Question 1

What food would be most likely to contribute to dental caries?​

Accepted Answer

A)  ​raw carrots 
B)  ​milk 
C)  ​dried fruit 
D)  ​cheese 
E)  ​tuna 
A)  ​raw carrots 
B)  ​milk 
C)  ​dried fruit 
D)  ​cheese 
E)  ​tuna C

Question 2

A patient experiences nausea, vomiting, abdominal cramping, diarrhea, and lightheadedness after meals following gastric bypass surgery. The nurse recognizes these as symptoms of _____. ​

Accepted Answer

A)  ​malabsorption 
B)  ​high blood sugar 
C)  ​gastroesophageal reflux 
D)  ​Sjögren's syndrome 
E)  ​dumping syndrome 
A)  ​malabsorption 
B)  ​high blood sugar 
C)  ​gastroesophageal reflux 
D)  ​Sjögren's syndrome 
E)  ​dumping syndrome E

Question 3

The nurse is reinforcing the dietitian's instructions for a post-gastrectomy diet. The nurse realizes the client understands his diet when he states that he should _____.​

Accepted Answer

A)  ​emphasize grains, fruits, and vegetables in his diet 
B)  ​limit the amount of sweets, such as colas, honey, and jam 
C)  ​eliminate meat and eggs 
D)  ​exclude decaffeinated coffee, tea, and artificially sweetened drinks 
E)  ​eliminate all dairy products 
A)  ​emphasize grains, fruits, and vegetables in his diet 
B)  ​limit the amount of sweets, such as colas, honey, and jam 
C)  ​eliminate meat and eggs 
D)  ​exclude decaffeinated coffee, tea, and artificially sweetened drinks 
E)  ​eliminate all dairy products B

Question 4

Discuss the potential complications of gastritis.​

Accepted Answer

Gastritis is a general term that refers

Question 5

Repeated bouts of pneumonia may be associated with which condition affecting the upper gastrointestinal tract?​

Accepted Answer

A)  Dysphagia 
B)  ​Xerostomia. 
C)  ​Xerostomia, 
D)  ​Gastritis 
E)  ​Peptic ulcer disease 
A)  Dysphagia 
B)  ​Xerostomia. 
C)  ​Xerostomia, 
D)  ​Gastritis 
E)  ​Peptic ulcer disease

Question 6

Matching​
-​gastroesophageal reflux disease (GERD)

Accepted Answer

A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion" 
A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion"

Question 7

What complication is most closely associated with surgical gastrectomy?​

Accepted Answer

A)  ​Osteoporosis 
B)  Weight gain 
C)  ​Protein malabsorption 
D)  ​Vitamin D deficiency 
E)  ​Hypoglycemia 
A)  ​Osteoporosis 
B)  Weight gain 
C)  ​Protein malabsorption 
D)  ​Vitamin D deficiency 
E)  ​Hypoglycemia

Question 8

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 _____.​

Accepted Answer

A)  ​decreasing gastric acid production 
B)  ​neutralizing gastric acid 
C)  ​coating the esophagus 
D)  ​preventing tissue inflammation 
E)  ​inhibiting the lower esophageal sphincter 
A)  ​decreasing gastric acid production 
B)  ​neutralizing gastric acid 
C)  ​coating the esophagus 
D)  ​preventing tissue inflammation 
E)  ​inhibiting the lower esophageal sphincter

Question 9

To prevent dumping syndrome, a patient should be advised to _____.​

Accepted Answer

A)  limit the amount of fluid consumed with a meal​ 
B)  avoid fiber-rich foods 
C)  ​drink a cold beverage with each meal 
D)  ​avoid lying down after eating 
E)  avoid tight-fitting clothing 
A)  limit the amount of fluid consumed with a meal​ 
B)  avoid fiber-rich foods 
C)  ​drink a cold beverage with each meal 
D)  ​avoid lying down after eating 
E)  avoid tight-fitting clothing

Question 10

The nurse understands that a patient with GERD will benefit from education on managing the disease. What suggestion should be included in the nurse's teaching?​

Accepted Answer

A)  Avoid eating at bedtime​ 
B)  ​Limit carbohydrate intake 
C)  ​Consume liquids with meals 
D)  ​Avoid high-impact exercise 
E)  ​Keep a glass of water next to the bed at night 
A)  Avoid eating at bedtime​ 
B)  ​Limit carbohydrate intake 
C)  ​Consume liquids with meals 
D)  ​Avoid high-impact exercise 
E)  ​Keep a glass of water next to the bed at night

Question 11

General discomfort in the upper abdominal area with complaints of stomach pain, gnawing sensations, fullness, nausea, and bloating is descriptive of _____.​

