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Nutrition and Diet Therapy
Comprehensive Nursing Care Pages 567-593
148
Nursing
Not Applicable
07/13/2013

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Term
The organic, inorganic, and energy producing substances found in foods required for body functioning
Definition
nutrients
Term
the result of the interaction between nutrients and the human body
Definition
nutrition
Term
3 major functions of nutrients
Definition
1. provide energy for body process and movement
2. structural material for body tissues,
3. regulate body processes
Term
3 essential nutrients
Definition
1. water
2. macronutrients
3. micronutrients
Term
the body's most basic nutrient need
Definition
water
Term
water's functions (nutrition)
Definition
1. metabolism
2.transporter
3.lubricant
4.insulator
5.shock absorber
6. temperature
Term
provide fuel that converts to energy; found in carbohydrates, proteins and fats
Definition
macronutrients
Term
two basic kinds of carbohydrates
Definition
1. simple
2. complex
Term
simple carbohydrates consist of
Definition
sugars
Term
complex carbohydrates consist of
Definition
fibers and starch
Term
3 Kinds of simple carbohydrates
Definition
1. monosaccharides
2. disaccharides
3. polysaccharides
Term
_________ simplest form of all carbohydrates
Definition
sugar
Term
________ are water soluble
Definition
sugar
Term
sugar found in milk
Definition
galactose
Term
______ are insoluble
Definition
starches
Term
_________ means "does not dissolve in water"
Definition
insoluble
Term
_________ means "dissolves in water"
Definition
soluble
Term
________ cannot be digested
Definition
fiber
Term
supplies roughage, or bulk, to the diet, helping the digestive track eliminate waste
Definition
fiber
Term
_______ helps weight control, treats constipation, lowers blood cholesterol, stabilizes blood glucose
Definition
fiber
Term
daily recommended fiber intake per day
Definition
20-38 grams/day
Term
altering of food from natural state
Definition
processed food
Term
often referred to as empty calories
Definition
processed food calories
Term
the end products of carbohydrate digestion are _____________
Definition
monosaccharides
Term
body uses ________ to produce energy
Definition
glucose
Term
digested carbohydrate is absorbed by the _______ ____________
Definition
small intestine
Term
hormone secreted by pancreas needed for glucose to be transported into the cells
Definition
insulin
Term
medical condition where the pancreas fails to produce adequate amounts of insulin in the bloodstream to lower/control blood glucose level, or facilitate glucose entering cells
Definition
diabetes mellitus
Term
digested carbohydrates are maintained in the body either as _________ or _________
Definition
glycogen, fat
Term
glycogen formation process
Definition
glycogenesis
Term
process of glycogen being converted back into glucose when needed to maintain blood levels or provide energy
Definition
glycogenolysis
Term
organic substances composed of amino acids
Definition
proteins
Term
the building blocks of proteins
Definition
amino acids
Term
amino acids are categorized as either _________ or __________
Definition
essential or nonessential
Term
_______ amino acids are those that cannot be manufactured in the body and must be supplied by ingesting protein
Definition
essential
Term
________ amino acids are those that the body can manufacture
Definition
nonessential
Term
amino acids that in certain conditions cannot be produced in sufficient quantities from other amino acids
Definition
conditionally essential amino acids
Term
there are ____ essential amino acids
Definition
9
Term
there are ____ nonessential amino acids
Definition
11
Term
proteins may be _____ or ______
Definition
complete, incomplete
Term
__________ proteins contain all nine essential amino acids plus many nonessential ones
Definition
complete
Term
__________ proteins lack one or more essential amino acids and are usually derived from vegetables
Definition
incomplete
Term
only plant source of complete proteins
Definition
soy beans
Term
when foods containing some essential amino acids are combined with others so that together they contain all nine essential amino acids, the foods are called:
Definition
complementary proteins
Term
__________ proteins are plant based, less expensive, and contain less fat
Definition
complementary
Term
most protein is digested in the _____ ________ where enymes break it down into the end products of protein digestion
Definition
small intestine
Term
end products of protein digestion
Definition
amino acids
Term
_______ are transported to the liver, where some are used to synthesize specific proteins such as albumin, globulin, and fibrinogen
Definition
amino acids
Term
protein is "stored" as
Definition
body tissue
Term
body cannot store excess _____ ______ for future use
Definition
amino acids
Term
protein metabolism includes 3 activities
Definition
1. anabolism
2. catabolism
3. nitrogen balance
Term
building tissue
Definition
anabolism
Term
breaking down tissue
Definition
catabolism
Term
a measure of the intake and loss of nitrogen
Definition
nitrogen balance
Term
organic substances that are greasy and insoluble in water but soluble in alcohol
Definition
lipids
Term
_____ are lipids that are solid at room temperature
Definition
fats
Term
______ are lipids that are liquid at room temperature
Definition
oils
Term
the basic structural units of most lipids (made of carbon chains and hydrogen)
Definition
fatty acids
Term
simple lipids (most common)
Definition
glycerides
Term
account for over 90% of the lipids in food and in the body; contain 3 fatty acids
Definition
triglycerides
Term
triglycerides may be ________ or __________
Definition
saturated or unsaturated
Term
found in animal products, such as butter, and are usually solid at room temperature (harder means more fat); contribute to elevated blood cholesterol; considered unhealthy
Definition
saturated triglycerides
Term
usually liquid at room temperature and are found in plant products; lower blood cholesterol; healthier
Definition
unsaturated triglycerides
Term
fat like substance that is both produced by the body and found in foods of animal origin; most of it is synthesized in the liver
Definition
cholesterol
Term
needed by the body to form bile acids and to synthesize steroid hormones; primary lipid connected to heart disease
Definition
cholesterol
Term
normal "total cholesterol"
Definition
140-200
Term
triglycerides normal level
Definition
40-190
Term
HDL, men
Definition
37-70
Term
HDL, women
Definition
40-88
Term
LDL
Definition
less than 130
Term
test for lipoproteins and triglycerides
Definition
lipid profiles
Term
it is desirable to have a higher _____ level and a lower ______ evel because the risk of heart disease is greater when _____ is elevated
Definition
HDL, LDL, LDL
Term
an organic compound that cannot be manufactured by the body and is needed in small quantities to catalyze (trigger) metabolic processes
Definition
vitamin
Term
when _______ are lacking in the diet, _______ deficits result.
