Term
| three major aspects of nutrition? |
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Definition
| Ingestion, digestion, absorption. |
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Term
| What are questions for assessing nutrition? |
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Definition
| health status, age, cultural background, religion, intake and food preferences, and ability to swallow, diet history, physical exam, laboratory data. |
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Term
| What are some nursing diagnoses related to nutrition? |
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Definition
altered nutrition: less or more than body req.
altered oral mucous membranes, feeding self-care deficit, fluid volume deficit, risk for aspiration, impaired swallowing, knowledge deficit, non-compliance |
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Term
| why does a patient need daily weights? |
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Definition
| evaluate fluid balance, therapeutic gains or losses, to determine dosage of drugs, before or after therapeutic treatments. |
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Term
| What are the 6 basic hospital diets? |
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Definition
| NPO, clear liquids, full liquid, soft, regular, pureed |
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Term
| Which patient should be on strict I&O's ? |
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Definition
| patients with: edema, orders to force fluids, fluid restriction, iv fluids or parenteral nutrition, diueretic therapy (lasix), post-op, cardiac or renal, fever, critically ill, hemodynamically unstable. |
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Term
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Definition
| IV fluids, blood, tube feedings, fluids, all foods that liquefy at room temperature, applesauce, hot cereals. |
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Term
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Definition
| Urine, vomit, stool, wound drainage. |
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Term
| What are the tasks in feeding a client? |
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Definition
| Check diet, prepare environment, prepare client, take your time, offer small amounts, ask client what they want, allow client to do as much as possible. |
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Term
| What would a cardiovascular diet consist of? |
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Definition
| low sodium, low cholesterol, low saturated fat, low fat, weight management, lots of fruits and veggies, high fiber. |
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Term
| What would a gastrointestinal diet consist of? |
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Definition
| avoid fiber, low residue, liquids, bland. advance as condition increases. |
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Term
| What would a wound diet consist of? |
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Definition
| high protein, vitamins a and c, and zinc. |
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Term
| What diet would a CVA patient have? |
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Definition
| thickened liquids and pureed foods. |
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Term
| What does a renal diet consist of? |
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Definition
| Low protein, low sodium, and low potassium. |
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Term
| What are the sites of insertion for tube feeding? |
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Definition
| Nasogastric, gastrostomy, nasojunodenal or nasojejunal, and jejunostomy. |
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Term
| What is the definition of enteral feeding? |
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Definition
| Delivery of liquid diet by mouth or tube intro the GI tract. |
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Term
| What are indications for use of enteral feedings? |
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Definition
| Protein-energy malnutrition, severe dysphagia, major burns, short gut (pt. had part of their intestines removed), intestinal fistula, individual is not able to orally consume adequate nutrients to support metabolic and energy needs. |
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Term
| What are nursing responsibilities with patient on tube feedings? |
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Definition
| HOB raised to 30 degrees to 45 degrees, explain procedure to client/family, check tube placement, check residuals, assess client's response, keep tube patent, avoid diarrhea. |
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Term
| when should tube feeding equipment be changed? |
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Definition
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Term
| How do you check tube placement? |
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Definition
| X-ray (most accurate) check ph |
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Term
| What is the bolus method of tube feeding delivery? |
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Definition
| 250-400cc given 4-6 times/day via gravity pouring. |
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Term
| What is the intermittent method of tube feeding delivery? |
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Definition
| 250-400cc given 4-6 times/day over 30-60 minutes via pump. |
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Term
| What is the continuous method of tube feeding delivery? |
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Definition
| drip given in number of cc/hour. |
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Term
| What is dumping syndrome and how is it prevented? |
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Definition
| Dumping syndrome is when the body's fluids follow the hypotonic solution of tube feeding into the stomach, causing diarrhea. This can be prevented by tube feeding slowly. |
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Term
| what actions must be performed before starting tube feeding? |
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Definition
| wash hands, check bowel sounds, check residual and PH levels of stomach. |
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Term
| What are the two objective data pieces a nurse must know in order to evaluate if a patient is obtaining the correct amount of nutrition? |
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Definition
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Term
| how do you keep a feeding tube patent? |
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Definition
| Flush with 30cc of fluid before each procedure. (flush 30cc give food flush 30cc) |
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Term
| What color should stomach aspirate be if its empty? |
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Definition
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Term
| What color is the aspirate in the intestine? |
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Definition
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Term
| What color is aspirate in the respiratory tract? |
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Definition
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Term
| If residule PH is 6 or higher what could this mean. |
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Definition
| feeding tube is not in the stomach, it is in the respiratory tract. |
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Term
| If residule PH is 7 or higher what could this mean. |
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Definition
| may be in small intestines. |
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