Question 1

A strict sodium restriction is part of the treatment for ascites.

Accepted Answer

A) True 
 B)False

Question 2

patient with cirrhosis who develops changes in personality and motor function may be exhibiting early symptoms of:

Accepted Answer

A) fatigue. 
B) hepatic regression. 
C) hepatitis. 
D) hepatic encephalopathy 
A) fatigue. 
B) hepatic regression. 
C) hepatitis. 
D) hepatic encephalopathy

Question 3

Examples of common nutrient deficiencies seen as a result of alcohol abuse include all of these except:

Accepted Answer

A) folate. 
B) thiamin. 
C) vitamin A. 
D) sodium. 
A) folate. 
B) thiamin. 
C) vitamin A. 
D) sodium.

Question 4

Moderate use of alcohol has been shown to reduce deaths from coronary heart disease in middle-aged and older adults.

Accepted Answer

A) True 
 B)False

Question 5

Many patients with cirrhosis require medication or insulin to control hyperglycemia.

Accepted Answer

A) True 
 B)False

Question 6

beneficial effects of moderate alcohol intake are mainly seen in:

Accepted Answer

A) women who have type 2 diabetes. 
B) people with risk factors for liver disease. 
C) older people with risk factors for heart disease. 
D) men who work in the petrochemical industry. 
A) women who have type 2 diabetes. 
B) people with risk factors for liver disease. 
C) older people with risk factors for heart disease. 
D) men who work in the petrochemical industry.

Question 7

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 symptoms did Marcia have that are consistent with a diagnosis of cholelithiasis?

Accepted Answer

Pain after

Question 8

nurse understands that recovery from liver transplant surgery can be hastened by:

Accepted Answer

A) correcting malnutrition prior to the surgery. 
B) encouraging the patient to lose weight prior to surgery. 
C) advising the patient to take large doses of vitamins and minerals before surgery. 
D) encouraging the patient to use herbal remedies before surgery. 
A) correcting malnutrition prior to the surgery. 
B) encouraging the patient to lose weight prior to surgery. 
C) advising the patient to take large doses of vitamins and minerals before surgery. 
D) encouraging the patient to use herbal remedies before surgery.

Question 9

Case Study Questions
Use the following case study to answer questions 
Andrew Jamison is a 47-year-old construction worker with a long history of alcohol abuse.Recently he has been experiencing fatigue, weakness, loss of appetite, and weight loss.A visit to his physician and laboratory testing confirmed a diagnosis of cirrhosis.He is 5'10" tall and currently weighs 145 pounds.
-improve Mr.Jamison's appetite, his physician may prescribe:

Accepted Answer

A) megestrol acetate. 
B) spironolactone. 
C) rifaximin. 
D) propranolol. 
A) megestrol acetate. 
B) spironolactone. 
C) rifaximin. 
D) propranolol.

Question 10

Organs affected by alcohol abuse include all of the following except the:

Accepted Answer

A) lungs. 
B) liver. 
C) GI tract. 
D) heart. 
A) lungs. 
B) liver. 
C) GI tract. 
D) heart.

Question 11

An energy-dense, moderate-protein, low-electrolyte nutrient formula is recommended for tube-fed patients with ascites and fluid restrictions.

Accepted Answer

A) True 
 B)False

Question 12

Diuretics are often prescribed to control ascites.

Accepted Answer

A) True 
 B)False

Question 13

untreated for years, a blocked bile duct may lead to:

Accepted Answer

A) liver damage. 
B) kidney failure. 
C) neuropathy. 
D) gastritis. 
A) liver damage. 
B) kidney failure. 
C) neuropathy. 
D) gastritis.

Question 14

What are some of the possible causes of wasting seen in people with cirrhosis?

Accepted Answer

The answer of What are some of the possible causes...

Question 15

nurse recognizes the fact that patients with cirrhosis are likely to develop PEM.The nurse should plan to monitor the _____ of a patient with cirrhosis.

Accepted Answer

A) weight 
B) meal intake 
C) diet-drug interactions 
D) lab values 
A) weight 
B) meal intake 
C) diet-drug interactions 
D) lab values

Question 16

A patient with cirrhosis may present with no symptoms.

Accepted Answer

A) True 
 B)False

Question 17

Paracentesis is performed in order to:

Accepted Answer

A) normalize plasma amino acid ratios. 
B) remove fluid from the abdomen. 
C) correct liver enzyme levels. 
D) treat esophageal varices. 
A) normalize plasma amino acid ratios. 
B) remove fluid from the abdomen. 
C) correct liver enzyme levels. 
D) treat esophageal varices.

Question 18

Fatty liver can develop from all of the following except:

Accepted Answer

A) alcoholic liver disease. 
B) celiac disease. 
C) diseases of malnutrition. 
D) obesity. 
A) alcoholic liver disease. 
B) celiac disease. 
C) diseases of malnutrition. 
D) obesity.

Question 19

Mrs.Juarez is diagnosed with cirrhosis and has developed ascites.Her appetite is poor and she is losing weight.The nurse realizes that she is at risk for malnutrition and encourages Mrs.Juarez to:

Accepted Answer

A) eat four to six times per day. 
B) try to eat three large meals per day. 
C) consume a liquid nutritional supplement with each meal. 
D) drink more fruit juice. 
A) eat four to six times per day. 
B) try to eat three large meals per day. 
C) consume a liquid nutritional supplement with each meal. 
D) drink more fruit juice.

Exam 20: Nutrition Therapy for Liver and Gallbladder Diseases

A strict sodium restriction is part of the treatment for ascites.

patient with cirrhosis who develops changes in personality and motor function may be exhibiting early symptoms of:

Examples of common nutrient deficiencies seen as a result of alcohol abuse include all of these except:

Moderate use of alcohol has been shown to reduce deaths from coronary heart disease in middle-aged and older adults.

Many patients with cirrhosis require medication or insulin to control hyperglycemia.

beneficial effects of moderate alcohol intake are mainly seen in:

nurse understands that recovery from liver transplant surgery can be hastened by:

Organs affected by alcohol abuse include all of the following except the:

An energy-dense, moderate-protein, low-electrolyte nutrient formula is recommended for tube-fed patients with ascites and fluid restrictions.

Diuretics are often prescribed to control ascites.

untreated for years, a blocked bile duct may lead to:

What are some of the possible causes of wasting seen in people with cirrhosis?

nurse recognizes the fact that patients with cirrhosis are likely to develop PEM.The nurse should plan to monitor the _____ of a patient with cirrhosis.

A patient with cirrhosis may present with no symptoms.

Paracentesis is performed in order to:

Fatty liver can develop from all of the following except:

Mrs.Juarez is diagnosed with cirrhosis and has developed ascites.Her appetite is poor and she is losing weight.The nurse realizes that she is at risk for malnutrition and encourages Mrs.Juarez to:

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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