Definition
vitamins, metabolic
Term
generally classified as fat soluble or water soluble
Definition
vitamins
Term
water-soluble vitamins include:
Definition
vitamins c, B-complex, B1, B2, B3, B6, B9, B12, pantothenic acid, and biotin.
Term
the body ________ store water-soluble vitamins
Definition
cannot
Term
fat soluble vitamins include
Definition
A, D, E, and K
Term
The body _____ store fat soluble vitamins
Definition
can
Term
Two categories of minerals
Definition
1.macrominerals
2.microminerals
Term
minerals that people require daily in amounts over 100mg; including calcium, phosphorus, sodium, potassium, magnesium, chloride, and sulfur
Definition
macrominerals
Term
minerals that people require daily in amounts less than 100 mg; including iron, zinc, manganese, iodine, fluoride, copper, cobalt, chromium, and selenium
Definition
microminerals
Term
Micro/Macrominerals are both found in vegetables, fruits, meats, and most essentially, ____ _____
Definition
whole grains
Term
the relationship between the energy obtained from food and the energy used by the body
Definition
energy balance
Term
units of heat energy
Definition
calories
Term
body gets ______ from calories, carbohydrates, protein, fat, and alcohol
Definition
energy
Term
the term for all the biochemical and physiological processes by which the body grows and maintains itself
Definition
metabolism
Term
rate at which the body metabolizes food to maintain the energy requirements of a person who is awake and at rest
Definition
basal metabolic rate (bmr)
Term
lean people have _______ bmr's than overweight people
Definition
higher
Term
changes in __________ and ___________ occur in older adults and can affect food intake
Definition
sensation, taste
Term
clients should be reminded of the dangers of high _________ intake
Definition
sodium
Term
_______ increase through food, supplements, or both is important for older adults
Definition
calcium
Term
Clients who do not have special needs eat the _______ diet; a balanced diet that supplies the metabolic requirements of a sedentary person
Definition
standard/house diet
Term
diet where food and fluid are prohibited
Definition
NPO Nothing By Mouth
Term
Diet limited to water, tea, coffee, clear broths, ginger ale, and other carbonated beverages, strained and clear juices, and plain gelatin; must be able to see thru
Definition
clear liquid diet
Term
diet contains only liquids or foods that turn to liquid: I.e. melted icecream, blended pb&j
Definition
full liquid diet
Term
nutritional concerns with this diet because of the amount of milk offered
Definition
full liquid diet
Term
diet that is easily chewed and digested
Definition
soft diet
Term
diet that is ordered when the client's appetite, ability to eat, and the tolerance for certain foods change; allows for choice and evaluation of progress
Definition
diet as tolerated
Term
diet consist of plant foods only
Definition
vegan diet
Term
diet consists of plant foods along with dairy products
Definition
lacto vegetarian diet
Term
diet consists of plant foods, dairy products, and eggs
Definition
ovo-lacto vegetarian diet
Term
the first priority in nursing care when performing a nutritional assessment is to obtain the client's
Definition
height and weight
Term
the nurse must know how to obtain the client's weight and height accurately, meaning:
Definition
the nurse must use the appropriate equipment
Term
weight recommended for optimal health
Definition
Ideal Body Weight IBW
Term
A person is said to be __________ when the body weight exceeds IBW by up to 20%
Definition
overweight
Term
a person is said to be __________ when the body weight exceeds the IBW by more than 20%
Definition
obese
Term
How to calculate BMI
Definition
Kg/(m^2)=BMI
Term
1 Meter =
Definition
39 Inches
Term
1 lb
Definition
2.2 Kg
Term
means that nutrient intake is insufficient to meet daily energy requirements; it can occur because the person does not eat enough food or because he or she cannot digest or absorb food
Definition
undernutrition
Term
difficulty swallowing
Definition
dysphagia
Term
excess body weight causes _______ on body organs and contributes to chronic health problems such as ________ and __________ ___________
Definition
stress, hypertension, diabetes mellitus
Term
obesity that interferes with mobility or breathing
Definition
morbid obesity
Term
associated mostly with the starving children of developing countries, and as a significant problem of clients with cancer and chronic disease; characteristics include weight loss and visible muscle and fat wasting
Definition
protein-calorie malnutrition PCM
Term
The 3 most frequent nursing diagnoses related to nutrition are
Definition
1. Imbalanced Nutrition: More than body Requirements
2.Imbalanced Nutritioin: Less than Body Requirements
3. Risk for Imbalanced Nutrition
Term
Nursing care of clients with imbalanced nutrition includes assisting with
Definition
changes in diet, monitoring blood glucose, stimulating appetite, assisting with meals, and providing enteral nutrition
Term
clients who have _________ may need to monitor random blood glucose levels throughout the day
Definition
diabetes
Term
physical illness, unfamiliar or unpalatable food, environmental and psychological factors, and physical discomfort or pain may _______ a client's appetite
Definition
depress
Term
decreased food intake is often accompanied by a ________ in fluid intake, which may cause __________
Definition
decrease, dehydration
Term
Never _______ the feeding process!
