Question 1

Describe ways to help a patient with cirrhosis eat enough food.

Accepted Answer

There are several ways to help a patient

Question 2

Nutrients are carried from the digestive tract to the liver via small blood vessels called collaterals.

Accepted Answer

A) True 
 B)False

Question 3

most common complication of alcohol abuse is:

Accepted Answer

A) chronic pancreatitis. 
B) liver disease. 
C) chronic renal failure. 
D) heart arrhythmias. 
A) chronic pancreatitis. 
B) liver disease. 
C) chronic renal failure. 
D) heart arrhythmias.

Question 4

Case Study 
Cook with Cholelithiasis: Marcia Brown is a 42-year-old Pima Indian who works as a cook in a casino in Arizona.She has just been diagnosed with cholelithiasis.She is 5'4" tall and once weighed 210 pounds.One year ago she underwent gastric bypass surgery and has lost 75 pounds.For several months she had been experiencing episodes of pain in the right upper part of her abdomen.The pain usually began after eating and lasted for several hours.Lately she began to experience nausea and vomiting with the pain and began to run a fever.
-What is the cause of the pain associated with cholelithiasis?

Accepted Answer

Blockage of the cyst

Question 5

People with diabetes who abuse alcohol are at risk of developing:

Accepted Answer

A) hypoglycemia. 
B) hyperglycemia. 
C) hyponatremia. 
D) hyponatremia 
A) hypoglycemia. 
B) hyperglycemia. 
C) hyponatremia. 
D) hyponatremia

Question 6

Prothrombin time in liver disease patients will be:

Accepted Answer

A) irrelevant. 
B) decreased. 
C) prolonged. 
D) normal. 
A) irrelevant. 
B) decreased. 
C) prolonged. 
D) normal.

Question 7

Eating well and taking supplements of protein, vitamins, and minerals protect the body from harmful effects of alcohol.

Accepted Answer

A) True 
 B)False

Question 8

calculating RMR for patients with ascites, the patient's _____ must be considered.

Accepted Answer

A) appetite 
B) activity level 
C) dry weight 
D) current weight 
A) appetite 
B) activity level 
C) dry weight 
D) current weight

Question 9

Which of the following is true regarding fatty liver?

Accepted Answer

A) It is a clinical finding common to many conditions. 
B) It usually results in liver failure. 
C) It cannot be reversed. 
D) It does not result in elevated liver enzymes. 
A) It is a clinical finding common to many conditions. 
B) It usually results in liver failure. 
C) It cannot be reversed. 
D) It does not result in elevated liver enzymes.

Question 10

The nurse recognizes that the most appropriate diet therapy for a patient with cirrhosis who is not sensitive to protein provides:

Accepted Answer

A) adequate carbohydrate and restricted fat. 
B) adequate energy and adequate protein. 
C) adequate energy and restricted protein. 
D) adequate carbohydrate and protein and restricted fat. 
A) adequate carbohydrate and restricted fat. 
B) adequate energy and adequate protein. 
C) adequate energy and restricted protein. 
D) adequate carbohydrate and protein and restricted fat.

Question 11

risk of diet-drug interactions is high in patients with liver disease.The nurse understands that this is due to the fact that:

Accepted Answer

A) most drugs are metabolized in the liver. 
B) most drugs are absorbed in the liver. 
C) most people with liver disease do not eat well. 
D) most nutrients are absorbed in the liver. 
A) most drugs are metabolized in the liver. 
B) most drugs are absorbed in the liver. 
C) most people with liver disease do not eat well. 
D) most nutrients are absorbed in the liver.

Question 12

Factors involved in the development of ascites include all of the following except:

Accepted Answer

A) portal hypertension. 
B) reduced albumin synthesis. 
C) sodium and water retention by the kidneys. 
D) obesity. 
A) portal hypertension. 
B) reduced albumin synthesis. 
C) sodium and water retention by the kidneys. 
D) obesity.

Question 13

Performing a nutrition assessment on a patient who is a candidate for liver transplant is complicated by all of the following except:

Accepted Answer

A) liver dysfunction and malnutrition have similar metabolic effects. 
B) fluid retention can mask weight loss. 
C) fluid retention can alter lab values. 
D) supplements may mask underlying nutrient deficiencies. 
A) liver dysfunction and malnutrition have similar metabolic effects. 
B) fluid retention can mask weight loss. 
C) fluid retention can alter lab values. 
D) supplements may mask underlying nutrient deficiencies.

Question 14

Kelly is a 27-year-old well-nourished female who has been diagnosed with hepatitis A.Which of the following nutrition interventions is needed?

