26 Jun allied bio170 module 7 check your understanding
Question
Question Points
1. Omega-3 fatty acids may be important during periods of metabolic stress because they:
a. spare amino acids for tissue repair.
b. blunt the body’s metabolic response to stress.
c. enhance immune function and reduce inflammation.
d. help stimulate appetite so that the patients achieve adequate oral intake.
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2. If a client requires parenteral nutrition for the next 4 months, the route of choice for feeding will probably be via a:
a. nasogastric tube.
b. central vein.
c. nasoenteric tube.
d. peripheral vein.
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3. The physiologic basis for symptoms associated with dumping syndrome is that:
a. concentrated hyperosmolar intestinal contents are absorbed too quickly.
b. ingested foods remain in the stomach too long and cause excessive bloating.
c. only the intestinal water is being absorbed, resulting in hemodilution and increased blood volume.
d. concentrated hyperosmolar fluids draw water into the intestine, decreasing blood volume.
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4. The age group that is at greatest risk for developing a drug-nutrient interaction is:
a. infants.
b. adolescents.
c. middle-age adults.
d. older adults.
5. Responsibility for monitoring drug-food-nutrient interactions is assumed by:
a. the physician.
b. clinical dietitians.
c. pharmacologists.
d. clinical dietitians and pharmacologists.
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6. Factors that contribute to diarrhea in tube-fed patients include all of the following, except:
a. tube feeding formula.
b. medication.
c. patient’s condition.
d. water.
7. For patients in the flow phase of metabolic stress, hyperglycemia should be treated by:
a. administration of normal saline without dextrose.
b. use of complex carbohydrates.
c. administration of specialized formulas.
d. use of exogenous insulin.
8. The type of diet prescribed for long-term management of diverticular disease is:
a. bland.
b. low in fiber.
c. high in fiber.
d. soft.
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9. During the postoperative period, the primary source of energy should be:
a. protein.
b. carbohydrates.
c. fat.
d. specially developed formulas.
10. The recommended diet for patients with dumping syndrome is low in:
a. sugar.
b. fat.
c. protein.
d. sodium.
11. Several factors must be evaluated to ensure that the home environment is safe and the patient and family are able and willing to accept the responsibility of home infusion therapy. Which of the following is not a factor?
a. Refrigeration
b. Running water
c. Electricity
d. Automatic dishwasher
12. A vitamin that can help overcome pulmonary oxygen toxicity is vitamin:
a. A.
b. C.
c. D.
d. E.
13. A cooking method that can increase hepatic drug metabolism through enzyme induction is:
a. frying.
b. baking.
c. boiling.
d. charcoal broiling.
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14. Adequate dietary protein is essential for recovery from hepatitis because protein:
a. is needed for liver cell regeneration.
b. is needed to produce energy.
c. restores liver glycogen reserves.
d. helps to preserve adipose tissue.
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15. People who have peptic ulcer disease are encouraged to avoid drinking:
a. water.
b. fruit-flavored soft drinks.
c. apricot nectar.
d. tea and coffee.
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16. Prebiotics or probiotics may be added to enteral formulas to improve:
a. the viscosity of the formula.
b. the osmolality of the formula.
c. the intestinal flora in the gastrointestinal tract.
d. motility in the gastrointestinal tract.
17. Peripheral parenteral nutrition is appropriate when the patient requires parenteral nutrition for less than:
a. 5 days.
b. 7 days.
c. 14 days.
d. 20 days.
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18. Nasoenteric tubes can be inserted into the stomach, duodenum, and:
a. rectum.
b. jejunum.
c. ileum.
d. gallbladder.
19. Before general surgical procedures, oral food and fluids are withheld from patients for at least:
a. 4 to 6 hours.
b. 6 to 8 hours.
c. 8 to 12 hours.
d. 12 to 24 hours.
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20. It is important to ask patients if they use herbal remedies because:
a. the patient may not need to take traditional drugs.
b. it is important to avoid using herbal and traditional drugs at the same time.
c. herbal remedies may have adverse interactions with drugs.
d. JCAHO encourages use of natural rather than traditional treatments.
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21. Clients who have undergone radical neck or facial surgery are often fed using:
a. a straw.
b. a nasogastric tube.
c. a percutaneous endoscopic gastrostomy (PEG) tube.
d. parenteral nutrition.
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22. The preferred route for long-term enteral feeding is:
a. nasogastric.
b. enterostomal.
c. nasoenteric.
d. peripheral vein.
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23. Nutrients lost in the initial period following a major burn injury are:
a. fluids and electrolytes.
b. electrolytes and protein.
c. protein and fluids.
d. fluids, electrolytes, and protein.
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24. The recommended plan of nutrition therapy for clients who have hepatic encephalopathy is a:
a. high-protein and low-fat diet.
b. high-fluid and high-fiber diet.
c. high fat and high-energy diet.
d. restricted protein and moderately high energy diet.
25. Postoperatively, intravenous (IV) fluids provide:
a. energy and protein.
b. fluids and some energy.
c. fluids, electrolytes, and micronutrients.
d. all nutrient needs.
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26. For a client who has achalasia, the diet of choice is:
a. enteral tube feeding.
b. a normal well-balanced diet.
c. low in fat and high in protein.
d. nutrient-dense liquids and semisolid foods.
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27. The initial diet prescription for clients who have acute pancreatitis is:
a. small, frequent meals.
b. to withhold oral feedings.
c. enteral formula feedings.
d. a clear liquid diet.
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28. A vitamin that is necessary for formation of scar tissue during the healing process is:
a. vitamin A.
b. vitamin C.
c. vitamin B12.
d. thiamin.
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29. Complications associated with parenteral nutrition include:
a. low blood glucose levels.
b. electrolyte abnormalities.
c. loss of appetite.
d. depression.
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30. The American Medical Association recommends that trace elements added to parenteral nutrition solutions should include:
a. iron, zinc, calcium, and phosphorus.
b. sodium, potassium, copper, and chloride.
c. zinc, copper, manganese, and chromium.
d. manganese, selenium, fluoride, and iron.
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