Mr. Walker was extubated on day 4 of his admission. He received a swallowing evaluation that is described in the following report: *See Case Study book for report What is a FEES? What factors in the speech pathologist's report indicate the

continued need for enteral feeding?


• FEES stands for fiberoptic endoscopic evaluation of swallowing and is useful in examining swallowing disorders. A fiberoptic endoscope is passed through the nostril and obtain a few of the pharynx and esophagus to assess the patient's ability to properly coordinate his swallowing and pass the bolus of food into the esophagus. Risk of aspiration and "pocketing" of food is also assessed.
• Factors that suggest continued need for EN include his reported choking on water and fatigue/lack of cooperation after a few swallows. This suggests inadequate oral intake would occur if placed on a PO diet.

Nutritional Science

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How do macronutrient and energy needs of athletes compared with those of the general public?

a) Diets for athletes should contain more carbohydrates. b) Diets for athletes should contain more protein. c) Diets for athletes should contain more fat. d) Diets for athletes should contain the same proportion of carbohydrate, fat, and protein.

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Statistics that let you draw probable conclusions beyond your immediate universe of data, are called:

a. descriptive statistics b. inferential statistics c. variable interest statistics d. continuous statistics

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Transthyretin is also known as:

a. prealbumin. b. retinol-binding protein. c. transferrin. d. albumin.

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While waiting for a prescription to be filled, Dan decides to measure his blood pressure using the automated machine in the pharmacy. His blood pressure reading is 140 over 92 millimeters of mercury. He knows he has a few pounds to lose but has never known his blood pressure. Before returning home he goes to a fast-food restaurant and enjoys a cheeseburger and fries. At home, Dan tells his wife,

Tracy, about his findings and waits for her response. Let's see if you know as much as Tracy about the implications of blood pressure.For what symptoms of high blood pressure should Dan be aware? a. Rapid heartbeat and respiration b. Lightheadedness and jitteriness c. Apathy and loss of appetite d. Heart flutters and chest pains e. There are no symptoms.

Nutritional Science