CAN CAUSE ASPIRATION OR DISTENTION. |
| TRUE OR FALSE. CONTINUOUS FEEDING IS USED FOR INTESTINAL FEEDING TO AVOID DUMPING SYNDROME. | TRUE. BOLUS FEEDING CAN CAUSE OVERDISTENTION WHICH LEADS TO NAUSEA, DIARRHEA, CRAMPING, AND LIGHTHEADEDNESS. |
| HOW DO YOU EVALUATE PATIENT FEEDING TOLERANCE? | ABSENCE OF NAUSEA, MINIMAL OR NO GASTRIC RESIDUAL, ABSENCE OF DIARRHEA/CONSTIPATION, ABSENCE OF ABDOMINAL PAIN OR DISTENTION, PRESENCE OF BOWEL SOUNDS WITHIN NORMAL LIMITS |
| HOW OFTEN SHOULD A REUSABLE FEEDING SYSTEM BE CLEANED? | EVERY 24 HOURS |
| TRUE OR FALSE. DUE TO THE 25% GLUCOSE CONCENTRATION OF TPN NUTRITION, IT IS CONSIDERED "HYPERTONIC". | TRUE. IT IS IMPORTANT TO MONITOR GLUCOSE LEVELS WHEN ADMINISTERING TPN NUTRITION. |
| TRUE OR FALSE. THE NURSE CAN ADD LIQUID-FORM MEDICATION IN PARENTERAL NUTRITION. | FALSE. ONLY THE PHARMACIST CAN ADD MEDICATIONS TO PARENTERAL NUTRITION AND ONLY PRIOR TO LEAVING THE PHARMACY. |
| WHAT ARE THE COMPLICATIONS OF TPN? | PNEUMOTHORAX THROMBOEMBOLISM INFECTION AND SEPSIS HYPERGLYCEMIA/HYPOGLYCEMIA FLUID, ELECTROLYTE, AND ACID-BASE IMBALANCES PHLEBITIS HYPERLIPIDEMIA LIVER AND GALLBLADDER DISEASE |
| WHAT IS A SAFE WEIGHT GAIN WHILE ON TPN? | NO MORE THAN 3 LBS PER WEEK, ANY MORE MAY BE DUE TO FLUID RETENTION. |
Created by:
DBURGESS
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