Risk
This age group is at risk for malnutrition. (Hint: there are two)
What is elderly?
This is the sign you would look for in a patient on their skin with malnutrition
What is dry, scaly skin; rashes?
What is BMI<18.5?
Best way to track adequate I&O
What is daily weights?
Surgical procedures performed on the stomach or intestines to induce weight loss.
What is bariatric surgery?
Abnormal responses and or abnormalities of the esophogealgastric system
What is swallow disorders? or What is diseases of GI tract?
An abnormally low amount of fat based on height and weight
What is "low BMI"?
Measurement of sodium, potassium, and chloride levels
What is serum electrolytes?
The nurse should advise the malnutrition patient to increase ______ and ______
Which statement by the nurse is most likely to help a morbidly obese 22-year-old man in losing weight on a 1000-calorie diet?
a. "It will be necessary to change lifestyle habits permanently to maintain weight loss."
b. "You will decrease your risk for future health problems such as diabetes by losing weight now."
c. "You are likely to notice changes in how you feel with just a few weeks of diet and exercise."
d. "Most of the weight that you lose during the first weeks of dieting is water weight rather than fat."
What is "C"?
ANS: C
Motivation is a key factor in successful weight loss and a short-term outcome provides a higher motivation. A 22-year-old patient is unlikely to be motivated by future health problems. Telling a patient that the initial weight loss is water will be discouraging, although this may be correct. Changing lifestyle habits is necessary, but this process occurs over time and discussing this is not likely to motivate the patient.
A pattern of drinking that interferes with day-to-day activities.
What is alcohol abuse?
Normally small, painful lesions that develop in your mouth or at the base of your gums.
What is ulcerations of mouth?
The nurse finding out the what the patient consumes in the last few days to weeks,
What is assess diet history of foods?
Weight loss by placing two connected saline-filled gastric balloons, made of medical-grade silicone
What is ReShape dual ballon?
Fill in the blanks
Overweight BMI: ________
Obese BMI :____
Morbid Obesity BMI:______
What is rule exception
What is
Overweight BMI 25-29.9
Obese BMI >30
Morbid Obesity >40
Nourishment essential for growth and the maintenance of life is lost from an abnormal connection between organs
What is nutrient losses from fistulas and wounds?
A nurse would assess for these clinical manifestations of malnutrition (name at least three).
What is (any 3 of the following)
Dry, scaly skin; rashes (counts as one)
Ulcerations of mouth
Brittle nails
Hair loss
Decrease muscle mass and weakness (counts as one)
Confusion and irritability
Fatigue
Delayed wound healing
Anemia
Rate of weight loss/BMI
Refers to the measurement(s) of the human individual
What is anthropometric measurements?
Interventions for obesity (name at least 2).
What is (any two of the following):
Nutrition
Realistic goal with restricted food intake
Exercise
Behavior Modification
Commercial Weight Loss Programs
Pharmacologic Therapy (all of this is one)
Appetite suppressants (all of this is one)
Nutrient absorption reducers(all of this is one)
Dual Balloon
Bariatric Surgery
Name at least 2 post-op Nursing Care for Bariatric Surgery
What is (any two of the following)?
Prevention of Respiratory Complications
Prevention of DVT
Ambulation
Wound care and Skin care
Nutrition (this is one)
◦NPO and NG tube
◦Bariatric Diet
Client teaching
Cosmetic/reconstructive surgery
This causes the body to spend more energy.
What is increased metabolic needs?
A patient is in the ER. The doctor diagnoses malnutrition. The patient has had a laceration for a prolonged period of time. The patient asks the nurse about this. The nurse responds with
What is delayed wound healing?
The labs performed to rule out malnutrition. (Name at least 2)
What is (any two of the following):
Pre-albumin, transferrin and albumin levels
C reactive protein
Serum electrolytes
CBC
Liver enzymes
Lipid profile
____________ is a special tube that carries food and medicine to the stomach through the nose.
____________ is a tube passed into a patient's stomach through the abdominal wall.
___________ is a surgical creation of an opening (stoma) through the skin at the front of the abdomen and the wall of the jejunum.
What is
◦Nasogastric feeding
◦Gastrostomy (PEG)
◦Jejunostomy?
Complications Post Bariatric Surgery (name at least 2)
What is (any two of the following)?
Anastomosis leak with peritonitis
Hernia
Wound infection
Bowel obstruction
Nutritional deficiencies
Crohn’s disease
Dumping syndrome
Cholelithasis
Depression