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FUNDIS NUTRITION

QuestionAnswer
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