Nutrition Ch 20 – Flashcards

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When mouth tissues become inflamed, initial nutritional recommendations include:
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high-protein, high-kilocalorie liquids.
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The medical term for difficulty in swallowing is:
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dysphagia.
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For a client who has achalasia, the diet of choice is:
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nutrient-dense liquids and semisolid foods.
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The term pyrosis means:
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heartburn.
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A good meal for someone with xerostomia would be:
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stew, mashed potatoes, and pudding.
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Xerostomia means dry mouth. Very moist foods are easiest to eat because they require less saliva to chew and swallow.
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true or false
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A major complication of hiatal hernia is:
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bleeding from the herniated portion.
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Malignancy is a common development in patients with:
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gastric ulcer.
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Peptic ulcers occur most frequently in the:
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duodenum.
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Peptic ulcer disease may be caused by:
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Helicobacter pylori infection.
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A characteristic symptom of a peptic ulcer is:
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abdominal pain between meals.
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A basic principle guiding nutritional management of peptic ulcer disease is to eat:
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a well-balanced diet as tolerated.
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People who have peptic ulcer disease are encouraged to avoid drinking:
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tea and coffee.
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Diagnosis of celiac disease is confirmed using:
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intestinal biopsy.
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Grains that should be eliminated from the diets of clients on a restricted gluten diet include:
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wheat, rye, and barley.
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Cystic fibrosis is a disease that primarily affects the:
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pancreas, intestinal tract, sweat glands, and lungs.
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Level I routine care of patients with cystic fibrosis includes:
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enzyme replacement and vitamin supplements.
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The chronic inflammatory bowel disease that involves all layers of the intestinal wall is known as:
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Crohn's disease.
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Inflammatory bowel disease that is confined to the colon and rectum is known as:
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ulcerative colitis.
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During severe acute exacerbations of inflammatory bowel disease, patients should be fed using:
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enteral feedings or total parenteral nutrition (TPN).
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During remission, patients with Crohn's disease are encouraged to increase their intake of:
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antioxidants.
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Patients with short-bowel syndrome usually need parenteral nutrition support only until:
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their remaining small intestine adapts.
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The small outpouchings that protrude from the intestinal lumen are called
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diverticula.
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If diverticula of the large intestine become inflamed, the condition is called:
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diverticulitis.
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The type of diet prescribed for long-term management of diverticular disease is:
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high in fiber.
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Dietary changes that help reduce the incidence of constipation include
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increasing fluid intake.
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An appropriate meal for someone with celiac disease would be:
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roasted chicken with rice and broccoli.
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People with celiac disease need to avoid sources of gluten: wheat, barley, and rye. The bread in the sandwich, the macaroni, and the pie crust would all be made with wheat and would therefore contain gluten.
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true or false
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Patients with cystic fibrosis need extra:
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sodium.
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A major clinical symptom associated with hepatitis is:
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jaundice.
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Medical treatment of hepatitis includes:
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bed rest and optimal nutrition.
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Adequate dietary protein is essential for recovery from hepatitis because protein:
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is needed for liver cell regeneration.
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The amount of protein that should be consumed by a client who has viral hepatitis is:
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1.0 to 1.2 g/kg body weight.
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In patients with viral hepatitis, the major barrier to adequate nutritional intake is:
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anorexia.
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Pathologic changes in the liver caused by cirrhosis include:
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fatty infiltration.
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The earliest clinical manifestations of cirrhosis include:
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nausea, vomiting, and anorexia.
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Development of ascites in clients who have cirrhosis is related to:
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protein deficiency.
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One effect of impaired blood circulation through the liver caused by fibrous tissue is the development of:
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portal hypertension.
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Nutrition support for the client who has cirrhosis includes a:
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low-sodium, soft-texture, high-energy diet.
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A key component in the etiology of hepatic encephalopathy is:
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high ammonia levels in the systemic circulation.
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Clinical signs of hepatic encephalopathy include:
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confusion and impaired motor function.
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The primary objective of treatment of hepatic encephalopathy is to:
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remove sources of excess ammonia.
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The recommended plan of nutrition therapy for clients who have hepatic encephalopathy is a:
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restricted protein and moderately high energy diet.
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Patients with hepatic encephalopathy may need parenteral administration of:
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vitamin K and zinc.
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The gallbladder is stimulated to contract and release bile by:
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the cholecystokinin (CCK) mechanism.
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Inflammation of the gallbladder is called:
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cholecystitis.
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The presence of gallstones in the gallbladder is called:
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cholelithiasis.
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Gallstone formation is promoted by:
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high fat intake.
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A characteristic clinical symptom of gallbladder inflammation or gallstones is:
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pain after eating.
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Nonsurgical treatment for gallstones may include:
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chemical dissolution of gallstones.
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Nutrition therapy for clients who have gallbladder disorders focuses on:
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reducing fat intake.
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Factors responsible for development of acute pancreatitis include:
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alcohol abuse.
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The initial diet prescription for clients who have acute pancreatitis is:
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to withhold oral feedings.
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