Accepted Answer

A)  ​peptic ulcer disease 
B)  ​dyspepsia 
C)  ​hiatal hernia 
D)  ​Sjögren's syndrome 
E)  ​H. pylori infection 
A)  ​peptic ulcer disease 
B)  ​dyspepsia 
C)  ​hiatal hernia 
D)  ​Sjögren's syndrome 
E)  ​H. pylori infection

Question 12

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 practitioner gives M.L. a checklist of lifestyle changes that can help minimize GERD symptoms. Based on the diet recall above, M.L. would benefit from education about which topic?​

Accepted Answer

A)  ​Consume meals and liquids at the same time so that the stomach does not become overly distended. 
B)  ​Include foods that destroy gastric acid. 
C)  ​During periods of esophagitis, avoid foods and beverages that may irritate the esophagus. 
D)  ​Try eating bedtime snacks and lying down after meals. 
E)  ​Elevate the foot of the bed by placing blocks under the mattress. 
A)  ​Consume meals and liquids at the same time so that the stomach does not become overly distended. 
B)  ​Include foods that destroy gastric acid. 
C)  ​During periods of esophagitis, avoid foods and beverages that may irritate the esophagus. 
D)  ​Try eating bedtime snacks and lying down after meals. 
E)  ​Elevate the foot of the bed by placing blocks under the mattress.

Question 13

Clinical studies indicate that the gastric banding procedure is more effective and has fewer long-term complications than gastric bypass surgery.​

Accepted Answer

A) True 
 B)False

Question 14

Matching​
-​hypochlorhydria

Accepted Answer

A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion" 
A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion"

Question 15

What strategy would be most effective to suggest for management of GERD?​

Accepted Answer

A)  ​Only drink liquids with meals 
B)  ​Avoid gas-forming foods 
C)  ​Eat large food portions 
D)  ​Eat a peppermint candy after a meal 
E)  Avoid alcohol 
A)  ​Only drink liquids with meals 
B)  ​Avoid gas-forming foods 
C)  ​Eat large food portions 
D)  ​Eat a peppermint candy after a meal 
E)  Avoid alcohol

Question 16

To avoid dehydration, the patient who has undergone bariatric surgery should _____.​

Accepted Answer

A)  ​sip water and other non-caloric beverages throughout the day 
B)  ​drink plenty of fluids with meals 
C)  ​increase intake of foods with high water content 
D)  ​drink sports drinks 
E)  ​continue with a clear liquid diet instead of advancing to regular foods 
A)  ​sip water and other non-caloric beverages throughout the day 
B)  ​drink plenty of fluids with meals 
C)  ​increase intake of foods with high water content 
D)  ​drink sports drinks 
E)  ​continue with a clear liquid diet instead of advancing to regular foods

Question 17

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.
-On the day following surgery, Ms. Wilson will be allowed to consume what food or fluids?​

Accepted Answer

A)  ​Chicken broth 
B)  ​Saltine crackers 
C)  ​Tomato soup 
D)  ​Skim milk 
E)  ​A fruit smoothie 
A)  ​Chicken broth 
B)  ​Saltine crackers 
C)  ​Tomato soup 
D)  ​Skim milk 
E)  ​A fruit smoothie

Question 18

Peptic ulcers are a major cause of _____, which occurs in up to 15 percent of ulcer cases.​

Accepted Answer

A)  ​pain 
B)  ​dysphagia 
C)  ​gastrointestinal bleeding 
D)  ​reflux esophagitis 
E)  ​dry mouth 
A)  ​pain 
B)  ​dysphagia 
C)  ​gastrointestinal bleeding 
D)  ​reflux esophagitis 
E)  ​dry mouth

Question 19

Xerostomia is a side effect of many medications and can make chewing and swallowing more difficult.​

Accepted Answer

A) True 
 B)False

Question 20

Following gastrectomy, the patient may require as many as eight to twelve small meals and snacks per day.​

Accepted Answer

A) True 
 B)False

What food would be most likely to contribute to dental caries?

A patient experiences nausea, vomiting, abdominal cramping, diarrhea, and lightheadedness after meals following gastric bypass surgery. The nurse recognizes these as symptoms of _____.

The nurse is reinforcing the dietitian's instructions for a post-gastrectomy diet. The nurse realizes the client understands his diet when he states that he should _____.

Discuss the potential complications of gastritis.

Repeated bouts of pneumonia may be associated with which condition affecting the upper gastrointestinal tract?

Matching -gastroesophageal reflux disease (GERD)

What complication is most closely associated with surgical gastrectomy?

