HUC Ch 12 Quiz

The usual measurement that defines overweight and obesity is the:

BMI. Body mass index (BMI) is the usual measurement used to define overweight and obesity. It is calculated by body weight in kilograms divided by height in square meters.

A diet that is commonly used as short-term dietary treatment for diarrhea, gastroenteritis, and some incidents of food poisoning is the _____ diet.

BRAT The BRAT diet is commonly used as short-term dietary treatment for patients with diarrhea, gastroenteritis, and some incidents of food poisoning.

Which of the following diets could the nurse request for a patient who has a diet as tolerated (DAT) order written by the doctor?

Full liq diet When the doctor writes an order to advance DAT, this order usually includes the initial diet. The nurse may then select from standard (consistency) diets such as full liquid, soft, or regular to advance the diet.

The dysphagia diet that is most severely restricted is Level:

I. Level I is the most severely restricted. Patients with severe dysphagia are just beginning to eat by mouth (unable to safely swallow chewable foods and unable to safely drink thin liquids). The diet consists of thick homogenous semi-liquid textures and decreased fiber; no coarse textures, nuts, or raw fruits or vegetables are included.

A patient may request which diet because of religious beliefs?

Kosher diet Kosher diets are those that adhere to the dietary laws of Judaism

If the patient is not aware of any food allergies or intolerances, which abbreviation may be written in the chart?

NKFA NKFA indicates that the patient has no known food allergies.

It is important that the HUC communicate which of the following information to the nutritional care department?

Patient food allergies and intolerances The patient's food allergies and intolerances must be communicated to the nutritional care department (usually on admission). Some food allergies or intolerances cause minor discomforts such as hives or an upset stomach. True food allergies such as allergies to tree nuts, fish, shellfish, and peanuts can produce life-threatening changes in circulation and bronchioles, called anaphylactic shock.

An HUC may order a "late tray" for a patient by which of the following methods?

Sending a request via computer to the nutritional care department The HUC must communicate with the nutritional care department (by computer or telephone) when ordering a diet for a patient who has completed a procedure or test that requires him or her to be NPO.

A patient who is returning from major surgery would be likely to have which diet until fully awake and not nauseated?

Sips (water) and (ice) chips The patient would be likely to have only sips of water and ice chips. This order would also be sent to the nutritional care department to update the patient's dietary record.

Stage 4 of the postoperative diet for the gastric bypass procedure consists of which of the following?

Soft solids Stage 4 consists of soft solids begun after postoperative week 6. It is continued indefinitely.

A patient cannot eat lobster because it causes a skin rash. This is an example of:

a food allergy. A food allergy is a negative physical reaction to a particular food involving the immune system. People with food allergies should avoid the offending foods.

When transcribing an order for DAT, the HUC would:

ask the patient's nurse. The nurse may then select from standard (consistency) diets such as full liquid, soft, or regular to advance the diet. The nutritional care department cannot decide what the patient can tolerate.

Energy generated in the body by the heat produced after food is eaten is called:

calories. Calories are the energy generated in the body by the heat produced after food is eaten.

CHO is the abbreviation for:

carbohydrate. CHO is an abbreviation for carbohydrate

A patient who needs rehydration would receive:

fluids orally and/or intravenously A patient who needs rehydration would receive fluids orally and/or intravenously.

The diet progression for a patient starting with a cl liq diet and who has an order for DAT would likely be:

full liq -> soft -> reg. After the patient has tolerated clear liquids following surgery, the nurse may order a full liquid diet for the evening meal. Usually, the patient is advanced from clear liquid to full liquid, to soft, and then to a regular diet, according to the current stage of recovery.

A tube feeding is also known as:

gavage. Gavage is feeding by means of a tube inserted into the stomach, duodenum, or jejunum through the nose or an opening in the abdominal wall. This is also called tube feeding.

An order for 2.5 g Na for a patient on a soft diet would:

have to be clarified by the nurse for a consistency order An order that modifies a nutrient or number of calories would not change the consistency of a patient's diet. The nutritional care department would be notified of the modification order.

An order for a PEG would involve:

inserting a tube through the abdominal wall into the stomach under endoscopic guidance. Percutaneous endoscopic gastrostomy (PEG) is the insertion of a tube through the abdominal wall into the stomach under endoscopic guidance.

Changes in total parenteral nutrition (TPN) orders need to be sent to the pharmacy as soon as possible because:

it is very expensive. Changes in TPN orders need to be sent to the pharmacy as soon as possible, because TPN is very expensive and is customized for each patient. If a formula is prepared before the changes are received, the already prepared formula must be discarded.

A therapeutic diet:

must be ordered by the patient's doctor. A therapeutic diet is a regular diet with modifications or restrictions (also called a special diet) that must be ordered by the doctor.

A patient who is having surgery in the morning has a diet order, "NPO MN." This means:

nothing by mouth after midnight. NPO MN means nothing by mouth after midnight.

When transcribing an order for, "Limit fluids to 1000 mL per day," the HUC would:

notify the nutritional care department so it will limit the fluid on patient trays. All dietary information, including orders for nothing by mouth, tube feedings, allergies, limit fluids, force fluids, and calorie count, must be sent to the nutritional care department, so necessary adjustments will be made when the patient's trays are prepared. The nurse would receive a copy of the doctor's orders.

An order for a cl liq diet would consist of:

nutrition for patients who cannot tolerate solid foods; it includes broth, jello, and clear juices. A cl liq (clear liquid) diet is used for patients who cannot tolerate solid foods, including those in whom an acute illness has been diagnosed and patients who have just had surgery. It includes only clear liquids such as broth, bouillon, coffee, tea, carbonated beverages, clear fruit juices, gelatin, and popsicles.

A diet that includes all plant foods, dairy, and eggs is the _____ diet.

ovolactovegetarian The ovolactovegetarian diet includes all plant foods, dairy, and eggs

The patient has been unable to eat because of a severe intestinal problem and recent surgery. The doctor may order a:

tube feeding. Tube feedings are ordered for patients who have difficulty swallowing, who are unable to eat sufficient nutrients, or who cannot absorb nutrients from the foods they eat.

BOOST Plus® is an example of a:

tube-feeding preparation. BOOST Plus® is one of the commercially prepared formulas that is used in tube feeding.