Exam 24: Lower Gastrointestinal Disorders

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Ms. Betty Bell is a new resident to Lake Nursing Home. She has a history of osteoporosis, depression, and memory loss. She tells her admitting nurse that she has not had a bowel movement since 1967. Her nurse questions her further to determine that she has had irregular bowel movements for the past 40 plus years. What is a potential cause of  Ms. Bell's  constipation?

(Multiple Choice)
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Foods to avoid from the category of breads and cereals while on a fat-restricted diet include ____.

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
live bacteria provided in foods and dietary supplements
Responses:
ileostomy
prebiotics
celiac disease
Correct Answer:
Verified
Premises:
Responses:
live bacteria provided in foods and dietary supplements
ileostomy
(Matching)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
surgically created opening in a body tissue or organ
Responses:
stoma
celiac disease
colostomy
Correct Answer:
Verified
Premises:
Responses:
surgically created opening in a body tissue or organ
stoma
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Mr. Rogelio Martinez is a healthy 79-year-old, retired factory worker. His past medical history includes arthritis and irregular bowel movements. His wife urges him to go to the emergency department of the local hospital after three episodes of blood in his stool. Four weeks later, Mr. Martinez returns to the hospital. After an extensive work-up, he is found to need surgery due to extensive damage in a portion of his colon. What type of surgery will he have?

(Multiple Choice)
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Which is a subdominant type of intestinal bacteria?

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
inflammatory bowel disease that usually occurs in the lower portion of the small intestine and the colon; inflammation may pervade the entire intestinal wall
Responses:
prebiotics
bacterial overgrowth
fistula
Correct Answer:
Verified
Premises:
Responses:
inflammatory bowel disease that usually occurs in the lower portion of the small intestine and the colon; inflammation may pervade the entire intestinal wall
prebiotics
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Although all macronutrients are maldigested during chronic pancreatitis, the symptoms of ____ malabsorption are typically the most severe.

(Multiple Choice)
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Nutritional consequences of fat malabsorption include ____.

(Multiple Choice)
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Intestinal bacteria can benefit our health by ____.

(Multiple Choice)
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An appropriate food for a client with celiac disease is ____.

(Multiple Choice)
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Which nutrient has the greatest stimulating effect on pancreatic secretions?

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
nondigestible substances in foods that stimulate the growth of nonpathogenic bacteria within the large intestine
Responses:
prebiotics
cystic fibrosis
ileostomy
Correct Answer:
Verified
Premises:
Responses:
nondigestible substances in foods that stimulate the growth of nonpathogenic bacteria within the large intestine
prebiotics
(Matching)
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Mrs. Thomas has been suffering from a mild case of diarrhea for the past four days. What should Mrs. Thomas be given to replace fluid and electrolytes?

(Multiple Choice)
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People with ileostomies need to follow which nutrition practice?

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
excessive bacterial colonization of the stomach and small intestine; may be caused by low gastric acidity, altered gastrointestinal motility, mucosal damage, or contamination
Responses:
celiac disease
short bowel syndrome
cystic fibrosis
Correct Answer:
Verified
Premises:
Responses:
excessive bacterial colonization of the stomach and small intestine; may be caused by low gastric acidity, altered gastrointestinal motility, mucosal damage, or contamination
celiac disease
(Matching)
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What is a potential side effect of pancreatic enzyme replacements?

(Multiple Choice)
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Antidiarrheal agents ____.

(Multiple Choice)
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What condition would most likely lead to bacterial overgrowth in the gastrointestinal tract?

(Multiple Choice)
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What type of laxative may cause watery stools or diarrhea?

(Multiple Choice)
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