Question Details

BIO 170 MODULE 7 CHECK YOUR UNDERSTANDING

1.	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.
Hint:Page 422
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11J:Discuss the process of enteral tube feeding in clinical nutrition and identify the enteral tube feeding
 formulas and delivery systems along with monitoring the tube-fed patient.
	1
2.	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.
Hint:Page 388
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11C:Indicate the nutritional needs in thermal injuries.
	1
3.	Nonsurgical treatment for gallstones may include:
a.   antibiotic therapy.
b.   a low-cholesterol diet.
c.   chemical dissolution of gallstones.
d.   drugs to relax the bile duct.
Hint:Page 468
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems 
associated with the gastrointestinal tract.
LO12E:Examine the diseases of the gastrointestinal accessory organs.
	1
4.	Which of the following is the most common complication associated with tube feeding?
a.   Diarrhea
b.   Vomiting
c.   Constipation
d.   Anemia
Hint:Page 434
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11M:Recall how to handles cases of diarrhea in tube-fed patients.
	1
5.	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.
Hint:Page 469
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems 
associated with the gastrointestinal tract.
LO12E:Examine the diseases of the gastrointestinal accessory organs.
	1
6.	The anticoagulant warfarin (Coumadin) acts as an antagonist to:
a.   vitamin K.
b.   pyridoxine.
c.   vitamin B12.
d.   folic acid.
Hint:Page 397
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and
 parenteral nutrition.
LO11E:Examine the drug effects on food and nutrients and state the ways in which drugs may affect 
appetite and interfere with nutrient absorption and metabolism.
	1
7.	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.
Hint:Page 406
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11G:Discuss the importance of the nutrition-pharmacy team.
	1
8.	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.
Hint:Page 377
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11B:State the nutritional concerns for patients undergoing alimentary canal surgery.
	1
9.	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.
Hint:Page 446
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems 
associated with the gastrointestinal tract.
LO12B:Identify problems of the mouth and esophagus.
	1
10.	Patients who are receiving enteral feedings should:
a.   sit upright in a chair.
b.   have the head of the bed elevated 30 to 45 degrees.
c.   have their head and feet elevated 30 to 45 degrees.
d.   lie flat.
Hint:Page 426
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11J:Discuss the process of enteral tube feeding in clinical nutrition and identify the enteral tube feeding 
formulas and delivery systems along with monitoring the tube-fed patient.
	1
11.	An appropriate meal for someone with celiac disease would be:
a.   roasted chicken with rice and broccoli.
b.   turkey sandwich with an apple.
c.   macaroni and cheese with carrots.
d.   chicken pot pie with peas.
Hint:Page 456
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems 
associated with the gastrointestinal tract.
LO12D:Compare and contrast disorders of the small intestine and large intestine.
	1
12.	Medical treatment of hepatitis includes:
a.   decreased protein intake.
b.   antibiotics.
c.   use of branched-chain amino acids.
d.   bed rest and optimal nutrition.
Hint:Page 464
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems 
associated with the gastrointestinal tract.
LO12E:Examine the diseases of the gastrointestinal accessory organs.
	1
13.	To prevent essential fatty acid deficiency, the percentage of energy provided by lipids in parenteral nutrition solutions should be at least:
a.   1% to 2%.
b.   2% to 4%.
c.   4% to 10%.
d.   10% to 15%.
Hint:Page 431
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11K:Identify the process of parenteral feeding in clinical nutrition and name the parenteral solutions and 
delivery system.
	1
14.	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.
Hint:Page 393
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11D:Describe the drug-nutrient problems in modern medicine.
	1
15.	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.
Hint:Page 371
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and
 parenteral nutrition.
LO11A:Identify the nutritional needs of general surgery patients.
	1
16.	Essential fuel sources for critically ill patients are:
a.   dextrose and lipid emulsions.
b.   protein and vitamins.
c.   glucose and electrolytes.
d.   glucose and protein.
Hint:Page 411
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11H:Describe the nutrition assessment process regarding malnutrition.
	1
17.	Nasoenteric tubes can be inserted into the stomach, duodenum, and:
a.   rectum.
b.   jejunum.
c.   ileum.
d.   gallbladder.
Hint:Page 423
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11J:Discuss the process of enteral tube feeding in clinical nutrition and identify the enteral tube feeding 
formulas and delivery systems along with monitoring the tube-fed patient.
	1
18.	When mouth tissues become inflamed, initial nutritional recommendations include:
a.   citrus juices.
b.   high-protein, high-kilocalorie liquids.
c.   soft foods served very cold.
d.   hot soups and beverages.
Hint:Page 445
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems 
associated with the gastrointestinal tract.
LO12B:Identify problems of the mouth and esophagus.
	1
19.	Regarding the digestive process, Which of the following substances is released by the stomach through the pyloric sphincter into the duodenum where most digestion occurs?
a.   Gloss
b.   Amylase
c.   Chyme
d.   Saliva
Hint:Page 441
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems 
associated with the gastrointestinal tract.
LO12A:Describe the digestive process.
	0
20.	Abuse of alcohol can lead to low levels of:
a.   vitamin D, calcium, and magnesium.
b.   potassium, magnesium, and zinc.
c.   folate, vitamin B12, and iron.
d.   vitamins A, D, and K.
Hint:Page 396
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11E:Examine the drug effects on food and nutrients and state the ways in which drugs may affect
 appetite and interfere with nutrient absorption and metabolism.
	1
21.	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.
Hint:Page 431
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11K:Identify the process of parenteral feeding in clinical nutrition and name the parenteral solutions and 
delivery system.
	1
22.	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.
Hint:Page 435
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and
 parenteral nutrition.
LO11M:Recall how to handles cases of diarrhea in tube-fed patients.
	0
23.	The most important factor in decisions concerning use of parenteral nutrition is:
a.   age.
b.   gender.
c.   competence of the clinical nutritionist.
d.   status of the gastrointestinal tract.
Hint:Page 417
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and
 parenteral nutrition.
LO11I:Compare and contrast enteral nutrition and parenteral nutrition.
	1
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.
Hint:Page 467
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems 
associated with the gastrointestinal tract.
LO12E:Examine the diseases of the gastrointestinal accessory organs.
	1
25.	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.
Hint:Page 465
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems 
associated with the gastrointestinal tract.
LO12E:Examine the diseases of the gastrointestinal accessory organs.
	1
26.	The IV solution administered during the initial stage of a severe burn injury to prevent hypovolemia is:
a.   lactated Ringer's.
b.   5% dextrose.
c.   normal saline.
d.   10% dextrose.
Hint:Page 386
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11C:Indicate the nutritional needs in thermal injuries.
	1
27.	A cooking method that can increase hepatic drug metabolism through enzyme induction is:
a.   frying.
b.   baking.
c.   boiling.
d.   charcoal broiling.
Hint:Page 405
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and
 parenteral nutrition.
LO11F:Evaluate the food and nutrient effects on drugs including the interrelationship between vitamins and
 drugs.
	1
28.	Factors responsible for development of acute pancreatitis include:
a.   weight gain.
b.   viral infections.
c.   obesity.
d.   alcohol abuse.
Hint:Page 470
SLO12:Analyze nutritional therapy for patients with gastrointestinal diseases and define common problems
 associated with the gastrointestinal tract.
LO12E:Examine the diseases of the gastrointestinal accessory organs.
	1
29.	The Mifflin-St. Jeor (MSJ) equations for calculating basal energy expenditure are based on:
a.   sex and weight.
b.   lean body mass and age.
c.   sex, height, weight, and age.
d.   sex, height, and ideal body weight.
Hint:Page 413
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11H:Describe the nutrition assessment process regarding malnutrition.
	1
30.	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.
Hint:Page 428
SLO11:Examine routine pre- and postoperative diets, common drug interactions, and the enteral and 
parenteral nutrition.
LO11K:Identify the process of parenteral feeding in clinical nutrition and name the parenteral solutions and 
delivery system.

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