Exam 17: Nutrition and Upper Gastrointestinal Disorders

Nursing Exam Review Mr. Green uses NSAIDs regularly to control chronic pain and complains of frequent stomach pain. The nurse recognizes this as gastritis and realizes that he may be at risk for deficiencies of:

Jennie Wilson is a 42-year-old administrative assistant who recently underwent sleeve gastrectomy surgery to treat her obesity and weight-related problems: diabetes and hypertension. Ms. Wilson will need nutrition education before being discharged from the hospital. What foods should Ms. Wilson be advised to avoid to prevent possible obstruction of the gastric outlet?

Discuss how chronic illnesses contribute to oral diseases and how this affects nutritional health.

Rapid weight loss following bariatric surgery increases the risk of developing:

What method would most likely improve a patient's acceptance of pureed foods in a dysphagia diet?

Dietary adjustments after a gastrectomy are influenced by:

What factor is most likely a cause of xerostomia?

Current research suggests that periodontal disease may increase the risk of developing:

Nursing Exam Review Following gastric resection, the nurse understands the need to limit _____ in the patient's diet.

M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or antisecretory medication continuously during that time, M.L. knows what foods or factors cause symptoms, and is able to generally avoid them; hence, he has not had reflux esophagitis in over a year. A 24-hour diet history reveals M.L. ate these foods yesterday: Breakfast: Skipped Snack: Fresh pear; instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers; skim milk Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard; 100% grape juice diluted with water; snack pack of carrots, no dressing Snack: Sugar cookies; skim milk Dinner: Tempura (deep-fried, breaded) salmon; buttered rice; salad with lettuce and tomato; vinegar and oil dressing; water Snack, at bedtime: Ginger ale and ginger snap cookies The medication M.L. takes is a proton-pump inhibitor medication that works by:

According to the National Dysphagia Diet, what food is allowed for a patient in Level 2: Dysphagia Mechanically Altered foods?

Discuss the potential complications of gastritis.

Jennie Wilson is a 42-year-old administrative assistant who recently underwent sleeve gastrectomy surgery to treat her obesity and weight-related problems: diabetes and hypertension. Ms. Wilson will need nutrition education before being discharged from the hospital. What best describes Ms. Wilson's procedure?

Symptoms of dumping syndrome are due to a shift of fluid from the bloodstream to the intestinal lumen that increases intestinal distention and lowers blood volume.

What symptoms are most closely associated with early dumping syndrome?

What treatment is most often used in the management of ulcers?

Pneumonia may be associated with which condition affecting the upper gastrointestinal tract?

Jennie Wilson is a 42-year-old administrative assistant who recently underwent sleeve gastrectomy surgery to treat her obesity and weight-related problems: diabetes and hypertension. Ms. Wilson will need nutrition education before being discharged from the hospital. Once she is able to tolerate regular foods, what type of foods should Ms. Wilson be encouraged to eat before consuming other foods in a meal?

Psychological stress by itself is not believed to cause ulcers, but it has effects on physiological processes and behaviors that may increase a person's vulnerability.

A patient with oropharyngeal dysphagia would most likely demonstrate which symptom?