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Nutrition Exam 4

Question	Answer
Most hospitals choose not to offer selective menus as a way to simplify operations and cut costs.	False
There are no known interactions between herbal supplements and medications.	False
The dietician adjusts the nutrition education plan after learning that the patient is a Native American she is considering-	Cultural background
One of the characteristics of modified diets is-	They may be altered in consistency or nutrient content
Diets for dysphagia are highly individualized because what-	Swallowing difficulties vary in severity
Patients with diseases of the liver or gallbladder-	Fat restricted
Which of the following is not characteristic of a clear liquid diet-	High in nutrient density
Which of the following foods is/are eliminated on a low fiber diet-	Dried beans and peas
Which of the following foods is recommended for a high protein diet-	Cheese
Following surgery, a patient may be given clear liquids initially and gradually provided with other beverages and foods that cause discomfort. This is called-	Diet progression
Assuming the GI tract is functioning normally, what is the most appropriate method for feeding patients who are unable to meet their nutritional needs orally-	Tube feeding
Diet manuals include all of the following except-	Principles of nutrition education
Which of the following is not addressed by HACCP-	Food purchasing
Majesterol acetate is-	An appetite enhancer
Methotrexate interferes with the metabolism of-	Folate
Supplements of what nutrient are given to patients receiving the anti-TB drug isoniazid-	B6
The drug warfarin is structurally similar to-	Vitamin K
A patient is discouraged by the dietary restriction by her low sodium diet. The most appropriate response by the nurse would be what-	Emphasize foods the patient can eat
A patient is scheduled for bowel surgery tomorrow. The appropriate diet today would be what-	Clear liquid
Which of the following nutritional interventions is most appropriate for a patient in a coma-	Tube feeding
Enteral nutrition provides nutrients using-	Digestive tract (GI tract)
What formulas are made from whole foods and derive their protein from primarily from pureed meat or poultry-	Blenderized
A drawback to using specialized or disease specific formulas is-	They are more expensive
Most enteral formulas provide between ___cal/mL-	1.0-2.0
Enteral formulas may be used orally to supplement a patient's diet, when this occurs what becomes an important consideration-	Taste
Tube feeding are commonly used for individuals with what-	Severe swallowing difficulties
Which of the following feeding tube placements would be most appropriate for a client who is expected to be on a tube for less that two weeks-	Nasogastric
In infants, which tube placement would be preferred because it aids breathing-	Oralgastric
Aspiration risk is high for all of the following except-	Patients with renal disease
The advantage of a closed feeding system includes-	Less likely for contamination
Delivery of 250-500 mL of formula over 5-15 minutes is referred to as-	Bolus feeding
Before discontinuing a tube feeding the patients oral intake should meet what percent of their calculated estimated nutrient needs-	2/3
Compared to enteral nutrition, patenteral nutrition-	Greater risk of complications
Which of the following medical treatments/conditions requires the need for TPN-	Paralytic ileus
Phlebitis may develop as a result of-	PPN
Amino acids in a parenteral solution provide how many kcal/gram	4
Lipid infusion must be restricted in patients with what-	Hypertriglyceridemia
To prevent refeeding syndrome in a severely stressed individual, you would what-	Introduce them at a slow rate
Long term TPN may result in complications such as-	Gallbladder disease
The nurse recognizes what as a possible preventative measure for aspiration pneumonia in tube-fed clients-	Nasoenteric feeding
the reverse effects of cortisol in prolonged stress include all of the following except-	Hypoglycemia
Which of the following substances is derived from fatty acids-	Eicosanoids
Which of the following compounds is produced by white blood cells and participates in the inflammatory process-	Cytokines
One of the initial concerns for the medical team for patients hospitalized with acute stress is-	Restore lost fluids and electrolytes
Clinical findings typical of patients undergoing metabolic stress include all of the following except-	Positive nitrogen balance
The energy expenditure of acutely stressed patients may be raised due to all of the following except-	Inactivity
Which amino acid may have beneficial affects on the immune response of postoperative patients-	Arginine
All of the following nutrients play a critical role in immunity and wound healing except-	Potassium
Medical nutrition therapy for COPD include all of the following except-	Reduce chronic cough
Which of the following is not a cause for food intake in persons with severe COPD-	Lower energy needs
Adequate fluid intake will help a person with COPD by doing what-	Preventing the secretion of overly thick mucus
