Exam 21: Diseases of the Respiratory System

HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off." -Which of the following is not a likely cause of his osteopenia?

When including recommendations in your practice for respiratory conditions, which of the following is a limitation?

Case Study TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach. HT: 5'1"       WT: 104#      UBW: 115# -The doctor has determined that TS requires mechanical ventilation and has consulted the registered dietitian He/she is most concerned with:

Cystic fibrosis is usually diagnosed by

Bronchopulmonary dysplasia is associated with which population?

Which of the following describes a progressive disease that limits airflow through either inflammation of the lining of the bronchial tubes or destruction of the alveoli?

Cystic fibrosis is

The basic nutritional goals for a patient with COPD include:

Which of the following is NOT a common, contributing factor in the growth failure of infants with bronchopulmonary dysplasia?

In the acid-base imbalance alkalosis, what happens to respiratory activity?

Although infants with BPD will have increased protein needs, intakes of greater than 4 g/kg/day should be avoided Why?

What type of enteral formula is preferred for ARDS patients?

HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off." -The registered dietitian suspects that HD's symptoms of lethargy, vomiting, and dehydration are a result of:

A patient has dyspnea, orthopnea, and a barrel chest Which of the following conditions would most likely be suspected?

Which of the following is the most common cause of COPD?

Anticholinergics

Case Study TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach. HT: 5'1"       WT: 104#      UBW: 115# -How many kcal/day would be recommended for TS?

In the acid-base imbalance acidosis, what happens to respiratory activity?

Your patient has asthma and her prescribed medication is Singulair What is the action of this medication?

Which of the following techniques would be used to detect rales?