Nutrition 1
HOB should be elevated to how many degrees for a patient on aspiration precautions?
At least 30-45 degrees
This type of carbohydrate takes longer to break down and comes from vegetables and fruits.
What is complex Carbs?
pH: 7.50 HCO3: 35
What is metabolic alkalosis?
Calculate the total intake from the following:
5 oz of water
4 oz of orange juice
6 oz of diet cola
What is 450 mLs?
Which electrolyte abnormality does the following present?
Decreased deep tendon reflexes, hypotension, and respiratory depression
What is hypermagnesemia?
Papayas and broccoli are rich in what vitamin?
What is Vitamin C?
Fill in the blank:
According to the American Heart Association 2020 we should be between _______ of our total fat intake
According to the American Heart Association 2020 we should be between 20-35% of our total fat intake.
pH: 7.25, HCO3: 21
What is metabolic acidosis?
True or False:
You can expect to see an increased urine specific gravity with dehydration.
What is true?
What foods can you encourage a patient that has Hypophosphatemia?
What are milk, yogurt, meat, nuts?
What are the top two assessment measures the nurse can gather from a patient regarding their dietary intake during the interview process?
What are food diary and 24-hour recall?
True or False:
To remove an NG tube, instruct the patient to take a deep breath and hold it; pinch the tube, and pull it out smoothly and quickly.
What is true?
Which of the following acid-base imbalances presents with hyperventilation?
What is respiratory alkalosis?
The most reliable indicator for fluid volume status is.
What is daily weights?
What is hypercalcemia? Provide one nursing intervention that can decrease the possibility of a patient developing this.
Calcium levels greater than 10.5.
Intervention:
Encourage ambulation on the unit
Prior to administering enteral feeds, what should the nurse do?
What are aspirate and test the pH of the gastric content?
Complete the two blanks:
If the residual amount is less than _________ or half the amount of the last feed, proceed with the new feedings. If the residual is more than 250ml ___________
If the residual amount is less than 250ml or half the amount of the last feed, proceed with the new feedings. If the residual is more than 250ml wait one hour.
What are the normal ranges for the following:
pH
CO2
HCO3
Pa02
Normal PaCO2: 35-45
Normal HC03: 21-28
Normal pH: 7.35-7.45
Normal Pa02: 80-100
This type of fluid causes a shift from extracellular to intracellular.
What is hypotonic IV solutions?
Heart failure and cardiac patients are at risk for this type of electrolyte imbalance?
What is potassium?
Patient A: Post/op day 1 PEG tube who has an order to start feeds
Patient B: On TPN and needs a dressing and tubing change and is complaining of feeling lightheaded
What nursing intervention and which patient is priority for the nurse to see first?
What is patient B and obtain vital signs?
Inflamed tongue related to iron-deficiency anemia
What is glossitis?
Which of the following acid-base imbalance presents with the following:
diabetes, renal failure, prolonged diarrhea, excessive intake of acids, sepsis
What is metabolic acidosis?
Who should the nurse see first?
Patient A: Older adult who is awaiting discharge
Patient B: Teenager who is post/op day 2 of her femur
Patient C: A middle aged man who is lethargic and becoming confused
Patient D: Teenager who is asking for pain medication, scale 5/10
Who is patient C?
Which of the following values requires immediate intervention by the nurse?
ABG pH 7.40
Potassium 5.0
Magnesium 1.6
Calcium 5
What calcium of 5? This indicates hypocalcemia.