AC Unintentional Weight Loss & Signs of Refeeding Syndrome Questions


Dudek, Susan G. Nutrition Essentials for Nursing Practice, 8th edition.
ISBN-13: 978-1496356109
ISBN-10: 1496356101Chapter 15
1. Discussion with Miguel Hernandez who was admitted to the hospital for a laminectomy.
2. List 6 characteristic that are used to diagnose malnutrition. History of type 2 diabetes and
a weight loss. Use the Malnutrition Screening Tool (MST) to help with assessing his
nutritional status and risk. How many calories does Michael need and how much protein.
Is he a good candidate for ONS? ONS are supplementary oral intake of dietary food for
special medical purposes in addition to the normal food. ONS are one important nutrition
intervention strategy for patients with poor food intake, low appetite, and those with or at
risk of malnutrition.
3. Describe the purpose of a nutritional screen.
4. Explain nutrition therapy guidelines for clients at nutritional risks.
5. What would you obtain during a nursing history and physical that would be used to
assess for malnutrition?
6. Think of strategies that you would use in a teaching plan to promote optimal intake in
7. What are those types of diet that are an altered consistency diet?
8. Give examples of therapeutic diets and their uses.
9. Describe different categories of oral nutrition supplements?
Chapter 16
1. Review Sandy Arnold current dietary regimen. What is Sandy BMI on admission.
Estimated her calorie, protein and fluids needs. Will the formula prescribed be adequate
for her calories and protein needs?
2. What are enteral formula feedings?
3. What is the difference between standard enteral formulas and hydrolyzed formulas.
4. What are the advantages and disadvantages of various enteral nutritional deliver
5. Give examples of why a client would have a problem or barrier to receive a prescribe
amount of enteral formula.
6. List ways to maximize tube feeding tolerance.
7. Identify signs of tube feeding intolerance and recommend interventions.
8. What are some benefits of enteral nutritional over parenteral nutritional when enteral
nutrition is not contraindicated.
9. When is parenteral nutrition indicated?
10. What are some metabolic complications of parenteral nutrition?
Chapter 17
What’s wrong with Emma eating habit?
What is the value of using BMI and abdominal waist circumference to classify obesity?
What are some components of lifestyle therapy for weight management?
Identify calorie target for weight loss diets for men and women.
5. What is the potential benefit of a Mediterranean diet or Dietary Approaches to Stop
Hypertension for weight loss?
6. What are examples of evidenced based diets associated with weigh loss if calorie intake
is lowered?
7. Give examples of lifestyle behaviors to help with weight loss.
8. What weight loss medications are appropriate in weight loss treatment?
9. What is the general diet progression after bariatric surgery?
10. What are nutritional interventions for nutritional complications after bariatric surgery?
11. What are some nutrition therapies for anorexia nervosa, bulimia nervosa, and binge
eating disorders?
Chapter 18
1. Why does stress affect metabolism?
2. What hormones are released during stress?
3. What hormones is damaging when stress is prolonged?
4. Why is enteral feeding superior to parenteral nutrition who are critically ill?
5. Why is underfeeding preferable in early phase of critical illness?
6. What is the cause of refeeding syndrome?
7. What are signs of refeeding syndrome?

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