Chpt14: Nutrition Intervention and Diet-Drug Interactions

  1. Nurses identify ____ and plans strategies that can correct the problems.
    Expected outcome
  2. What are patient-oriented goals that are derived from nursing diagnoses?
    Expected Outcomes
  3. For long-term dietary interventions, a care plan must take into consideration what 3 factors for a patient?
    • Person's current food practices
    • Lifestyle
    • Degree of motivation
  4. The following approaches may be helpful in implementing long-term dietary changes:
    • Determine the individual's readiness for change
    • Emphasize what to eat, rather than what to restrict
    • Suggest only one or two changes at a time
  5. A nutritional education must be tailored to a person's ___, ____,and ____ background
    • Level of literacy
    • Person's age
    • Cultural
  6. For follow-up care on dietary interventions, one must follow-up ____ to evaluate the effectiveness of the nutrition care plan
  7. What is a diet that includes all foods and meets the nutrient needs of healthy people; may also be called standard diet, general diet, normal diet, or house diet?
    Regular diet
  8. What is a diet that contains foods altered in texture, consistency, or nutrient content or that includes or omits specific foods; may also be called a therapeutic diet?
    Modified Diet
  9. What is a procedure that estimates energy expenditures by measuring oxygen and carbon dioxide production?
    Indirect calorimetry
  10. A quick method for estimating a person's estimated energy needs is to
    ____ X ____=Estimated Energy Needs
    • Body Weight
    • Factor considered appropriate for the medical condition
  11. What is the medical term for impaired swallowing?
  12. In critical care patients, energy needs may be considerably higher than normal due to ____, ____, ____, or ____.
    • Fever
    • Mechanical ventilation
    • Restlessness
    • Presence of open wounds
  13. Individuals who have a difficulty chewing or swallowing may benefit from ____ diet.
    Mechanically Altered
  14. Under mechanically altered diets, 

    What diet is mostly pureed foods?
    Pureed Diet
  15. Under mechanically altered diets, 

    What diet is mostly ground or minced foods?
    Ground-minced diet or Mechanically altered diet
  16. Under mechanically altered diet, 