Accepted Answer

A) high-kcalorie, high-protein diet 
B) high-protein, low-fat diet 
C) low-sodium, fluid-restricted diet 
D) no dietary change is needed 
A) high-kcalorie, high-protein diet 
B) high-protein, low-fat diet 
C) low-sodium, fluid-restricted diet 
D) no dietary change is needed

Question 15

What laboratory values should be monitored to assess liver function?

Accepted Answer

To assess liver function, healthcare pro

Question 16

therapy for the treatment of cirrhosis includes all of the following except:

Accepted Answer

A) antibiotics. 
B) appetite stimulants. 
C) immunosuppressants. 
D) diuretics. 
A) antibiotics. 
B) appetite stimulants. 
C) immunosuppressants. 
D) diuretics.

Question 17

Case Study 
Cook with Cholelithiasis: Marcia Brown is a 42-year-old Pima Indian who works as a cook in a casino in Arizona.She has just been diagnosed with cholelithiasis.She is 5'4" tall and once weighed 210 pounds.One year ago she underwent gastric bypass surgery and has lost 75 pounds.For several months she had been experiencing episodes of pain in the right upper part of her abdomen.The pain usually began after eating and lasted for several hours.Lately she began to experience nausea and vomiting with the pain and began to run a fever.
-What are the treatment options for cholelithiasis? Explain each.

Accepted Answer

(1) Surgery - removal of the gallbladder

Question 18

nurse notices abnormal electrolyte levels in a patient with cirrhosis and understands that it is likely a side effect of:

Accepted Answer

A) poor nutrition. 
B) nitroglycerin. 
C) lactulose. 
D) appetite stimulants. 
A) poor nutrition. 
B) nitroglycerin. 
C) lactulose. 
D) appetite stimulants.

Question 19

help reduce ammonia production in the colon, patients with cirrhosis may be given a(n):

Accepted Answer

A) antibiotic. 
B) appetite stimulant. 
C) enema. 
D) diuretic. 
A) antibiotic. 
B) appetite stimulant. 
C) enema. 
D) diuretic.

Question 20

High-fat foods may be restricted in patients with cirrhosis who are experiencing steatorrhea.

Accepted Answer

A) True 
 B)False

Exam 20: Nutrition Therapy for Liver and Gallbladder Diseases

Describe ways to help a patient with cirrhosis eat enough food.

Nutrients are carried from the digestive tract to the liver via small blood vessels called collaterals.

most common complication of alcohol abuse is:

People with diabetes who abuse alcohol are at risk of developing:

Prothrombin time in liver disease patients will be:

Eating well and taking supplements of protein, vitamins, and minerals protect the body from harmful effects of alcohol.

calculating RMR for patients with ascites, the patient's _____ must be considered.

Which of the following is true regarding fatty liver?

The nurse recognizes that the most appropriate diet therapy for a patient with cirrhosis who is not sensitive to protein provides:

risk of diet-drug interactions is high in patients with liver disease.The nurse understands that this is due to the fact that:

Factors involved in the development of ascites include all of the following except:

Performing a nutrition assessment on a patient who is a candidate for liver transplant is complicated by all of the following except:

Kelly is a 27-year-old well-nourished female who has been diagnosed with hepatitis A.Which of the following nutrition interventions is needed?

What laboratory values should be monitored to assess liver function?

therapy for the treatment of cirrhosis includes all of the following except:

nurse notices abnormal electrolyte levels in a patient with cirrhosis and understands that it is likely a side effect of:

help reduce ammonia production in the colon, patients with cirrhosis may be given a(n):

High-fat foods may be restricted in patients with cirrhosis who are experiencing steatorrhea.

Overview of Nutrition and Health

Carbohydrates

Lipids

Protein

Digestion and Absorption

Metabolism, Energy Balance, and Body Composition

Weight Management: Overweight and Underweight

The Vitamins

Water and the Minerals

Fitness and Nutrition

Nutrition Through the Life Span: Pregnancy and Lactation

Nutrition Through the Life Span: Infancy, Childhood, and Adolescence

Nutrition Through the Life Span: Later Adulthood

Illness and Nutrition Care

Medications, Diet-Drug Interactions, and Herbal Supplements

Specialized Nutrition Support: Enteral and Parenteral Nutrition

Foods and Food Consistency for Upper Gi Disorders

Fiber-Modified Diets for Lower Gastrointestinal Tract Disorders

Carbohydrate- and Fat-Modified Diets for Malabsorption Disorders

Carbohydrate-Controlled Diets for Diabetes Mellitus

Fat-Controlled, Mineral-Modified Diets for Cardiovascular Diseases

Protein-, Mineral-, and Fluid-Modified Diets for Kidney Diseases

Energy- and Protein-Modified Diets for Metabolic and Respiratory Stress

Energy- and Protein-Modified Diets for Cancer and Hiv Infection

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