To prevent dumping syndrome, a patient should be advised to _____.

The nurse understands that a patient with GERD will benefit from education on managing the disease. What suggestion should be included in the nurse's teaching?

General discomfort in the upper abdominal area with complaints of stomach pain, gnawing sensations, fullness, nausea, and bloating is descriptive of _____.

Clinical studies indicate that the gastric banding procedure is more effective and has fewer long-term complications than gastric bypass surgery.

Matching -hypochlorhydria

What strategy would be most effective to suggest for management of GERD?

To avoid dehydration, the patient who has undergone bariatric surgery should _____.

Peptic ulcers are a major cause of _____, which occurs in up to 15 percent of ulcer cases.

Xerostomia is a side effect of many medications and can make chewing and swallowing more difficult.

Following gastrectomy, the patient may require as many as eight to twelve small meals and snacks per day.

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management - Overweight and Underweight

The Vitamins

Water and the Minerals

Nutrition Through the Life Span - Pregnancy and Infancy

Nutrition Through the Life Span - Childhood and Adolescence

Nutrition Through the Life Span - Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Enteral and Parenteral Nutrition Support

Nutrition in Metabolic and Respiratory Stress

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition - Cancer - and HIV Infection

Filters

Exam 17: Nutrition and Upper Gastrointestinal Disorders

What food would be most likely to contribute to dental caries?​

A patient experiences nausea, vomiting, abdominal cramping, diarrhea, and lightheadedness after meals following gastric bypass surgery. The nurse recognizes these as symptoms of _____. ​

The nurse is reinforcing the dietitian's instructions for a post-gastrectomy diet. The nurse realizes the client understands his diet when he states that he should _____.​

Discuss the potential complications of gastritis.​

Repeated bouts of pneumonia may be associated with which condition affecting the upper gastrointestinal tract?​

Matching​ -​gastroesophageal reflux disease (GERD)

What complication is most closely associated with surgical gastrectomy?​

To prevent dumping syndrome, a patient should be advised to _____.​

The nurse understands that a patient with GERD will benefit from education on managing the disease. What suggestion should be included in the nurse's teaching?​

General discomfort in the upper abdominal area with complaints of stomach pain, gnawing sensations, fullness, nausea, and bloating is descriptive of _____.​

Clinical studies indicate that the gastric banding procedure is more effective and has fewer long-term complications than gastric bypass surgery.​

Matching​ -​hypochlorhydria

What strategy would be most effective to suggest for management of GERD?​

To avoid dehydration, the patient who has undergone bariatric surgery should _____.​

Peptic ulcers are a major cause of _____, which occurs in up to 15 percent of ulcer cases.​

Xerostomia is a side effect of many medications and can make chewing and swallowing more difficult.​

Following gastrectomy, the patient may require as many as eight to twelve small meals and snacks per day.​

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management - Overweight and Underweight

The Vitamins

Water and the Minerals

Nutrition Through the Life Span - Pregnancy and Infancy

Nutrition Through the Life Span - Childhood and Adolescence

Nutrition Through the Life Span - Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Enteral and Parenteral Nutrition Support

Nutrition in Metabolic and Respiratory Stress

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition - Cancer - and HIV Infection

Filters

What food would be most likely to contribute to dental caries?

A patient experiences nausea, vomiting, abdominal cramping, diarrhea, and lightheadedness after meals following gastric bypass surgery. The nurse recognizes these as symptoms of _____.

The nurse is reinforcing the dietitian's instructions for a post-gastrectomy diet. The nurse realizes the client understands his diet when he states that he should _____.

Discuss the potential complications of gastritis.

Repeated bouts of pneumonia may be associated with which condition affecting the upper gastrointestinal tract?

Matching -gastroesophageal reflux disease (GERD)

What complication is most closely associated with surgical gastrectomy?

To prevent dumping syndrome, a patient should be advised to _____.

The nurse understands that a patient with GERD will benefit from education on managing the disease. What suggestion should be included in the nurse's teaching?

General discomfort in the upper abdominal area with complaints of stomach pain, gnawing sensations, fullness, nausea, and bloating is descriptive of _____.

Clinical studies indicate that the gastric banding procedure is more effective and has fewer long-term complications than gastric bypass surgery.

Matching -hypochlorhydria

What strategy would be most effective to suggest for management of GERD?

To avoid dehydration, the patient who has undergone bariatric surgery should _____.

Peptic ulcers are a major cause of _____, which occurs in up to 15 percent of ulcer cases.

Xerostomia is a side effect of many medications and can make chewing and swallowing more difficult.

Following gastrectomy, the patient may require as many as eight to twelve small meals and snacks per day.