Nutrition 3010 Exam 3

Front 1

The following patient will receive a tube feeding with a formula that contains 1.5 kcal per ml. He will receive 5 equal feedings per day. His height is 5 ft 8 inches. He is moderately metabolically stressed and needs 38 kcal per kg of ideal body weight.Question: How many mls of this formula should he receive per feeding to maintain his ideal body weight? _________________(Enter ONLY the numeric value and round to the nearest whole number.)

Back 1

355.0000

Front 2

The American Heart Associated and NCEP recommendations for lowering cholesterol include a maximum intake of saturated fat per day. Based on that recommendation, how many grams of saturated fat would be the maximum amount a man should consume per day on a 2800 kcal diet? (Enter ONLY the numeric value and round to the nearest whole number.)

Back 2

22.0000

Front 3

The hormone that acts in a manner opposite to insulin is

Back 3

glucagon.

Front 4

__________________ is a type of dialysis that uses an artificial kidney machine to remove toxic waste substances and restore nutrients and metabolites to the blood.

Back 4

Hemodialysis

Front 5

If a patient requires parenteral nutrition for no more than a week, the route that should be used is

Back 5

peripheral parenteral nutrition.

Front 6

Physiologic symptoms of dumping syndrome result from

Back 6

water being drawn from the vascular system into the intestine causing hypovolemia and shock.

Front 7

Commercial enteral feeding formulas are preferred over blenderized food because they

Back 7

carry less risk of bacterial growth and infection.

Front 8

When gestational diabetes is poorly controlled, a significant risk to the fetus is

Back 8

macrosomia

Front 9

Protein is especially needed in the postoperative recovery period for building tissue in wound healing, resisting infection, and

Back 9

control of edema.

Front 10

One of the first recommendations for any type of kidney stone is to

Back 10

increase fluid intake.

Front 11

______________ develops as a comorbid complication in kidney disease patients because of the kidney's inability to activate vitamin D leading to defective calcium and phosphorus metabolism.

Back 11

Osteodystrophy

Front 12

Glycosylated hemoglobin A1c represents _______________ levels over a 3-month period.

Back 12

blood glucose

Front 13

The massive edema of nephrotic syndrome is caused by

Back 13

large protein losses.

Front 14

Which of the following functions is not associated with the hormone insulin?

Back 14

Mobilizes liver glycogen to yield glucose

Front 15

A women who was recently diagnosed with type 2 diabetes is incredible worried about understanding the macronutrient recommendations and how that differs from the DRI's for the rest of her family. You explain to her that the medical nutrition therapy for diabetes mellitus includes

Back 15

The same carbohydrate recommendations (45- 65% total kcals) but less fiber and protein.

Front 16

A 51 year old patient reports to you with a fasting blood glucose of 120 mg/dL and is currently 122% of IBW. Which of the following is an appropriate statement about this patient?

Back 16

This patient has impaired glucose tolerance, or prediabetes, and is at risk for developing type 2 diabetes.

Front 17

Studies indicate that exercise enhances the cellular uptake of glucose into muscle cells. This is particularly beneficial for individuals with diabetes as it reduces the need for exogenous insulin and/or oral hypoglycemic medications.

Back 17

True

Front 18

You have a patient who was diagnosed with diabetes two years ago. The doctor requires the patient to see you because he is not compliant with medication, diet, or exercise recommendations. You explain to him that taking good care of himself may prevent the three common long-term complications of diabetes - which most severely effect the cells of the

Back 18

kidney, eye, and nerve tissue

Front 19

A test of nephron function that measures the ability to filter urea nitrogen, which is a product of protein metabolism, form the blood is called

Back 19

blood urea nitrogen test.

Front 20

Which of the following describes characteristics of type 2 diabetes?

Back 20

Often improves with weight loss

Front 21

Which of the following is NOT a constituent of metabolic syndrome?

Back 21

Elevated HDL cholesterol

Front 22

Hypertension is known as the "silent killer" - many people that have hypertension are not aware of their condition. Which of the following is the most effective means of lowering blood pressure?

Back 22

Weight loss and following the DASH diet.

Front 23

The underlying pathologic process in coronary heart disease appears to be

Back 23

fibrous plaques in coronary vessels.

Front 24

There are several different types of lipoproteins in the body. The common function of lipoproteins is to carry

Back 24

fat and cholesterol through the bloodstream.

Front 25

Nutrition therapy for hypertension specifically focuses on a diet with

Back 25

reduced sodium intake, increased calcium, magnesium, and potassium intake.

Front 26

Ms. Thomas has Crohn's disease and is in the hospital with her 2nd surgery to remove sections of her infected small intestine. She is confused about the difference between Crohn's disease and ulcerative colitis. Which of the following is the best explanation?

Back 26

Crohn's disease may skip around the gastrointestinal tract with lesions while ulcerative colitis is usually continuous from the rectum up.

Front 27

Adequate dietary protein is essential for recovery from hepatitis because protein

Back 27

is essential for tissue repair.

Front 28

Nutrition therapy for gallbladder disorders includes

Back 28

controlling fat intake.

Front 29

The primary objective of treatment for hepatic encephalopathy is to

Back 29

remove sources of excess ammonia.

Front 30

Of the following choices, the best way to describe an elemental formula for enteral feedings is to say that it will provide

Back 30

all nutrients in their simplest absorbable form.

Front 31

One limitation of intravenous feeding through a peripheral vein is that

Back 31

limited amounts of kilocalories can be delivered due to restrictions on osmolality/concentration.

Front 32

A long-term diet low in ________ is one major risk factor in diverticular formation and chronic inflammation that may progress to diverticulitis.

Back 32

fiber

Front 33

An improperly functioning lower esophageal sphincter may result in

Back 33

gastroesophageal reflux disease.

Front 34

The nutrition recommendation for patients with esophageal varices is to consume

Back 34

soft, low-bulk foods.

Front 35

A prospective diet analysis that requires the patient to keep accurate records of what he or she eats and drinks for at least 3 days is an example of a

Back 35

food record

Front 36

The surgeon explains that Mrs. Williams will need about 12 weeks of parenteral feeding following surgery. You begin preparation for the catheter placement to gain access into the _____________ for long term parenteral feeding.

Back 36

central vein

Front 37

A patient admitted into the hospital after a stroke with poor nutritional status is likely to experience which of the following?

Back 37

A longer stay in the hospital. An increased risk of postoperative infections. Increased medical cost. Reduced quality of life and increased mortality rate. All of the above.

Front 38

___________ fiber is particularly important for patients with high cholesterol because it binds bile acid and can reduce blood cholesterol.

Back 38

Soluble

Front 39

The nurse must have a good understanding of nutrition principles because he or she

Back 39

interprets and supports the nutrition care plan.

Front 40

Likely signs of dysphagia in nursing home residents include

Back 40

regurgitation and coughing.

Front 41

Mr. Smith is having major oral and esophageal surgery. He cannot eat food orally but has no other gastrointestinal problems. You explain to Mr. Smith that due to his condition, enteral feedings will be administered through

Back 41

the GI tract starting with his stomach.

Front 42

Typical methods used for nutrition assessment of patients include

Back 42

All of the above methods are used in nutrition assessment.