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Human Experience
Exam 2, Module 11, 12, 13, 14, 15, 16, and 17
131
Nursing
Undergraduate 3
10/11/2009

Additional Nursing Flashcards

 


 

Cards

Term
Anorexia
Definition
a reduced desire for food, leading to decreased intake and possibly malnutrition if prolonged.
Term
Emesis
Definition
synonym for vomiting
Term
Phytochemical
Definition
compounds in food that seem to prevent disease
Term

RDA

(Recommended dietary allowance)

Definition
the level of a nutrient that is adequate to meet the needs of almost all healthy people as determined by the Food and Nutrition Board of the National Research council
Term
Absorption
Definition

the passage of the end products of carbohydrate, and fat digestion, as well as many vitamin and mineral molecules, through the intestinal wall into the bloodstream for distribution throughout the body.

 

Nutrients are absorbed into the small intestines.

 

Takes place through diffusion or active transport

 

 

Term
Metabolism
Definition

the process by which energy from nutrients is used by the cells or stored for later use.

 

Individual cells convert chemical energy from molecular bonds into energy for growth, maintenance, and repair as well as for muscle contraction & nerve function.

 

can be either catabolic or anabolic

Term

BMR

(Basal Metabolic Rate)

Definition
the amount of energy neede to maintain essential body functions expressed as calories per hour per square meter of body surface.
Term

BMI

(Body Mass Index)

Definition
a mathematical standard that helps to determine a person's risk for obesity and the complications that accompany it.
Term
Gluconeogenesis
Definition
formation of glycogen from non-carbohydrate substances such as amino acids or fatty acids (occur in low carbohydrate intake or starvation)
Term
Malnutrition
Definition
any nutritional disorder caused by imbalanced, insufficient, or excessive diet or by impaired absorption or metabolism of nutrients.
Term
Normal Digestion
Definition

food is chewed and mixed with Ptyalin, the enzyme in saliva, which begins the breakdown of starches into simple sugars.

Peristalsis of the stomach breaks down food & mixes food with gastric juices.

Pepsin & HCl break down proteins into proteases, peptones, & polypeptides.

Term
Neutraceutical
Definition
a pill with natural remedies
Term

TPN

(Total Parenteral Care)

Definition
process of providing nutrition through a central vein (such as the subclavian)
Term
Dysphagia
Definition
difficulty swallowing
Term
Anabolism
Definition
builds up substances and body tissues
Term
Catabolism
Definition
destructive phase or breaking down tissue
Term
Mouth
Definition
chews food and mixes it with saliva
Term
Salivary glands
Definition
produce enzymes to begin the breakdown of carbohydrates
Term
Epiglottis
Definition
closes when food is swallowed to prevent aspiration
Term
Esophagus
Definition
transports food bolus from mouth to stomach
Term
Lower esophageal sphincter
Definition
protects the esophagus from regurgitation of hydrochloric acid
Term
Stomach
Definition
Mixes food with hydrochloirc acid, pepsin, and lipase to form chyme
Term
Pyloric sphincter
Definition
Prevents backflow of alkaline intestinal contents into stomach
Term
Liver
Definition
Secretes bile for the emulsification of fat
Term
Gallbladder
Definition
Stores and releases bile when fat is present in food
Term
Pancreas
Definition
produces trypsin, chymotrypsin, amylase, and lipase for digestion of carbohydrates, fats, and proteins
Term
Bile duct
Definition
transports bile to duodenum
Term
Pancreatic duct
Definition
collects pancreatic enzymes and transports them to duodenum
Term
Duodenum
Definition
mixes chyme with digestive enzymes and begins nutrient absorption across numerous villi
Term
Jejunum
Definition
provides the main area for digestion and absorption across a great number of villi
Term
Ileum
Definition
Finishes digestion of chyme and absorption across a smaller number of villi, especially at distal end
Term
Ileocecal sphincter
Definition
Slows absorption time and prevents bacteria from entering small intestine
Term
Appendix
Definition
Function unknow
Term
Colon
Definition
Reabsorbs water and electrolytes and prepares waste for excretion
Term
Rectum
Definition
Stores wastes until peristalsis produces urge to defecate
Term
Anus
Definition
Controls bowel elimination by means of internal and external sphincters
Term
Adults metabolism is made up of:
Definition

9 amino acids

1 fatty acid

13 vitamins

12 minerals

Term

Kilocalorie (kcal)

or Calorie

Definition
a measure of the potential energy of the carbohydrate, protein, and fat content of food
Term
Carbohydrate
Definition
a simple or complex compound of carbon, oxygen, and hydrogen.
Term
Monosaccharide
Definition

a six-carbon sugar ( a subunit of carbohydrates) 

 

Glucose, fructose, and galactose

Term
Disaccharide
Definition

a molecule that forms when two monosaccharides join together to form a double sugar

