Question 1

All of the following are important factors in medical nutrition therapy following liver transplant except:

Accepted Answer

A) meeting increased energy needs. 
B) protein restriction. 
C) food safety education. 
D) vitamin and mineral supplements.
Use the following case study to answer questions 42-47.
Andrew Jamison is a 47-year-old construction worker with a long history of alcohol abuse.Recently he has been experiencing fatigue, weakness, loss of appetite, and weight loss.A visit to his physician and laboratory testing confirmed a diagnosis of cirrhosis.He is 5'10" tall and currently weighs 145 pounds. 
A) meeting increased energy needs. 
B) protein restriction. 
C) food safety education. 
D) vitamin and mineral supplements.
Use the following case study to answer questions 42-47.
Andrew Jamison is a 47-year-old construction worker with a long history of alcohol abuse.Recently he has been experiencing fatigue, weakness, loss of appetite, and weight loss.A visit to his physician and laboratory testing confirmed a diagnosis of cirrhosis.He is 5'10" tall and currently weighs 145 pounds.

Question 2

Among patients with liver disease, _____ may be a factor if malnutrition develops.

Accepted Answer

A) low-sodium diets 
B) jaundice 
C) lactulose 
D) impaired memory 
A) low-sodium diets 
B) jaundice 
C) lactulose 
D) impaired memory

Question 3

Furosemide is a drug often used to treat the symptoms of cirrhosis.It is a(n):

Accepted Answer

A) appetite stimulant. 
B) diuretic. 
C) laxative. 
D) antiviral. 
A) appetite stimulant. 
B) diuretic. 
C) laxative. 
D) antiviral.

Question 4

People with malnutrition may experience fatty liver.

Accepted Answer

A) True 
 B)False

Question 5

Protein needs for the client with cirrhosis who does not show signs of wasting are calculated based on:

Accepted Answer

A) 0.5-1.0 grams/kg. 
B) 0.8-1.2 grams/kg. 
C) 1.5-2.0 grams/kg. 
D) 2.0-2.5 grams/kg. 
A) 0.5-1.0 grams/kg. 
B) 0.8-1.2 grams/kg. 
C) 1.5-2.0 grams/kg. 
D) 2.0-2.5 grams/kg.

Question 6

Rapid weight loss aids in the recovery from liver disease.

Accepted Answer

A) True 
 B)False

Question 7

Due to the risk of foodborne illness, Mr.Jamison should avoid all of the following foods except:

Accepted Answer

A) rare steak. 
B) sushi. 
C) unpasteurized milk. 
D) canned vegetables.
Use the following case study to answer questions 48-54.
Brian is a 21-year-old Caucasian student who is in his last year of college.Though he is a good student, it has been Brian's practice since freshman year to binge drink on weekends, typically consuming more than a six-pack of beer on Friday and Saturday nights.Brian is 5'11" tall; has weighed about the same, 195 lbs., for the past few years; and is fairly muscular and athletic in his build.He eats most meals in the cafeteria, but despite access to homemade foods, he eats few vegetables, fruits, and whole grains, and his diet is high in fat and salt.The only snacks he consumes are from the vending machine, and he usually washes down a bag of corn chips with a soda, or grabs a burger, fries, and beer when out on weekends.He doesn't take any medications and has no significant medical history.A recent physical examination in preparation for basketball season revealed no remarkable physical findings except muscle aches since restarting weight lifting and new-onset stomach pain, which the doctor assesses to be gastritis.A lipid profile found his triglycerides and VLDL cholesterol to be elevated.His blood pressure is slightly elevated.He has a family history of hypertension, stroke, and alcohol abuse. 
A) rare steak. 
B) sushi. 
C) unpasteurized milk. 
D) canned vegetables.
Use the following case study to answer questions 48-54.
Brian is a 21-year-old Caucasian student who is in his last year of college.Though he is a good student, it has been Brian's practice since freshman year to binge drink on weekends, typically consuming more than a six-pack of beer on Friday and Saturday nights.Brian is 5'11" tall; has weighed about the same, 195 lbs., for the past few years; and is fairly muscular and athletic in his build.He eats most meals in the cafeteria, but despite access to homemade foods, he eats few vegetables, fruits, and whole grains, and his diet is high in fat and salt.The only snacks he consumes are from the vending machine, and he usually washes down a bag of corn chips with a soda, or grabs a burger, fries, and beer when out on weekends.He doesn't take any medications and has no significant medical history.A recent physical examination in preparation for basketball season revealed no remarkable physical findings except muscle aches since restarting weight lifting and new-onset stomach pain, which the doctor assesses to be gastritis.A lipid profile found his triglycerides and VLDL cholesterol to be elevated.His blood pressure is slightly elevated.He has a family history of hypertension, stroke, and alcohol abuse.

Question 8

Brian asks if he can take acetaminophen to relieve his muscle aches.The doctor replies:

Accepted Answer

A) "Yes, but you should double the dose if you drink alcohol that day." 
B) "No; you should take a sedative." 
C) "Yes; that drug doesn't interact with alcohol." 
D) "Yes, if you abstain from drinking alcohol that day." 
A) "Yes, but you should double the dose if you drink alcohol that day." 
B) "No; you should take a sedative." 
C) "Yes; that drug doesn't interact with alcohol." 
D) "Yes, if you abstain from drinking alcohol that day."

