Exam 18: Nutrition and Lower Gastrointestinal Disorders

What food would be best tolerated by a patient suffering from diarrhea?

Describe the dietary restrictions for a patient with celiac disease.

What food component could be included in a gluten-free diet?

A colostomy involves removal of the entire colon.

A side effect of consuming a high-fiber diet is:

Kelly is a 27-year-old Caucasian who works as a bank teller. She is 5'3" tall and weighs 102 pounds. She began experiencing recurrent gastrointestinal disturbances such as diarrhea, steatorrhea, and flatulence several months ago. She made an appointment with her physician after noticing that she was losing weight. Laboratory tests confirmed a diagnosis of celiac disease. If Kelly does not eliminate gluten from her diet, she could likely experience which complication?

Medical History: A.R. is a healthy 51-year old premenopausal Caucasian woman with pallor who is employed full-time in an office job. She had a pancreatic cyst removed six years ago. She was asymptomatic until one year ago when she developed acute pancreatitis flare-ups after consuming fatty foods. The condition was attributed to scarring at the pancreatic duct, which secretes pancreatic lipase, and was accompanied by severe abdominal pain radiating to her back, vomiting, and steatorrhea. She was placed on oral pancreatic lipase enzyme tablets (Pancrease™) that digest fat and was prescribed to follow a "low-fat diet." The medication and diet help to reduce her symptoms, and she notes that flare-ups generally only occur when she eats too much fat.   Anthropometric: Ht: 5'2. Wt: 156 lbs. Wt 1 yr ago: 199 lbs. Frame size: Medium. Clinical/Labs: A.R.'s serum vitamin D was low (20 ng/mL; normal is 25-80 ng/mL), but all other labs were within normal limits when she last visited her internal medicine physician several months ago. She was placed on a 5,000-IU vitamin D supplement, to be reduced to a 2,000-IU vitamin D supplement thereafter; she takes no other vitamins or minerals. Other medications include Synthroid and Aygestin. Current Chief Complaints: A.R.'s current problems include constipation and dry skin. Diet: "My usual grocery list consists of boneless chicken breasts, turkey, pork chops (infrequently), strip steak (infrequently), 90/10 ground beef, pasta (half whole-wheat, half regular), tomatoes and sauce to make pasta sauce, 90 percent fat-free lunch meat ham or turkey, brown rice, steamable microwave vegetables, red and green lettuce, tomatoes, onions, cereal, blueberries if on sale, apples, tangerines, red licorice, bread, crackers, and canned soup. I am concerned about not having enough protein or iron because I am afraid to eat very much red meat. The foods I miss the most include iced tea, which I skip because of caffeine-I am getting bored with water. I like to bake and I miss baked goods, and I also miss cheese-I am afraid it is too high in fat. I have a hard time figuring out what to pack for lunch. The restaurants I go to if I do go out are Chick-Fil-A, Panera, Viva, a local diner, and an Italian restaurant. I like Italian and Mexican food. Usually if I do eat out it is for lunch but it is sometimes hard to figure out something safe to eat..." Dairy foods: Twice a day, drinks 2 8-oz glasses of 1% milk. Fruits: 1 cup per day.  Steatorrhea is classified as:

With early detection and advances in medical treatment of cystic fibrosis, the median life span for patients with this condition has reached nearly _____ years of age.

Describe important components of nutrition management for people with ostomies.

What is Cystic Fibrosis and what are the nutritional requirements for children?

What beverage would most likely produce intestinal gas?

A potential treatment for irritable bowel syndrome that is still under investigation is use of:

Discuss the characteristic differences between Crohn's disease and ulcerative colitis.

The absorption of vitamins and minerals begins in the:

Foods useful for increasing dietary fiber include:

A patient with bacterial overgrowth in the gastrointestinal tract would most likely be treated with which type of medication?

Nursing Exam Review Mrs. Hernandez, a 59-year-old female, has been experiencing diarrhea and increased intestinal gas after drinking milk. She is diagnosed with lactose intolerance and subsequently worried about her bone health if she cannot drink milk. The nurse reassures her that she may still be able to tolerate some dairy foods and consume adequate calcium by what means?

Diverticulitis is thought to occur in up to _____ percent of individuals with diverticulosis.

In which ethnic group is lactose intolerance most prevalent?

After intestinal resection, the absorptive efficiency of the intestine is improved through: