Question 1

Why are patients with cystic fibrosis advised to follow a high-kcal diet?

Accepted Answer

A) Increased energy requirements 
B) Bronchial tissue inflammation 
C) Sweat losses of sodium 
D) All of the above 
A) Increased energy requirements 
B) Bronchial tissue inflammation 
C) Sweat losses of sodium 
D) All of the above

Question 2

The most appropriate diet therapy for clients with cystic fibrosis is to

Accepted Answer

A) reduce fat to less than 35 grams per day. 
B) supply missing enzymes. 
C) limit kcalories to 1200 per day. 
D) restrict sodium. 
A) reduce fat to less than 35 grams per day. 
B) supply missing enzymes. 
C) limit kcalories to 1200 per day. 
D) restrict sodium.

Question 3

Anna has been diagnosed with steatorrhea.The physician should be concerned about malabsorption of which nutrients?

Accepted Answer

A) Water-soluble vitamins 
B) Fat-soluble vitamins 
C) Essential fatty acids 
D) b and c 
E) a, b, and c 
A) Water-soluble vitamins 
B) Fat-soluble vitamins 
C) Essential fatty acids 
D) b and c 
E) a, b, and c

Question 4

Which is the best dessert for a client on a fat-controlled diet?

Accepted Answer

A) Cookies 
B) Ice cream 
C) Cherry pie 
D) Sherbet 
A) Cookies 
B) Ice cream 
C) Cherry pie 
D) Sherbet

Question 5

Patients with ileostomies are at risk for developing obstructions.A patient can reduce her risk for this complication by:

Accepted Answer

A) following a high-fiber diet. 
B) chewing food thoroughly. 
C) taking B12 injections. 
D) chewing gum daily. 
A) following a high-fiber diet. 
B) chewing food thoroughly. 
C) taking B12 injections. 
D) chewing gum daily.

Question 6

Which of the following conditions results in fat malabsorption but with no need for a dietary fat restriction?

Accepted Answer

A) Celiac disease 
B) Pancreatitis 
C) Cystic fibrosis 
D) Crohn's disease 
A) Celiac disease 
B) Pancreatitis 
C) Cystic fibrosis 
D) Crohn's disease

Question 7

Antidiarrheal agents are used for the treatment of diarrhea because

Accepted Answer

A) they slow GI motility or reduce intestinal secretions. 
B) they increase GI motility or increase intestinal secretions. 
C) they slow GI motility and may help fight infectious agents. 
D) they increase GI motility and reduce intestinal secretions. 
A) they slow GI motility or reduce intestinal secretions. 
B) they increase GI motility or increase intestinal secretions. 
C) they slow GI motility and may help fight infectious agents. 
D) they increase GI motility and reduce intestinal secretions.

Question 8

A surgical procedure that creates a stoma from the final segment of the colon that remains after a colectomy is:

Accepted Answer

A) an ileostomy. 
B) a colostomy. 
C) a stoma. 
D) none of the above 
A) an ileostomy. 
B) a colostomy. 
C) a stoma. 
D) none of the above

Question 9

Case Studies
Miss Betty Bell is a new resident to Lake Nursing Home.She has a history of osteoporosis, depression, and memory loss.She tells her admitting nurse that she has not had a bowel movement since 1967.Her nurse questions her further to determine that she has had irregular bowel movements for the past 40 plus years.
-All of the following are potential causes for constipation except:

Accepted Answer

A) dehydration. 
B) a low-fiber diet 
C) increased food intake. 
D) decreased physical activity. 
A) dehydration. 
B) a low-fiber diet 
C) increased food intake. 
D) decreased physical activity.

Question 10

If severe dehydration accompanies diarrhea, then _____ is typically used to replenish fluids and electrolytes.

Accepted Answer

A) an IV solution 
B) a clear-liquid diet 
C) No fluids are permitted during this time. 
D) none of the above 
A) an IV solution 
B) a clear-liquid diet 
C) No fluids are permitted during this time. 
D) none of the above

Question 11

Mary has been diagnosed with lactose intolerance after complaining of chronic diarrhea.Which type of diarrhea is she most likely experiencing?

Accepted Answer

A) Intractable diarrhea 
B) Motility disorder-related diarrhea 
C) Osmotic diarrhea 
D) Secretory diarrhea 
A) Intractable diarrhea 
B) Motility disorder-related diarrhea 
C) Osmotic diarrhea 
D) Secretory diarrhea

Question 12

What is the malabsorption syndrome that results after surgery when the absorptive capacity of the remaining intestine is insufficient for meeting nutritional needs?

Accepted Answer

A) Celiac disease 
B) Short bowel syndrome 
C) Irritable bowel syndrome 
D) Inflammatory bowel disease 
A) Celiac disease 
B) Short bowel syndrome 
C) Irritable bowel syndrome 
D) Inflammatory bowel disease

Question 13

How do laxatives help with the treatment of constipation?

Accepted Answer

A) Increase stool weight 
B) Increase the water content of stool 
C) Stimulate peristaltic contractions 
D) All of the above 
A) Increase stool weight 
B) Increase the water content of stool 
C) Stimulate peristaltic contractions 
D) All of the above

Question 14

Mrs.Thomas has been suffering from a mild case of diarrhea for the past 4 days.Once the diarrhea stops, Mrs.Thomas should be given all of the following instructions except

Accepted Answer

A) gradually introduce a regular diet. 
B) avoid milk or milk products for a few days. 
C) foods with sorbitol are acceptable. 
D) avoid dried beans and onions for a few days. 
A) gradually introduce a regular diet. 
B) avoid milk or milk products for a few days. 
C) foods with sorbitol are acceptable. 
D) avoid dried beans and onions for a few days.

Question 15

A food that may produce gas is

Accepted Answer

A) bananas. 
B) dried beans and peas. 
C) brown rice. 
D) all of the above 
A) bananas. 
B) dried beans and peas. 
C) brown rice. 
D) all of the above

Question 16

Clinical symptoms of celiac disease do not include which of the following?

Accepted Answer

A) Diarrhea 
B) Reduced GI motility 
C) Stunted growth in children 
D) Severe underweight in children 
E) All of the above 
A) Diarrhea 
B) Reduced GI motility 
C) Stunted growth in children 
D) Severe underweight in children 
E) All of the above

Question 17

Mrs.Thomas has been suffering from a mild case of diarrhea for the past 4 days.Which of the following should Mrs.Thomas be given to replace fluid and electrolytes?

Accepted Answer

A) Apple juice 
B) Low-fat milk 
C) Caffeine-free carbonated beverage 
D) All of the above 
A) Apple juice 
B) Low-fat milk 
C) Caffeine-free carbonated beverage 
D) All of the above

Question 18

Serum amylase levels are monitored in clients in order to

Accepted Answer

A) establish the presence of lactose intolerance. 
B) help confirm a diagnosis of acute pancreatitis. 
C) improve protein status. 
D) evaluate the need for drug therapy. 
A) establish the presence of lactose intolerance. 
B) help confirm a diagnosis of acute pancreatitis. 
C) improve protein status. 
D) evaluate the need for drug therapy.

Question 19

Which of the following statements is true?

Accepted Answer

A) Constipation is a condition of having difficult bowel movements. 
B) Constipation may result in excessive straining during defecation. 
C) Constipation can be defined as defecation frequency of less than three bowel movements per week. 
D) All of the above 
A) Constipation is a condition of having difficult bowel movements. 
B) Constipation may result in excessive straining during defecation. 
C) Constipation can be defined as defecation frequency of less than three bowel movements per week. 
D) All of the above

Question 20

Which of the following inflammatory bowel diseases causes nutrient malabsorption?

Accepted Answer

A) Crohn's disease 
B) Ulcerative colitis 
C) a and b 
A) Crohn's disease 
B) Ulcerative colitis 
C) a and b

Exam 24: Lower Gastrointestinal Disorders

Why are patients with cystic fibrosis advised to follow a high-kcal diet?

The most appropriate diet therapy for clients with cystic fibrosis is to

Anna has been diagnosed with steatorrhea.The physician should be concerned about malabsorption of which nutrients?

Which is the best dessert for a client on a fat-controlled diet?

Patients with ileostomies are at risk for developing obstructions.A patient can reduce her risk for this complication by:

Which of the following conditions results in fat malabsorption but with no need for a dietary fat restriction?

Antidiarrheal agents are used for the treatment of diarrhea because

A surgical procedure that creates a stoma from the final segment of the colon that remains after a colectomy is:

If severe dehydration accompanies diarrhea, then _____ is typically used to replenish fluids and electrolytes.

Mary has been diagnosed with lactose intolerance after complaining of chronic diarrhea.Which type of diarrhea is she most likely experiencing?

What is the malabsorption syndrome that results after surgery when the absorptive capacity of the remaining intestine is insufficient for meeting nutritional needs?

How do laxatives help with the treatment of constipation?

Mrs.Thomas has been suffering from a mild case of diarrhea for the past 4 days.Once the diarrhea stops, Mrs.Thomas should be given all of the following instructions except

A food that may produce gas is

Clinical symptoms of celiac disease do not include which of the following?

Mrs.Thomas has been suffering from a mild case of diarrhea for the past 4 days.Which of the following should Mrs.Thomas be given to replace fluid and electrolytes?

Serum amylase levels are monitored in clients in order to

Which of the following statements is true?

Which of the following inflammatory bowel diseases causes nutrient malabsorption?

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugars, Starches and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Metabolism: Transformations and Interactions

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Parenteral Nutrition Support

Metabolic and Respiratory Stress

Upper Gastrointestinal Disorders

Liver Disease and Gallstones

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

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