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55 Cards in this Set
- Front
- Back
Who holds the ultimate responsibility for meeting all the client's nutrition needs?
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physician
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Who prescribes the client's diet and writes the diet order in the medical record?
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physician
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Who writes orders that relate to nutrition care, including orders for comprehensive nutrition assessments, diet counseling, and evaluation of food intakes?
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physician
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The ___ will only see those clients with written orders for special diets or other nutrition services.
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dietitian
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Who identifies clients who need nutrition services and communicates information to the physician or dietitian?
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nurse
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Who alerts potential diet medication interactions which can alter a drug's effectiveness or affect a client's nutrition status?
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nurse
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Who communicates to clients about pertinent information?
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nurse
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Who encourages clients to eat, measures weight and height, records information about food intake, and answers questions about special diets?
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nurse
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Who is involved in the nutritional care of patients?
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physician, dietitian, nurse
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What effects nutritional status?
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1. health problems
2. treatments 3. immobility and pressure sores 4. indirect effects such as the costs of healthcare |
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Without physical activity, the muscles begin to lose ___ and ___.
This contributes to ___. |
nitrogen, calcium
malnutrition |
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What effects nutritional status?
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1. health problems
2. treatments 3. immobility and pressure sores 4. indirect effects such as the costs of healthcare |
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The breakdown of skin and underlying tissues due to constant pressure and lack of oxygen to the affected area?
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pressure sores
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___, ___, and ___ are all associated with the development of pressure sores.
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immobility, poor food intake, PEM
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A physician's written statement in the medical record of the client's diet prescription?
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diet order
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The evaluation of the many factors that influence or reflect a client's nutrient and nutrition education needs?
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nutrition assessment
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Provision of a client's nutrient and nutrition education needs based on a complete nutrition assessment.
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medical nutrition therapy
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a nonnutrient found in the husks of grains, legumes, and seeds
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phytate
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a nonnutrient found in significant amounts in rhubarb, spinach, beets, nuts, chocolate, tea, wheat bran, and strawberries
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oxalate
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a brief review of clinical signs or symptoms associated with each organ system
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review of body systems
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asks the client to recount everything eaten in a typical day and what times meals and snacks are rountinely eaten.
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usual intake
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A diet that changes as a client's tolerances permit.
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progressive diet
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The total amount of material in the colon; includes dietary fiber, undigested food, intestinal secretions, bacterial cell bodies, cells shed from the intestinal mucosa
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residue
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___ sets goals and expected outcomes that aim to resolve the client's immediate and long-term nutrition problems. It also describes the interventions necessary to achieve the goals.
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care plans
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charts or tables that outline a plan of care for a specific diagnosis, treament, or procedure, with a goal of providing the best outcome at the lowest cost.
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care maps (also known as clinical pathways or critical pathways)
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The 3 goals of nutrition therapy are:
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1.To meet the client's nutrient needs.
2.To meet the client's needs for nutrition. 3.To meet the client's needs for nutrition education. |
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a tool for quickly identifying clients most likely to be at risk for malnutrition so that they can receive complete nutrition assessments?
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nutrition screening
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The ___ asks the client to recount everything eaten or drunk the previous day
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24 hour recall
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What are 4 methods for gathering food intake data?
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1. 24 hour recall
2. food frequency questionnaire 3. calorie counts 4. food records/food diary |
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diets that include all foods and meet the nutrient needs of a healthy person
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standard (or regular diets)
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regular diets that are adjusted to meet special nutrient needs are called what? These diets can be adjusted in consistency, level of energy and nutrients, amount of fluid, or number of meals, or by the inclusion or elimination of certain foods.
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modified (or therapeutic diets)
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a diet order is also known as a ___.
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diet prescription
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Who provides a diet order?
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physician
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a book that describes the foods allowed and restricted on a diet, outlines the rationale and indications for use of each, and provides sample menus
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diet manuals
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foods that are liquid and transparent at body temperature are called? If unsupplemented, it is deficient in many nutrients.
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clear liquids
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___ includes both clear and opaque liquids. If supplemented can meet nutritional needs.
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full liquid
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___ records focus on a client's medical problems and the strategies being used to address those problems
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traditional problem oriented medical records (POMR)
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___ records focus on observable medical goals.
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goal oriented medical records
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___ records are being replaced by ___ records.
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traditional problem oriented medical POMR), goal oriented medical
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___ is the most abundant serum protein.
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albumin
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___ transports iron.
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transferrin
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Who conducts complete nutrition assessments?
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dietitian
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Fact: Urinary acidity affects the reabsorption of medications from the kidneys back into the blood.
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*
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An acidic urine limits the ___ of acidic drugs. Give an example.
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excretion, aspirin
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Large doses of vitamin C with aspirin ___ urine's acidity and aspirin remains in the blood longer.
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increases
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This typically asks clients how their daily food intake compares to the daily food guide.
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food frequency quesionnaire
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clients food intake that can be directly observed and analyzed is called?
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calorie counts
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Signs of malnutrition appear most rapidly in parts of the body where cell replacement occurs @ a high rate, such as the ___, ___, and ___ (including the mouth and tongue).
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hair, skin, digestive tract
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Serum proteins are synthesized in the ___.
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liver
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What are the four serum proteins used to evaluate a person's protein status?
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1. albumin
2. transferrin 3. transthyretin 4. retinol-binding |
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___ than body requirements describes the nutrition problems of ppl who are overweight or obese.
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more
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___ than body requirements describes the nutrition problems of ppl with PEM and those who are likely to develop PEM. These ppl may be unable to eat enough food to meet their body's metabolic demands or may lose weight despite a seemingly adequate nutrient intake.
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less
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Who writes the diet order?
Who writes the diet prescription? |
physician
nurse |
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the total amount of material in the colon; includes dietary fiber and undigested food, intestinal secretions, bacterial cell bodies, and cells shed from the intestinal mucosa
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residue
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These are legal documents that record a client's health history; the assessment, diagnosis and prognosis of medical problems; the measures being taken to treat those problems; and the results of test and therapy
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medical records
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