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MNT Exam 1 Questions and Answers Grade A+

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MNT Exam 1 Questions and Answers Grade A+

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  • November 5, 2024
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MNT Exam 1 Questions and Answers
Grade A+
causes of malnutrition


✓ 1. inadequate intake

✓ 2. increased requirements

✓ 3. inadequate absorption of nutrients

✓ 4. inadequate nutrient utilization

✓ 5. increased nutrient losses




consequences of malnutrition (under or over)


✓ 1. increase morbidity & mortality

✓ 2. increased length of stay (LOS)

✓ 3. increased hospital readmission

✓ 4. increased health-related costs

✓ 5. decreased functional status (decreased activities of daily living, ADL)

✓ 6. decreased quality of life

✓ 7. impaired immunity & wound healing




Basic features of marasmus



Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ no inflammation

✓ starvation-related malnutrition

✓ simple, unstressed or uncomplicated starvation

✓ chronic starvation

✓ depressed anthropometrics

✓ <80% DBW &/or wt loss 10% UBW w/in 6 months w/visible muscle wasting

✓ Usually ketones in urine in prolonged starvation

✓ NORMAL visceral proteins (eg. serum albumin) until late in the process

due to compensatory shift of albumin from extravascular to plasma

space




basic features of acute disease/injury related malnutrition in clinical setting




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ - inflammation occurs

✓ - metabolic stress associated with disease & trauma increases risk for

malnutrition - due to increased demands for nutrients

✓ - Kwashiorkor-like symptoms can result

✓ - low serum albumin (protein malnutrition - enough energy, not enough

protein)

✓ - edema

✓ - poor wound healing

✓ - chronic disease-related malnutrition

✓ - hypermetabolism in response to inflammation, injury, or major surgery

✓ - essentially no major change in NORMAL anthropometrics from before

injury

✓ - may exhibit edema

✓ - typically no ketones in urine - but possible in small amounts

✓ - DEPRESSED visceral proteins (eg. albumin) due to inflammation &

stress-induced shift of albumin from plasma to extravascular space &

other changes




risk factors for malnutrition




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ 1. involuntary weight loss or gain of 10% or more of usual body weight

within 6 mo. or 5% w/in 1 month

✓ 2. body weight of 20% over/under desirable weight

✓ 3. presence of chronic disease or increased metabolic requirements

✓ 4. altered diets, or enteral or parenteral nutrition

✓ 5. recent surgery, illness or trauma

✓ 6. inadequate nutrient intake, ie impaired ability to ingest, digest or

absorb nutrients for longer than 7 days

✓ 7. See table 4-2 on page 133 in Krause




key data routinely available as part of a standard nutrition screen




Master01 | October, 2024/2025 | Latest update

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