Nutrition Vocabulary

Which action would the nurse take when a client is receiving total parenteral nutrition (TPN)? (select all that apply) A. monitor for hydration B. monitor weight daily C. monitor vital signs every 4 hours D. discard any solution after 24 hours E. check the expiration date of the solution before administration

All of the above

When assessing a patient for malnutrition the nurse would monitor for an increase in liver enzymes and a decrease in which water-soluble vitamin? A. Biotin B. Niacin C. Folic Acid D. Riboflavin E. Vitamin C

All of the above Water-soluble vitamins are decreased when a patient has malnutrition along with an increase in liver enzymes

When providing care for a client with diarrhea, in which clinical indicator would the nurse anticipate a decrease? A. Pulse rate B. Tissue turgor C. Specific gravity D. Body temperature

B. tissue turgor Skin elasticity will decrease because of a decrease in interstitial fluid

Aspiration

Breathing fluid, food, vomitus, or an object into the lungs that can cause hypoxia or respiratory distress

For which clinical indicator would the nurse question a prescription for gastric lavage? A. decreased serum pH B. increased serum oxygen level C. increased serum bicarbonate level D. decreased serum osmotic level

C. increased serum bicarbonate level gastric lavage causes an excessive loss of gastric fluid, resulting in excessive loss of hydrochloric acid which can lead to alkalosis the HCl is not available to neutralize the sodium bicarbonate secreted

After assessing several clients, the nurse would determine which client will require parenteral nutrition? A. a client with brain neoplasm B. a client with anorexia nervosa C. a client with inflammatory bowel disease D. a client with severe malabsorption disoder

D. a client with severe malabsorption disorder A client with SEVERE MALABSORPTION requires parenteral nutrition Clients with inflammatory bowel disease, brain neoplasm, or anorexia nervosa require enteral nutrition

For an older client with dementia who developed dehydration as a result of vomiting and diarrhea, which assessment information best reflects the client's fluid balance? A. skin turgor B. intake and output results C. client's report about fluid intake D. blood lab results

D. blood lab results for an OLDER CLIENT skin turgor is not a reliable indicator of hydration status because it is normally, generally decreased with age blood lab result data provides objective data about fluid and electrolyte status as well as about hemoglobin and hematocrit

What physical change would the nurse observe in a client with malnutrition?

Hypotension Dry, dull hair Abdominal edema Delayed wound healing Depletion of muscle mass

Is serosanguineous drainage on a surgical dressing always a 'bad' thing? Explain

No it is expected if it is a small amount

Onset of action

The TIME required for a drug to elicit a therapeutic response after dosing. so the nurse can use this info to determine the time the drug will take effect

Vitamin B complex are:

Thiamine (B1) Riboflavin (B2) Niacin (B3) Folic Acid

Water soluble vitamins

Vitamin C, Vitamin B-Complex

Dysphagia is a risk for

aspiration

What is the most important data to obtain for a nutritionist?

body mass index!

Dysphagia

difficulty swallowing or eating

What can you do to prevent someone from aspirating?

elevate the head of bed to 30 degrees

PEG tube insertion

feeding solution should be initiated several hours after PEG tube is inserted

What should you never do with a client that has dysphagia?

lower the head of the bed; keep the bed raised during and after a meal

gastric lavage

washing out of the stomach