nutrition A
chronic kidney disease - lmt intake of calcium - which food has highest amt of calcium
1 c. of lowfat yogurt
pt w/ heart failure. low sodium diet. which food has least sodium
1 c. brown rice
enteral tube feedings. requires 2000 cal/day. prescript provides 2 cal/mL. how many mL/hr should pump be set for 24 hrs
1000div by 24 = 41.66 = 42 mL
eval pt hydration status - 185 lbs - how many ml's p/day of liquid
185 lbs/2.2kg = 84.1kg 84.1kg x 30mL/kg = 2,523 mL p.day
tching at health fair, re: my pyramind recommendations based on 2000 cal diet. pt asks how many cups of veggies p/day
2 1/2 cups
tching pt about low-residue diet. pt understood if chooses
2 egg cheese omelet and banana
3 day calorie count - avg intake of 2500 cal/p/day. pt asks how many cals can she consume to lose 1 lb p/wk.
2000 - reduce intake 500 cals p/day causes 1 lb p/wk of wt loss; 500 x 7 days =3500 calories, which equals 1 lb. fat
assess fluid intake - 154.3 lb
2105 mL p/day
underweight pt - eat 350 more calories p/day. how many lbs should be gained in 30 days
3 lbs
tching ot women about osteoporosis, which age does osteopororis start for women
35 yo
eval. pt food intake for 3 days. pt has exceeded recom. amt for wt by 250 calories p/day. if this intake continues w/o incr in level, how long before pt gains 2 lbs
4 weeks
MM** 24 wks gestation - constipation - interventions?
8 glasses of water/ increase cellulose / walk daily
cont. tube feeding @ 60 ml/hr w/50 ml o water every 4 hrs. how much during 8 hr shift
8 hr x 60 ml/hr - 480 plus 100(50 ml water x 2) = 580 ml
pt w/iron def. anemia w/prescrip for iron sulfate 30 mg PO daily. which fluids should nurse admin w/med
OJ
pt - dehydrated & malnourished, which lab value should nurse review prior to calling doc
albumin
osteoporosis - encourage which food
artichokes (calcium)
obese preg woman BMI 34 - wt goals during preg
gain approx 15 lbs
pt w/cleft lip & palate. which position do you use when bottle feeding
upright
older pt w/heart failure - appr. meal selection
baked chicken/mashed pot/cauliflower
ed program for pt w/DM about glycemic index of foods. which food has highest
baked potato
educate parents w/toddlers - food to prevent choking
banana slices
MM** Which of following should you teach for wt loss program
before eating, hunger scale 1 - 10; dietary changes are lifelong; eat meals in designated place free from distraction
constipation - increase intake of mineral supplement may be cause of constipation
calcium
proper method of prep. infant formula - which stmt indicates understanding
can use tap water to mix w/powdered formula
chronic kidney disease & low phosphate levels, encourage what food
choco milk
instr. pt show is on low-sodium diet, restaurant menu recomm
choose olive oil over caesar dressing
BP mngmt w/pt. which stmt indicates pt understanding
choose whole grain pastas (helps lower BP)
client has esophogeal cancer: continuous enteral tube feeding for 2 days, based on chart info, which action should nurse take
continue w/durrent order
pt cirrosis and ascites - dietary instruct
decrease sodium intake to 1 - 2 gr daily
dietary tching about reduced risk of infections to cancer pt while on chemo. which stmt indicates understanding
discard leftovers after 3 days
MM** Pt - radiation therapy - breast cancer. nausea, loss of appetite - interventions
eat small meals through out day/ eat high carb snacks/ eat foods cold or at room temp
dietary tching to pt w/DM & breast feeder. which stmt is appropriate
eat w/i 2 hrs of breastfeeding
chronic renal failure - foods to include
eggs (nothing high in potassium)
discharge - tching about vit k foods to pt on warfarin - which food to limit
green leafy veggies
CAD - foods to increase omega-3 fatty acid
grilled salmon
teaching: importance of fiber in diet - which condition will adequ. fiber help prevent
hyperlipidemia
eval. pt on chemo. which stmt indicates adeq nutrition
i have maintained my weight since starting trmt
older pt w/osteoporosis. which indicates need for add'l tching
i should take my calcium w/oj for better absorption into my body (vit d is better for calcium absorption)
tching about food reactions to pt taking MAOIs, which shows pt understanding
i will stop eating cheddar cheese (aged/smoked cheeses contain tyrosine - avoid)
pt decrease risk for devl osteoporosis. which stmt says she needs further tching
i will swim 3 x per week (she needs wt bearing exercise)
breast feeder - newborn - 2000 calories p.day during preg, now?
increase caloric intake 300-400 calories p/day
nutr class for vegie pt - nutrient of concern
iron
colon cancer - radiation trmt - 3 episodes of diarrhea, suggest
limit caffeine
pt w/pressure ulcer - kosher - which food is ok
mac & cheese
nutr ed to pt w/DM #1, which choice indicates pt understands
mashed potatoes
teaching pt about weight loss. how do you know teaching was effective
my calorie intake needs to be less than my energy expenditure
pt 48 hrs postpartum & breastfeeder. understands tching if
need to increase vit a intake to 1300 mcg p.day
adult w/BMI 23.
nurse knows this is normal- BMI under 18.5 is underweight
pt declines to drink nutritional supplements - how to you encourage
offer nutritionally comparable supplement
pt anorexia nervosa - intervention to help pt resume normal eating habits
offer rewards linked to amt of calories consumed
post op instruc about complete proteins to pt w/below knee amp. which food choice indic. need for add'l instruct
pinto beans (plant protein is incomplete)
pt - celiac disease - appropriate foods
potatoes
healthy eating class - some fat is good - why
provides energy
one week after CVA, pt coughs frequ after consuming liquids
refer for swallowing eval
Pt DM#1 - count carbs. which stmt shows understanding
serving sizes can affect the #of carbs in each food item (teach correct portion sizes)
clear liquid diet, restrictions at this time
sherbet
pt chemo - cancer. treatment related change in taste
suggest plastic utensils
intro of solid food to infant
when he has head control and able to sit
pre-op tching to pt which food has all 9 ess. amino acids
yogurt