NSC 325 Exam 1 QUESTIONS AND
ANSWERS UPDATED 2024 - 25
Evidence-based,Medicine,(EBM),,ANS,-,,EBM:
-,apply,literature/evidence,to,personal,judgement,and,decision-making
The,EBM,Triad:
-,Individual,Clinical,Expertise
-,Best,External,Evidence
-,Patient,Values,&,Expectations
Clinical,Question:,PICO
-,Patient/problem
-,Intervention
-,Comparison
-,Outcome
RDN,&,the,Healthcare,System,,ANS,-,,-,RDN,member,of,interdisciplinary,team;,maybe,assisted,by,a,NDTR
-,Team,members:,Providers,(MD/PA/NP,,Pharmacist,,RN,,Speech,,OT,,PT,,Respiratory,,etc.)
-,Provider,responsible,for,directing,care
-,Provider,writes,diet,order
-,RN:,may,complete,nutrition,screen
-,NDTR:,implements,RDN,plan
Nutrition,Care,Process,,ANS,-,,-,Screening,precedes,the,process,-,is,not,part,of,the,process
-,Screening,is,required,in,most,medical,care,setting,EXCEPT,in,Ambulatory,Care
-,ADIME
-->,Nutrition,Assessment:,A,,B,,C,,D
,-,Diagnosis:,P,,E,,S,-,nutrition,root,cause
-->,Intake,common,problem
-,Intervention:
-->Plan/Outcomes
-,Monitoring
-->,Evaluates,success,of,intervention
-,Evaluation
-->,Determines,need,to,adjust,intervention
Anthropometric,Data,,ANS,-,,-,Height
-,Weight:
-->,Use,current,weight,when,the,weight,is,within,the,IBW,"range"
-->,Use,current,weight,when,the,weight,is,less,than,the,IBW,"range"
-->,Use,current,weight,when,using,the,Mifflin,or,BEE,equations
-->,Use,upper,IBW,when,the,weight,is,>,IBW,"range"
Biochemical,Data:,Sensitivity,&,Specificity,,ANS,-,,-,Basic,Metabolic,Panel
-->,Sodium,-,fluid,status,,not,sodium,intake
-->,Potassium,-,dietary,intake,can,impact;,kidney,fx,affects
-->,Chloride,-,diet,not,really,a,factor;,reflects,acid/base/fluid,status
-->,Bicarbonate,-,diet,not,really,a,factor;,reflects,acid/base
-->,Blood,Urea,Nitrogen,-,renal,disease,,decreases,with,malnutrition
-->,Creatinine,-,renal,disease,&,protein,catabolism,,decreases,with,malnutrition
-->,Glucose,-,fasting,>,125,indicates,DM;,assess,for,impact,of,inflammation,and,stress;,medications
-->,Calcium,-,not,related,to,dietary,intake.,If,intake,inadequate,,body,takes,Ca+,from,bone
Comprehensive,Metabolic,Panel,,ANS,-,,-,BMP,+:
-,LFTs,(Liver,Function,Tests):,liver,inflammation
-,alanine,aminotransferase,,alkaline,phosphatase,,aspartate,aminotransferase
, -->,protein,requirements,may,be,altered
-->,Maybe,related,to,ETOH,intake
-,Bilirubin,-,decrease,Cu,&,Mn,intake,with,levels,>,10
-,Phosphorus,-,dietary,factors,affect
-,Albumin/Tranferrin/Prealbumin,-,inadequate,dietary,intake/protein-calorie,malnutrition;,non-
nutritional:,blood,loss,,hydration,status,,liver,function,,inflammatory,response/stress
-,Total,protein,-,dietary,factors,affect
Refeeding,Syndrome,,ANS,-,,-
,A,serious,syndrome,consisting,of,metabolic,disturbances,that,occur,as,a,result,of,reinstitution,of,nutrition
,to,patients,who,are,starved/severely,malnourished
-,Common,with,initiation,of,nutrition,support
-,Check,Phosphorus,,K,&,Mg,levels,prior,to,initiation,of,nutrition,support,&,in,high,risk,populations:
-->,Chronic,diseases,associated,with,undernutrition
-->,Unfed,for,7-10,days
-->,Alcohol,abuse
-->,Gastric,bypass,surgery
Nutritional,Anemias,,ANS,-,,-,Deficiency,in,size/number,of,RBCs
-,Low,H/H:
-->,non-nutritional,causes:,blood,loss,,overhydration,,medication,usage
-,Poor,nutrition,major,cause
-,Microcytic,-,iron,deficiency;,low,hemoglobin,&,hematocrit
-->,decreased,MCV/MCHC
-,Macrocytic,-,folate,and/or,B12
-->,Increased,MCV/MCHC
-,Assess,specific,laboratory,data,=,check,B12,&,folate,levels
Creating,a,Nutrition,Assessment,,ANS,-,,-,Nutrition,Assessment,Conclusion,statement,:
-->,That,summarizes,your,interpretation,of,the,information,you,collected,should: