Question 1

What does Kati need to understand about the role of oats in her diet?

Accepted Answer

A) She should purchase only uncontaminated oats and consume limited quantities. 
B) She should not consume oats in any form. 
C) She should limit her consumption of oats to 1 cup of dry rolled oats per day. 
D) She will need to learn how to prepare oats correctly for consumption.
Use the following case study to answer questions 62-68.
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 also 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 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. 
A) She should purchase only uncontaminated oats and consume limited quantities. 
B) She should not consume oats in any form. 
C) She should limit her consumption of oats to 1 cup of dry rolled oats per day. 
D) She will need to learn how to prepare oats correctly for consumption.
Use the following case study to answer questions 62-68.
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 also 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 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.

Question 2

The development of diverticulosis is influenced by the type of dietary protein one consumes.

Accepted Answer

A) True 
 B)False

Question 3

A.R.can benefit from using medium-chain triglycerides for all of the following except:

Accepted Answer

A) a source of essential fatty acids. 
B) a primary source of energy. 
C) an oil for use in recipes. 
D) A.R.can use MCT for all of these. 
A) a source of essential fatty acids. 
B) a primary source of energy. 
C) an oil for use in recipes. 
D) A.R.can use MCT for all of these.

Question 4

The dietary management for ulcerative colitis includes all of the following principles except:

Accepted Answer

A) restoration of fluid and electrolyte balance. 
B) repletion of protein stores. 
C) a high-fiber diet to manage diarrhea. 
D) a low-fiber diet to reduce irritation in the colon. 
A) restoration of fluid and electrolyte balance. 
B) repletion of protein stores. 
C) a high-fiber diet to manage diarrhea. 
D) a low-fiber diet to reduce irritation in the colon.

Question 5

Psyllium may be helpful in the treatment of diarrhea because it reduces the liquidity of the stool.

Accepted Answer

A) True 
 B)False

Question 6

The nurse is reinforcing the dietitian's gluten-free diet instruction to a client with celiac disease.The nurse correctly tells the client that he may consume:

Accepted Answer

A) grilled chicken breast. 
B) chicken-fried steak. 
C) chicken and noodle soup. 
D) creamed chicken and biscuits. 
A) grilled chicken breast. 
B) chicken-fried steak. 
C) chicken and noodle soup. 
D) creamed chicken and biscuits.

Question 7

Nutrition therapy for cystic fibrosis involves all of the following except:

Accepted Answer

A) liberal use of table salt. 
B) multivitamin supplements. 
C) pancreatic enzyme replacement therapy. 
D) a low-protein diet. 
A) liberal use of table salt. 
B) multivitamin supplements. 
C) pancreatic enzyme replacement therapy. 
D) a low-protein diet.

Question 8

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

Accepted Answer

A) intestinal adaptation. 
B) enzyme replacement therapy. 
C) following a high-fiber diet. 
D) further surgery. 
A) intestinal adaptation. 
B) enzyme replacement therapy. 
C) following a high-fiber diet. 
D) further surgery.

Question 9

A colostomy involves removal of the entire colon.

Accepted Answer

A) True 
 B)False

Question 10

Which of the following would be the first step in the treatment of someone with diarrhea?

Accepted Answer

A) correct the underlying medical condition 
B) place the patient on NPO 
C) start parenteral nutrition 
D) start an oral rehydration solution 
A) correct the underlying medical condition 
B) place the patient on NPO 
C) start parenteral nutrition 
D) start an oral rehydration solution

What does Kati need to understand about the role of oats in her diet?

The development of diverticulosis is influenced by the type of dietary protein one consumes.

A.R.can benefit from using medium-chain triglycerides for all of the following except:

The dietary management for ulcerative colitis includes all of the following principles except:

Psyllium may be helpful in the treatment of diarrhea because it reduces the liquidity of the stool.

The nurse is reinforcing the dietitian's gluten-free diet instruction to a client with celiac disease.The nurse correctly tells the client that he may consume:

Nutrition therapy for cystic fibrosis involves all of the following except:

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

A colostomy involves removal of the entire colon.

Which of the following would be the first step in the treatment of someone with diarrhea?

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management

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 Upper 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 18: Nutrition and Lower Gastrointestinal Disorders

What does Kati need to understand about the role of oats in her diet?

The development of diverticulosis is influenced by the type of dietary protein one consumes.

A.R.can benefit from using medium-chain triglycerides for all of the following except:

The dietary management for ulcerative colitis includes all of the following principles except:

Psyllium may be helpful in the treatment of diarrhea because it reduces the liquidity of the stool.

The nurse is reinforcing the dietitian's gluten-free diet instruction to a client with celiac disease.The nurse correctly tells the client that he may consume:

Nutrition therapy for cystic fibrosis involves all of the following except:

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

A colostomy involves removal of the entire colon.

Which of the following would be the first step in the treatment of someone with diarrhea?

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management

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 Upper 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