Disorders of blood glucose
Therapeutic Diets
Diet modification
Drugs & Food
Nasogastric Tubes
100

Signs and symptoms of hyperglycemia include

Name 4

Increased thirst/dry mouth, hot, dry, flushed skin, headache, frequent urination, elevated blood glucose level, fruity-smelling breath, confusions, coma, death

100

This type of diet is provided for a client with the ability to swallow, but difficulty chewing.

Mechanical Soft

100

This diet is used to manage calorie and carbohydrate intake.

Diabetic Diet

(May also see 1800 Calorie ADA)

100

Foods high in vitamin K (broccoli, spinach, cauliflower, and kale) should be avoided when patients are prescribed ____________, a blood thinner.

warfarin (Coumadin) 

100

Gastric Ph level should be less than ____?

5.5

200

Signs and symptoms of hypoglycemia include

Name 4

Clammy skin, shakiness or nervousness, nausea, increased irritability, confusions, dizziness, headache, weakness/fatigue, seizures and unconsciousness (at critically low levels of blood glucose)

200

Water

Broth

Black Coffee

Tea

Carbonated Drinks

Clear Fruit juice

Examples of 

Clear Liquid Diet

200

This type of diet is used to promote wound healing, growth promotion, and increase or maintain weight.  It may also include high-fat foods.

High calorie, high protein 

200

Corticosteroids, some anti-depressants, and atypical antipsychotics are examples of medications that can dramatically do what?

They can cause increased appetite and increased food intake and weight gain. 

200

The placement of an NG tube to relieve symptoms of nausea, anorexia, vomiting, abdominal distention and hypoactive bowel sounds is called what? 

Gastric decompression 

300

Your client has a morning blood glucose level of 60.  What intervention do you perform?

Provide the client with one-half cup of orange juice.

300

Creamy soups

Milk

Yogurt

Sherbet 

Liquid supplements

All fruit juices

Examples of a

Full liquid diet

300

This diet restriction is used for patients with hypertension, heart failure, or kidney or liver failure and for those who require help to prevent or correct fluid retention. Typically, less than 2,300 mg per day. 

Sodium restricted diet

300

NSAIDS should be taken with food to decrease gastric irritation.  

True or False

True

300

The most reliable way to ensure an NG is correctly placed in the stomach is what?

The use of X-ray to confirm placement. 

400

The BEST indicator of long-term glycemic control is measured in this lab.

Glycated hemoglobin 

(HgbA1C)

400

Food that is processed in a blender or food processor. The texture is somewhat thicker than full liquid, but that can be easily swallowed. 

Pureed Diet

400

A client unable to tolerate, may have an allergy, or a diagnosis of Celiac disease will avoid  this nutrient that is found in what, barley, flour, couscous, tabouli, and malt vinegar.

Gluten 

400

This medication drug level is affected by either than excretion or retention of sodium.

Lithium 

400

What immediate nursing action does the nurse take if a patient is cyanotic, coughs incessantly, and is unable to speak after insertion of an NG tube?

Remove the tube completely. 

500

A blood glucose level greater than 240 is termed _____.

Hyperglycemia

500

This diet is appropriate for patients without special nutritional needs and provides approximately 2,000 calories per day.

A Regular Diet

500

A ___________ diet is used to manage or limit fluids and electrolytes for patients with renal insufficiency or disease. 

Renal 

500

Patients on INH therapy (treats TB) must be treated for more than 6 months.  This can lead to Vitamin ___ deficiency. 

B6 

500

After insertion of an NG tube, my client is coughing continually.  What conclusion does the nurse make?

The client's airway is compromised. 

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