Definition
rush
Term
the nurse ________ decide if an adaptive feeding aid should be used on a client
Definition
cannot
Term
two types of alternative feeding methods are
Definition
1. enteral nutrition
2. parenteral nutrition
Term
nutrition through the gastrointestinal system
Definition
enteral nutrition
Term
intravaneous nutrition
Definition
parenteral nutrition
Term
enteral access is achieved by _______, ________, ____________, and __________
Definition
1. nasogastric tubes
2. nasointestinal tubes
3. gastrostomy tubes
4. jejunostomy tubes
Term
inserted through one of the nostrils, down to the nasopharynx, and into the stomach; usually firm;
Definition
nasogastric tube (NG Tube)
Term
_________ tubes are used for clients who have INTACT gag reflexes, who have adequate gastric emptying, and who require short-term feedings
Definition
nasogastric
Term
nasogastric tubes may also be required for other reason than feeing; including
Definition
1. prevention of nausea and vomiting
2. to remove stomach contents (i.e. overdose)
3. to wash the stomach of poisons
Term
nasoenteric is aka
Definition
nasointestinal
Term
____________ tube is longer than the _____________ tube
Definition
nasoenteric, nasogastric
Term
tube that is inserted into one nostril, through the pharynx, esophagus, and stomach, and into the upper small intestine
Definition
nasoenteric tube
Term
insertion of the _______ tube may require special training; used when risk of aspiration is high
Definition
nasoenteric
Term
clients are at risk for aspiration if presenting these 5 conditions
Definition
1. Decreased LOC
2. poor cough or gag reflex
3. endotracheal intubation or recent extubation
4. inability to cooperate with the procedure
5. restlessness or agitation
Term
_________ and ___________ devices are used for long term nutritional support, generally for more than 6 to 8 weeks.
Definition
gastrostomy, jejunostomy
Term
tube placed surgically or by laparoscopy through the abdominal wall into the stomach
Definition
gastrostomy
Term
tube placed surgically or by laparoscopy through the abdominal wall into the intestine
Definition
jejunostomy
Term
before feedings are introduced, tube placement is confirmed by _________
Definition
radiography (xray)
Term
the administration of 300 to 500 mL of enteral formula several times per day; usually administered thru the tube into the stomach over at least 30 mins.
Definition
intermittent feeding
Term
generally administered over a 24 hour period using an infusion pump that guarantees a constant flow
Definition
continuous feedings
Term
continuous feedings that are administered in less than 24 hours; often administered at night and referred to as "nocturnal feedings", allows the client to eat regular meals throught the day
Definition
cyclic feedings
Term
any formula that has passed the expiration date or solution that has been opened at room temperature for more than ______ hours must be discarded
Definition
8
Term
a feeding tube used intermittently can become clogged. this can be prevented by
Definition
flushing the tube with clear water after bolus feedings or administration of medication; always follow facility approved method; prevention is the best way to ensure that the client will be able to receive nutrition via the tube
Term
feedings must be given through _________ when a client is unable to tolerate foods or formula through the gastrointestinal tract
Definition
IV
Term
there are 2 forms of parenteral nutrition
Definition
1. peripheral vein infusions
2. central vein infusions
Term
limited vein infusions that are done in peripheral veins
Definition
peripheral vein infusions
Term
when nutritional needs are great, the use of a large central vein is desirable; TPN is infused throuh a catheter that is surgically inserted into a central vein such as the _________ or the _________ vein; added risk of infection and must be closely monitored.
Definition
central vein infusions; subclavian or femoral vein
Term
two main veins used for central vein infusions
Definition
1. subclavian vein
2. femoral vein
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