 

sucrose, maltose, lactose or milk sugar

Term
Polysaccharide
Definition
a group of monosaccharides joined together in a chain
Term
Glycogen
Definition
the form in which carbohydrates are stored in the muscle tissue of humans and animals.
Term
Starch
Definition
the form in which plants store glucose
Term
Fiber
Definition
the structure of which plants are composed, which includes cellulose, hemicellulose, pectins, gums, and mucilages.
Term
Protein
Definition
a compound containing polymers of amino acids, linked together in a chain to form polypeptide bonds.
Term
lipoproteins
Definition
molecules that carry fat and cholesterol in the blood
Term

BUN

(Blood urea nitrogen)

Definition
nitrogen that is released during protein catabolism is measured in the blood as
Term
Triglycerides
Definition
the chief form of fat in the diet and the main form of fat transport in the blood
Term
Vitamin
Definition

an organic substance found in food that serves as a coenzyme in enzymatic reactions

 

release energy from food but do not add energy themselves

Term
Water-soluble vitamins
Definition

the B vitamins and vitamin C

 

need to be replenished daily in the diet because they are easily excreted via the kidneys

Term
Fat-soluble vitamins
Definition

vitamins A, B, E, and K

 

the body can store these, it is important to avoid excessive intake, whcih could lead to toxic levels

Term
Minerals
Definition
inorganic elements present in small amounts in virtually all body fluids and tissues
Term
Infants
Definition

who has:

 

smaller food reserves

Term
Infants
Definition

who has:

 

immature kidneys and GI tract

Term
Infants
Definition

who has:

 

higher metabolic rates

Term
Children
Definition

who has:

 

outside influences--school mates, media

Term
Children
Definition

who has:

 

obesity concerns

Term
Adolescents
Definition

who has

 

Rapid growth and maturity

Term
Adolescents
Definition

who has:

 

varying nutritional needs

Term
Adolescents
Definition

who has:

 

focused concerns on body image

Term
Adolescents
Definition

who:

 

needs calcium for development

Term
Adolescents
Definition

who:

 

needs iron for menses and fast growing males

Term
Pregnant & Lactating Women
Definition

who needs to:

 

increase calories, proteins, minerals, and vitamins

Term
Elderly
Definition

who has:

 

less lean body mass

Term
Elderly
Definition

who has a:

 

lower basal metabolic rate

Term
Elderly
Definition

who has:

 

less activity

Term
Elderly
Definition

who has:

 

decreased glucose intolerance

Term
Elderly
Definition

who has:

 

decreased GI function

Term

Warfarin

(Coumadin)

Definition
clients should avoid ingesting foods high in vitamin K because this vitamin reduces this drug's effect
Term
potassium-sparing diuretic
Definition
a client should limit or avoid food sources that are high in potassium to avoid a drug-nutrient reaction when taking this type of drug
Term
High-calorie and high-fat
Definition
what type of eating habits can lead to high serum cholesterol levels, which increases an individual's risk for atherosclerotic heart disease, stroke, or peripheral vascular disease.
Term
high in sodium
Definition
this type of diet can lead to hypertension, which increases risk of heart disease, stroke, and renal disease.
Term
Anthropometric measurements
Definition
measurements of physical characteristics of the body (such as height and weight), as well as the amount of muscle or fat tissue in the body
Term
healthy adult
Definition
BMI between 18.5 and 24.9
Term
underweight
Definition
BMI less than 18.5
Term
overweight
Definition
BMI 25.0 to 29.9
Term
obesity
Definition
BMI 30 or greater
Term
lymphocyte count
Definition
a measure of the immune function used in conjunction with other assessments to determine overall nutritional status
Term
Transferrin
Definition

measures of iron status.

 

a trace protein needed for iron absorption and transport and is calculated as a percentage using both serum iron level and iron-binding capacity.

Term
Hematocrit
Definition

measure of iron status

 

the percentage of whole blood that is composed of red blood cells and values differ for adult men and women

Term
Health-seeking behaviors: nutrition
Definition
nursing diagnosis for a client who is well but seeks an optimal state of physical and mental well-being
Term
Imbalanced nutrition: less than body requirements
Definition
nursing diagnosis for the client who has one or more nutritional deficiencies
Term
Imbalanced nutrition: more than body requirements
Definition
nursing diagnosis that indicates obesity or a diet high in nutrients such as fat, carbohydrates, or sodium
Term
Children
Definition

Grains=5 oz.

Vegetables=2 cups

Fruits=1.5 cups

Milk=2 cups

Meat and beans=5 ounces

 

Nutrition recommendations for?

Term

Adults

 & Adolescents

Definition

Grains=10 oz

Vegetables=4 cups

Fruits=2.5 cups

Milk=3 cups

Meat and beans=7 oz

 

Nutrition recommendation for?

Term
Elderly
Definition

Grains=10 oz

Vegetable=3.5 cups

Fruits=2.5 cups

Milk=3 cups

Meat and beans=7 oz

 

Nutrition recommendation for?