A frequent cause of death among older intensive care patients with multiple or severe injuries is what-	Multiple organ dysfunction syndrome
The first organ to fail in MODS is what-	Lungs
The principle infections associated with MODS-	Pneumonia
The nurse recognizes all of the following as a classic signs of inflammation except-	Hyperglycemia
The nurse understands that the inflammatory process can cause a variety of systemic effects and monitors her patient's what-	Heart rate, respiratory rate, and temperature
Mr. Morgan is a critically ill patient in the ICU who is on TPN. The nurse understands monitoring his what will help to determine if he is overfed-	Glucose
Mart is a 23 year old firefighter who has experienced severe burns. The nurse recognized the fact that he might benefit from what supplements-	Zinc, Vitamin A, and Vitamin C
COPD patient who is complaining about poor appetite and discomfort-	Smaller more frequent meals
A patient with ARDS requires mechanical ventilation; the nurse realizes that fluid accumulation could be a problem and could make it difficult to assess his what-	Weight
Dry mouth can result in all of the following except what-	Achalasia
All of the following are appropriate for a patient suffering from mouth dryness except-	Potato chips
Dysphagia can be caused by all of the following except what-	Diabetes
Which of the following foods would not be appropriate on a level 1 diet for dysphagia-	Yogurt with chunks of fruit
A condition in which a portion of the stomach protrudes above the diaphragm is what-	Hiatal hernia
The most effective medication for suppressing gastric acid secretion are called-	Proton pump inhibitors
An effective dietary strategy for the treatment of GERD is to do what-	Avoid alcohol
Clients with reflex esophagitis should be instructed to what-	Eat small frequent meals
General discomfort in the upper abdominal area with compaints of stomach pain, nausea, fullness, and bloating is what-	Dyspepsia
Nutrition interventions to ease the symptoms of nausea would be what-	Eating dry starchy foods
One of the most common causes of acute gastritis is-	Repeated use of inseds
Major factor in the development of both gastritis and peptic ulcer disease is-	H-phylori
Which of the following plays a primary role treatment of ulcers-	Drug therapy
Post-gastrectomy diets limit what-	Sugar
To help delay stomach emptying and reduce diarrhea following a gastrectomy, foods high in what nutrient may be useful-	Soluble fiber
Appropriate foods for a post-gastrectomy diet would be what-	Lean tender meats
To prevent dumping sundrome, you would tell a client to do what-	Limit fluid intake
Frequent complications of gastric surgery include all of the following except-	Protein mal-absorption
Following bariatric surgery, the gastric pouch may eventually stretch to hold about how much?	1/2 cup
Rapid weight loss following bariatric surgery increases the risk of developing what disease-	Gallbladder disease
Constipation may be caused by all of the following except what-	Viral infection
Foods useful in increasing dietary fiber-	Whole gran bread, dried beans, nuts
Which of the following bulk forming agents may cause an allergic reaction-	Psyllium
Use of stimulant laxatives can lead to what-	Fluid and electrolyte imbalance
Of the following beverages, which is lease likely to increase intestinal gas-	Tea
Acute diarrhea that occurs abruptly in a healthy person frequently results from what-	A viral or bacterial infection
Which of the following would be the first step in treating someone with chronic diarrhea-	Correct the underlying medical condition
Commercial sports drinks are not recommended for the treatment of severe diarrhea because they are what-	The are low in sodium
Fat mal-absorption may be accompanied by the deficiency of what nutrients-	Fat soluble vitamins, calcium, magnesium, and essential fatty acids
Which of the following statements about MCT oil is false-	It is inexpensive
The most common cause of acute pancreatitis are-	Gall stones and alcohol abuse
Evidence that a child with cystic fibrosis needs an increase in enzyme dosage might include any of the following except-	Dysphagia
Which of the following would be recommended for an infant with cystic fibrosis-	Breast feeding
Patients with celiac disease must avoid foods that contain what-	Gluten
Celiac disease affects intestinal tissue and results in what-	Significant reduction in mucosal surface area
Discrete areas of inflamed tissues in the ilium and cecum that affect all areas of the intestine are characteristic of what disease process-	Crohn's disease
Aggressive dietary management of Crohn's disease is required in children because this disorder can lead to all of the following except-	Impaired glucose tolerance
Generally up to what % of the small intestine can by resected without complications-	50%
An excessive colonic response to meals, GI hormones, and stress is characteristic of what condition-	Irritable bowel syndrome
A client with a colonoscopy or an ileostomy are usually concerned with foods that what-	Gas or odor

Created by: jcorwin

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