nutrition for funds

• how do you perform the rotation of the head technique?

  instruct the client to turn their head to the affected side
• how do you perform the chin tuck position?

  instruct the client to hold their chin down to their chest while swallowing
• what does the chin tuck position do?

  narrows the airways entrance to decrease aspiration risk
• what are manifestations of tube feeding aspiration?

  decreased oxygen saturation, increased heart rate, blood pressure, respiratory rate, and audible wheezing
• what should you do if the has manifestations of aspiration?

  place client on npo and notify the provider immediately
• how long should you maintain the head of the bed after bolus feedings?

  at least 1 hour
• what angle should the head of the bed be during feeding?

  30 to 45 degrees
• how often should you check the tube feeding tolerance and how do you check it?

  every 4 hours and by measuring the residual
• how often should you check the tube placement and how do you check it?

  every 4 hours and by checking the ph gastric contents
• what should you do before giving food via a tube?

  verify the initial tube placement with an x ray before use
• what are symptoms of overt aspiration?

  sudden cough, wheezing, trouble breathing, congestion, heartburn, throat clearing, or chest discomfort
• what does high phosphorus levels increase?

  risk for fractures
• what happens with high levels of phosphorus?

  increased risk of bone disease because calcium is pulled from the bones
• what other mineral can accumulate in the blood when the kidneys do not function properly?

  phosphorus
• renal patients should avoid what?

  salt substitutes
• which foods contain high amounts of potassium?

  bananas, grapefruit juice, honeydew melons, tomatoes, dried beans, spinach, collards, kale, swiss chard, and oranges
• why should clients limit their intake of potassium?

  because high potassium levels can lead to heart dysrhythmias and increase the level of myocardial infarction
• what should clients who have kidney disease limit their intake of?

  potassium
• what is the renal diet?

  a diet controlling the intake of minerals such as potassium, phosphorus, and sodium
• what are examples of low fat proteins?

  lean meats, skim milk, and fish
• what foods contain fiber and other nutrients that can promote heart health and blood pressure regulation?

  whole grains such as wheat bread and pastas
• what is portion control utilized for?

  calorie intake and promote weight loss
• what does a heart healthy diet focus on?

  controlling portions, consuming more fruits and vegetables, increasing whole grains, limiting unhealthy fats, eating low fat protein sources, and decreasing sodium intake
• what are examples of foods on a clear liquid diet?

  broth, gelatin, water, tea, fruit juice, and sports drinks
• what is a clear liquid diet?

  foods that can be seen through
• who can be on a full liquid diet?

  post op patient, dysphagia, or prior to surgery
• what are examples of foods in a full liquid diet?

  juice, pudding, milkshakes, tea, soup, protein shakes, and gelatin
• what is a full liquid diet?

  contains only fluids, food liquids, and liquid at room temperature
• what are foods that can be eaten on a pureed diet?

  pudding, mashed potatoes, yogurt, juices, baby food, meats, broths, and ice cream
• which clients can be on a pureed diet?

  difficulty swallowing, recent oral surgery, or is experiencing mouth numbness
• what is a pureed diet?

  foods that are soft and smooth and do not need to be chewed
• what are soft diet foods?

  well cooked vegetables, low fiber cereals, easy to chew proteins, plain cake, fruit juice, tender cuts of beef, creamy nut butters, and cooked fruit with no skin
• what clients can be on a soft diet?

  those recovering from surgery, swallowing difficulties, and dysphagia
• what is a soft diet?

  contains foods that are soft, easy to digest, low in fiber, and can be swallowed easily
• what is a regular diet?

  consists of healthy foods coming from all food groups
• what are reasons a client may be npo?

  surgery, dysphagia, or inability to swallow
• what is a bmi 30>?

  obese
• what is a bmi between 25-29.9?

  overweight
• what is a bmi between 18.5-24.9?

  normal
• what is a bmi < 18.5

  underweight