Term
meat & beans
Definition
Go lean with protein
Term
milk
Definition
get your calcium-rich food
Term
Fruits
Definition
focus on these
Term
Vegetables
Definition
vary which ones used
Term
Grains
Definition
make half of the these whole
Term
Oils
Definition
not a food group but essential for good health, get from fish, nuts, and liquid (corn, soybean, canola)
Term
Reduce foodborne illness by safe handling of food
Definition
Food safety objective from Healthy People 2010
Term

promote health & reduce chronic disease associated with diet & weight

Reduce obesity across the life span

Reduce anemia, iron, and calcium deficiencies

Healthy food available in schools

Definition
Nutrition objectives from Healthy People 2010
Term
Malnutrition/Obesity
Definition
caused by high fat diet and sedentary lifestyle and also can develop into atherosclerotic heart disease, stroke, or peripheral vascular disease
Term
Nausea, Anorexia, Emesis, Diarrhea
Definition
assess for dehydration, especially in infants and children, excessive loss of fluids
Term
Dysphagia
Definition
assess for proper swallowing, esophageal damage, can be caused by increased pressure at lower exophageal sphincter, damage to cranial nerves, obstruction, all painful swallowing, thicken fluids, check swallowing ability with x-ray, suction at the bedside, avoid aspiration
Term
Infectious diarrhea
Definition
signals acute viral, bacterial, and protozoal infectiosn, severe fluid and electrolyte disturbances can be life threatening
Term
Safe food Storage
Definition
proper working refrigerator and dry place for food
Term
Handling & preparation
Definition
good hand hygiene after using bathroom and handling raw meats, clean work area after cutting raw meat, wash fresh fruits and vegetables, store leftovers in fridege, do not refreeze uncooked meat that has been thawed, cook raw meat thoroughly
Term
Proper Weight Loss
Definition
2 lbs per week, not too fast
Term
Weight gain
Definition
1.5 kg per week, too fast is an indicator of fluid reterntion
Term
Healthy menu
Definition
low fat meals with no added oils
Term
Unhealthy menu
Definition
high fat cooked in saturated fats
Term
Therapeutic hospital diets
Definition
NPO, clear liquid diet, full liquid diet, soft diet, diabetic diet, healthy heart diet, kidney disease, liver disease
Term
NPO
Definition
nothing by mouth so as not too complicate diagnostic tests
Term
Clear liquid diet
Definition
do not give red clear liquid too soon after surgery
Term
Full liquid diet
Definition
has more nutrients
Term
Soft diet
Definition
low in fiber and is devoid of bran, grains, strong veggies and raw fruits
Term
Diabetic Diet
Definition
restricted calories, snacks
Term
Healthy heart diet
Definition
low fat and low sodium
Term
Kidney Disease Diet
Definition
restricted fluid, sodium, potassium, and phosphorus
Term
Liver Disease Diet
Definition
protein low if in failure, add vitamin k, thiamine, pyridoxine, B12, folate and niacin
Term
allow feeding formula to raise to room temperature, hand hygiene, check for residual gastric contents before delivery, measure, fill syringe, do not allow syringe to pass air, flush with water, close tube before removing syringe
Definition
For an enteral feeding you want to:
Term
Parenteral Nutrition
Definition
initiate slowly to avoid refeeding syndrome, suggested 42 mL/hr or 1000 mL/day and increase slowly over a 2-3 day period. Assess for both cellular dehydration and signs of heart failure
Term
BUN
Definition
measure how much the body is breaking down proteins during catabolism or storing proteins during anabolism (low in starvation, high in obesity/overeating)
Term
Creatinine
Definition
represents end products of protein breakdown (will be low in starvation, high in obesity/overeating; is reliable if no kidney failure)
Term
Hemoglobin
Definition
directly related to hematocrit (measure how much oxygen is being transported by system)
Term
Hematocrit
Definition
measure of iron status; the percentage of whole blood that is comprised of RBCs (Anemia affects count; extracellular fluid volume deficit increases; fluid volume excess decreases it=dilution)
Term
Prealbumin
Definition
indicate visceral protein status; useful when monitoring shot-term changes in protein status
Term
Albumin
Definition
indicates visceral protein status; useful when monitoring long-term nutritional status
Term
Liver enzymes
Definition
indicates the productivity of the breakdown of nutrients for absorption
Term
Lipid Profile
Definition
collection of high-density, low-density, and very-low-density lipoproteins; used to assess risk for atherosclerosis and vascular disease (elevations are associated with atherosclerosis)
Term
BMI
Definition
gives an ideal mass (weight) to the appropriate height. to high indicates obesity
Term
Anthropomorphic measures
Definition
measures used to evaluate growth, development, and body composition. Measures include, height, weight, triceps skinfold thickness, elbow breadth, and arm and head circumferences
Term
Assessments
Definition
height/weight relationship; diet history (24 hour recall, food freq. questionnaire, food diary, household consumption evaluation, evaluation of food intake); diagnostic test results (lab, anthropomorthic measures, BMI)
Term
Interventions
Definition
teach patient about proper consumption for either body maintenance or reduction of BMI. Teach about proper exercise & weight loss. Use MyPyramid for proper amount/type of food.
Term
Evaluation
Definition
p/t should exhibit proper nutrition as evidences by appropriate BMI and also anthropomorphic measures. Evaluate exercise level for proper health promotion
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