Question 9

The doctor addresses alcohol consumption when obtaining Brian's dietary history, noting that binge drinking could be a cause of:

Accepted Answer

A) gastritis. 
B) hypertension. 
C) muscle pain. 
D) both a and b 
E) both b and c 
A) gastritis. 
B) hypertension. 
C) muscle pain. 
D) both a and b 
E) both b and c

Question 10

Performing a nutrition assessment on a patient who is a candidate for liver transplant is complicated by all of the following except:

Accepted Answer

A) liver dysfunction and malnutrition have similar metabolic effects. 
B) fluid retention can mask weight loss. 
C) fluid retention can alter lab values. 
D) supplements may mask underlying nutrient deficiencies. 
A) liver dysfunction and malnutrition have similar metabolic effects. 
B) fluid retention can mask weight loss. 
C) fluid retention can alter lab values. 
D) supplements may mask underlying nutrient deficiencies.

Question 11

Following a liver transplant, immunosuppressive drugs are given to reduce the immune responses that cause rejection.The nurse recognizes that these drugs can affect nutrition status because of their effects on:

Accepted Answer

A) kidney function. 
B) pancreatic function. 
C) the GI tract. 
D) the absorption of nutrients. 
A) kidney function. 
B) pancreatic function. 
C) the GI tract. 
D) the absorption of nutrients.

Question 12

The nurse notices abnormal electrolyte levels in a patient with cirrhosis and understands that it is likely a side effect of:

Accepted Answer

A) poor nutrition. 
B) nitroglycerin. 
C) lactulose. 
D) appetite stimulants. 
A) poor nutrition. 
B) nitroglycerin. 
C) lactulose. 
D) appetite stimulants.

Question 13

Prothrombin time in liver disease patients will be:

Accepted Answer

A) irrelevant. 
B) decreased. 
C) prolonged. 
D) normal. 
A) irrelevant. 
B) decreased. 
C) prolonged. 
D) normal.

Question 14

Hepatic encephalopathy may be caused by an increased ratio of aromatic amino acids to branched-chain amino acids in brain tissue.

Accepted Answer

A) True 
 B)False

Question 15

Kelly is a 27-year-old well-nourished female who has been diagnosed with hepatitis A.Which of the following nutrition interventions is needed?

Accepted Answer

A) high-kcalorie, high-protein diet 
B) high-protein, low-fat diet 
C) low-sodium, fluid-restricted diet 
D) no dietary change is needed 
A) high-kcalorie, high-protein diet 
B) high-protein, low-fat diet 
C) low-sodium, fluid-restricted diet 
D) no dietary change is needed

All of the following are important factors in medical nutrition therapy following liver transplant except:

Among patients with liver disease, _____ may be a factor if malnutrition develops.

Furosemide is a drug often used to treat the symptoms of cirrhosis.It is a(n):

People with malnutrition may experience fatty liver.

Protein needs for the client with cirrhosis who does not show signs of wasting are calculated based on:

Rapid weight loss aids in the recovery from liver disease.

Due to the risk of foodborne illness, Mr.Jamison should avoid all of the following foods except:

Brian asks if he can take acetaminophen to relieve his muscle aches.The doctor replies:

The doctor addresses alcohol consumption when obtaining Brian's dietary history, noting that binge drinking could be a cause of:

Performing a nutrition assessment on a patient who is a candidate for liver transplant is complicated by all of the following except:

Following a liver transplant, immunosuppressive drugs are given to reduce the immune responses that cause rejection.The nurse recognizes that these drugs can affect nutrition status because of their effects on:

The nurse notices abnormal electrolyte levels in a patient with cirrhosis and understands that it is likely a side effect of:

Prothrombin time in liver disease patients will be:

Hepatic encephalopathy may be caused by an increased ratio of aromatic amino acids to branched-chain amino acids in brain tissue.

Kelly is a 27-year-old well-nourished female who has been diagnosed with hepatitis A.Which of the following nutrition interventions is needed?

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 Lower Gastrointestinal Disorders

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition, Cancer, and Hiv Infection

Filters

Exam 19: Nutrition and Liver Diseases

All of the following are important factors in medical nutrition therapy following liver transplant except:

Among patients with liver disease, _____ may be a factor if malnutrition develops.

Furosemide is a drug often used to treat the symptoms of cirrhosis.It is a(n):

People with malnutrition may experience fatty liver.

Protein needs for the client with cirrhosis who does not show signs of wasting are calculated based on:

Rapid weight loss aids in the recovery from liver disease.

Due to the risk of foodborne illness, Mr.Jamison should avoid all of the following foods except:

Brian asks if he can take acetaminophen to relieve his muscle aches.The doctor replies:

The doctor addresses alcohol consumption when obtaining Brian's dietary history, noting that binge drinking could be a cause of:

Performing a nutrition assessment on a patient who is a candidate for liver transplant is complicated by all of the following except:

Following a liver transplant, immunosuppressive drugs are given to reduce the immune responses that cause rejection.The nurse recognizes that these drugs can affect nutrition status because of their effects on:

The nurse notices abnormal electrolyte levels in a patient with cirrhosis and understands that it is likely a side effect of:

Prothrombin time in liver disease patients will be:

Hepatic encephalopathy may be caused by an increased ratio of aromatic amino acids to branched-chain amino acids in brain tissue.

Kelly is a 27-year-old well-nourished female who has been diagnosed with hepatitis A.Which of the following nutrition interventions is needed?

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 Lower Gastrointestinal Disorders

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition, Cancer, and Hiv Infection

Filters