CH 27

• (3) goals of nutritional therapy?

  Treat/manage disease, prevent complications, restore/maintain health
• how can LVN'S assist in nutritional therapy goals?

  nutritional data collection
• who can you delegate assisting with feeding to?


  CNA or family member
• proper nourishment ___ facilitates ___healing/recovery?

  preoperatively & postoperative
• what position should the bed be in when assisting w/ feeding?

  high fowlers
• what do you want to protect during feeding?

  clothing/bedding
• how can you assist a visually impaired person with feeding?

  by telling where food is placed, 3:00 6:00
• preoperative patients are NPO up to __ hrs before surgery?

  12
• what does ERAS stand for?

  enhanced recovery after surgery
• what can help speed up patient recovery after surgery? ingesting __ before surgery?

  carbohydrate-rich clear fluid 2 hrs
• post-operative patients start out on a ____ diet?

  clear liquid
• what indicates a patient can start on a clear liquid diet?

  bowel sounds returning
• how do you know bowel sounds have returned?

  ascultation
• a clear liquid diet maintains ___ but lacks many nutrients?

  homeostasis
• what can be incorparated in a clear liquid diet to provide protein/electrolytes?

  broth
• what is the step between clear liquid & full diet?

  full liquid
• what disease is marked by a low caloric intake, low body weight & a pathological fear of weight gain?

  anorexia nervosa
• what disease is marked by moderate to vigorous exercise?

  anorexia nervosa?
• is not treated this disease can be fatal?

  anorexia
• what is the (3) tx intenventions for pt w/ anorexia?


  nutritional intervention, behavior modification & psychological counseling
• what is the goal weight for patients with anorexia nervosa?

  85% of expected weight for height
• patients with bulimia often feel ___ or ___, due to this tx is usually easier?

  embarrassed or ashamed
• what disease is marked by binge eating & behaviors that are designed to prevent weight gain?

  bulimia
• what are some of the behaviors a person with bulimia might exhibit to prevent weight gain?

  laxatives, excessive exercise, purging
• what are the (2) tx interventions for pt w/ bulimia?

  nutritional supplements, monitoring after eating, behavioral modification
• what 4 medical conditions can be developed in a patient with bulimia?

  esophogeal/peptic ulcers, depressed gag reflex & dental issues
• what is the most common eating disorder?

  binge eating
• who are most affected by binge eating?

  women
• what eating disorder is marked by feelings or lack of control?

  binge eating
• what % of americans are obese?

  39.8
• what are the 2 leading factors of obesity in the US?

  poor diet, limited physical activity
• what is the second leading cause of preventible death in the US?

  obesity
• what are the 2 goals of tx for obesity in the US?

  improve health & quality of life
• what % of ppl can maintain weight status after losing weight?

  5
• normal weight gain for someone who's BMI is underweight in pregnancy?

  28-40 lb
• whats is normal weight gain for someones who BMI is normal weight in pregnancy?

  25-35 lb
• what is normal weight gain for someone who is overweight in pregnancy?

  15-25
• what is normal weight gain for someone who is obese in pregnancy?

  11-20 lb
• For a person with an underweight/normal weight BMI in pregnancy what is a normal weight gain lb/wk during 2nd & 3rd trimester?

  1 lb
• for a person with an overweight BMI what is a normal amount of weight gain lb/wk during 2nd/3rd trimester of pregnancy?

  0.6 lb