    Which diet consists of moist, soft-textured foods that easily form a bolus?
    Soft food diet
  17. What diet is recommended following oral or facial surgeries?
    Blenderized Liquid Diet
  18. What diet is recommended before some GI interventions, after GI Interventions, and after fasting or intravenous feeding?
    Clear liquid diet
  19. Fat-restricting diet: Limit dietary fat to low ( ___g/day) or very low (____g/day)intakes.
    • <50
    • <25
  20. Low-fiber diets limits dietary ____; degree of restriction depends on the patient's ____ and ____ for restrictions.
    • Fiber
    • Condition
    • Reason
  21. Low sodium diet limits dietary ____; degree of restriction depends on ____ and disease ____.
    • Sodium
    • Symptoms 
    • Severity
  22. High-Kcal, High protein diet contains food that are Kcal and protein _____.
  23. What diet is used for patients with certain malabsorptive disorders or symptoms of diarrhea, flatuence, or steatorrhea(fecal fat)?
  24. What diet is used for acute phases of intestinal disorders or to reduce fecal output before surgery?
    Low-Fiber diet
  25. What diet is not recommended for long term use because it is associated with constipation and other problems?
    Low-fiber diet
  26. Concerning Low-fiber diets,
    If required, even greater reductions in colonic residue can be achieved by . . .
    Excluding foods high in resistant starch
  27. What type of diet is recommended for patients dealing with cancer, AIDS, burns, trauma, and/or other burdensome conditions?
    High-Kcal, High-Protein
  28. What diet is recommended to reverse malnutrition, improve nutritional status, or promote weight gain?
    High-kcal, High-protein Diet
  29. What diet is recommended for treating hypertension, heart conditions, renal disease, or liver disease?
    Low-Sodium Diet
  30. Who can give an NPO order?
  31. Concering diet progression, the patient would be given ____ initially, and then gradually be provided with other ____ or _____ foods.
    • Clear beverages 
    • Beverages 
    • Solid
  32. The order "NPO" is commonly used during certain _____ illnesses or _____ tests involving GI tract.
    • Acute
    • Diagnosis
  33. Alternative feeding routes include . . .
    • Tube Feeding 
    • Parental Nutrition
  34. Alternative feeding routes are used if the patient's nutrition needs are high or their ____ is poor.
  35. What is defined as a change in diet as a patient;s tolerances permit?
    Diet progression
  36. When should parental nutrition be considered?
    If the patient is malnourished and the GI tract cannot be supplied for a significant amount of time.
  37. What is defined as a resource that specifics food and preparation methods to include in or exclude from modified diets and provides sample diets?
    Diet manual
  38. Most hospital provide their own _____ from which patients can select their meals.
    Selective menus
  39. For food safety, ___________ is a system of food or formula preparation that identifies food safety hazards and critical control points during foodservice procedures.
    Hazard Analysis and Critical Control Points(HACCP)
  40. Hazard Analysis and Critical Control Points(HACCP) is system or formula preparation that identify food _________ and critical ____ points during food service procedures.
    • Safety hazards
    • Control
  41. If the patient;s appetite or sense of taste is affected by illness, the patient might be asked to . . .
    Identify foods that are most enjoyable.
  42. Medication class used to treat nausea/vomiting and improve food intake.
  43. The medications that most often cause nutrient malabsorption are those that either . . .
    Upset the GI tract or damage the intestinal mucosa
  44. Medication class that is used to treat cancer.
    Antieoplastic Drugs
  45. Medication classes used to treat retroviral infections?
    Antiretroviral drugs
  46. Bile acid binders(Such as cholestyramine or Questran) are used to reduce _________ levels, may bind to _______ vitamins.
    • Blood cholesterol
    • Fat-soluble
  47. Some antibotics, notably tetracycline and ciprofloxacin, bind to ____ in foods and supplements, reducing the absorption.
  48. Medications that reue stomach acidity can impair the absorption of vitamin ____, ____, and iron.
    • B12
    • Folate
  49. The anti-inflammatory medication colchicine, a treatment for _____, inhibits vitamin ___ absorption.
    • GOUT
    • B12
  50. Slow stomach emptying can sometimes ____ drug absorption because the drug's absorption sites in the small intestine are less likely to become _____.
    • Enhance
    • Saturated
  51. Stomach _____ affects the absorption of medication.
  52. Drugs reach the small intestine more quickly when the stomach is _____.
  53. High-____ meals can decrease the absorption of some tricyclic antidepressants.
  54. Medication classes used to treat seizures.
  55. Compounds in _____ juice have been found to inhibit or inactivate enzymes that metabolize a number of different drugs. Leading to a stronger blood concentration of the drug in the body; can be fatal
  56. Warfarin acts by blocking the enzyme that activate vitamin __.
  57. Duiretics increase the loss of ____, _____, magnesium, and thiamin.
    • Calcium
    • Potassium
  58. Inadequate excretion of medication can cause ____, whereas excessive losses may reduce the amount available for therapeutic effect.
  59. Quinidine, used to treat ____, is excreted more readily in acidic urine.
  60. The combination of tyramine, a food component, and monoamine oxidase inhibitors (MOIs), which treat depression and ____ disease, can be ____.
    • Parkinson's
    • Fatal
  61. What are some common foods that are high in tyramine?
    • Aged cheese
    • Aged or cured meats
    • BEER
    • Fermented vegetables
    • Fish or shrimp
    • Prepared soy foods
    • Soy sauce 
    • Yeast extracts
  62. Methotrexate, which treats cancer, act by interfering with ____ metabolism. and thus depriving rapidly dividing cancer cells of the ____they need to multiple.
    • Folate
    • Folate
  63. What drug resemble folate in structure and competes with it?
    Methotrexate (for canzer)
  64. Taking methotrexate, can cause folate deficiency symptoms, which can be treated with a pre-activated form of folate (called _____)
  65. Medication used to treat tuberculosis
  66. Isoniazid is an anti-_____ drug that inhibits the conversion of vitamin __to its coenzyme form which is involved with ________ synthesis.
    • Bacterial
    • B6
    • Neurotransmitter
  67. Hospital patients who lack appetite at meal times may need ____ to consume adequate amounts of foods.
Card Set
Chpt14: Nutrition Intervention and Diet-Drug Interactions