Domain 2 Flashcards
1
Q
In community surveys, a frequent symptom of malnutrition is
A
low hemoglobin
2
Q
Which is the least common symptom in the elderly?
- Osteomalacia
- Osteoporosis
- Obesity
- Hypertension
A
a. Osteomalacia
3
Q
What is included in the study of demographics?
A
Age and sex of individual and population statistics
4
Q
Main thing Athletes should receive…..
A
water during an event to replace lost fluids
5
Q
How many grams of protein would you receive on a 1500 kcal which is 20% protein?
A
75g
6
Q
A pt is on a high protein, low CHO diet, what advice should you offer
A
increase fluid intake
7
Q
An insulin-dependent diabetes living alone calls you w/ symptoms of nausea, vomiting, and anorexia. What do you recommend?
A
Cont. w/ insulin and drink anything you can
8
Q
Which infant is at the greatest risk?
- 20 lb w/ hgb 10
- 22 lb w/ hgb 10.5
- 19 lbs w/ hgb 11
- 30 lbs w/ hgb 9
A
30 lbs w/ hgb 9
9
Q
Normal hgb for an infant?
A
10+
10
Q
An alcoholic pt has low serum albumin, low hgb, high ammonia, abnormal liver function tests and ascites. 1. Why is he on a 500mg sodium diet? 2. What should they have for lunch? (4 oz cheese, 1 oz cheese, 1oz roast beef, 1oz cold cuts)
A
- Hypoalbuminemia. 2. 1oz roast beef
11
Q
Which is the most at risk for gestational diabetes?
- BMI <30
- age <25 w/ overweight
- BMI >30 w/ history of GSM
- conception within 10 months of last pregnany
A
BMI > 30 w/ history of GSM
12
Q
A child is lethargic, irritable w/ diarrhea. The cause may be
A
Lead poisoning
13
Q
How many calories are in 300mL of a 5% dextrose?
A
51
14
Q
A single 19yr old female is 6 month pregnant; she has not gained any weight and has not seen a physician. Hgb is 9. Hematocrit is 30. What is the most important rec. for her?
A
See a physician immediately
15
Q
A female is 5’7’’ tall; weighs 115lbs; 6 months ago she weighed in 130lbs. What is her percent of ideal body weight?
A
85%
16
Q
A vegan is allergic to milk. Which nutrient would you expect might be a deficient in her intake
A
vita b12, and D
17
Q
A pt w/ Chron’s disease needs the following diet:
A
Low fat, vita C, vita B12, high calorie, high protein
18
Q
What diet is appropriate for reactive hypoglycemia
A
Reduce intake of concentrated CHO, and 5-6 small meals
19
Q
When assessing nutritional status, what is most beneficial
A
diet intake, clinical data, lab data
20
Q
The first function of the public health nutritionist is
A
to assess the needs of the community
21
Q
What nutrients most affect the renal solute load
A
protein and sodium
22
Q
The elderly need how many mL of water per KG
A
30
23
Q
According to the Diabetic Exchange Lists, when substituting 2% milk for skim milk, you must omit how many fat exchanges
A
1
24
Q
If a man normally consuming 2600 kcals per day reduces his intake to 1500 calories per day, how much weight will he lose in one week
A
1.0 KG
25
The primary treatment for galactosemia is
diet therapy
26
What best reflects protein status
prealbumin
27
Following a Billroth II, steatorrhea often results. What is the likely cuase
lack of pancreatic secretion d/t less duodenal hormone secretion
28
Meats curd w/ whey wont be tolerated with someone
who is lactose intolerance
29
Chemically defined formulas are used for
short bowel syndrome
30
A PEG feeding would be useful in a pt w/
head or neck cancer, who will not be able to eat normally for weeks
31
A pt w/ hepatitis needs a high protein intake. Besides helping liver to regenerate, what other purpose is being served?
it helps prevent a fatty liver
32
The additive influence of foods and constituents which when eaten have a beneficial effect on health refers to
food synergy
33
Which foods are most likely to cause an allergic reaction
shellfish, peanuts, wheat, soy
34
What set of conditions are most seen in children in America?
Obesity, dental caries and anemia
35
A 1500 kcal diabetic diet w/ 45% of the calories from CHO is prescribed; one third of the CHO grams is met w. 1/2 cup orange juice, 1 cup milk and:
2 slices of toast
36
Which of the following is a medium fat meat?
1. Peanut butter
2. Tunafish packed in water
3. corned beef
4. chicken w/o skin
3. corned beef
37
Which gov agency wouldyou contact regarding food distrubtion?
USDA
38
WHich has the greatest effect on the renal solute load
protein
39
Which is not a fiber in a diet?
1. cellulose
2. hemicellulose
3. amylose
4. pectin
amylose
40
What is a diet for hypertension?
low sodium
41
The NHANES study looks at which parameters?
Nutritional, clinical, biochemical
42
What is a major reason for constipation in the elderly?
decreased gastric motility
43
A 11month old infant is at the 95th percentile weight for age and has been for the past 9 months. what should you do
watch his growth over the next 6 months
44
A 6'2'' male, large frame, 230lbs w/ type II diabetes should
lose 20lbs slowly following a balanced diet
45
a pt w. chronic pancreatitis should consume oral pancreatic enzymes
w/ all meals and snacks
46
If a pt is about to be discharged when you receive the the discharge diet order, you should
enroll him in the outpatient clinic and schedule an appt
47
Following a cholecystectomy, bile is produced by the
liver
48
How many calories in 1.5 L of a 25% dextrose solution
1275
49
Research suggests that in order to guard against cancer you should ingest
Carotene and vita C
50
What may be the cause of loose stools in a tube fed pt
administered feeding at too rapid or a rate and an inadequate amount of intestinal surface area
51
An elevated T4 indicates
hyperthyroidism
52
Before discontinuing a parenteral feeding, provide enteral support to prevent
hypoglycemia
53
What is the weight gain for the last half of pregnancy per month
at least 4lbs per month
54
Iron deficiency anemia has these 3 characteristics
small/pale cells, hypochromic, microcytic
55
This hormone moves milk through mammary ducts
oxytocin
56
These 4 anthropometric measurements are useful in assessing adults
tricep skinfold, arm muscle circumference, height and weight
57
What is a measure of somatic protein
mid arm muscle circumference
58
Muscle mass is determined using the
triceps skinfold and arm circumference
59
Gastric irritants foods include
black pepper, chili powder, caffeine, alcohol and cocoa
60
Good advice for a pt w/ a hiatal hernia is to
dont eat before bed
61
The dumping syndrome (3):
follows a gastrectomy, secondary to CHO overload, and draws fluid into the intestine
62
Nutritional therapy for hepatitis includes (4)
high protein, high CHO, moderate fat, and high kcals
63
Esosphagaell varices may be caused by
portal hypertension
64
The diet for hepatic coma is low in protein d/t
high ammonia levels
65
In cystic fibrosis, the most impaired nutrient is
fat
66
Hormones that control blood pressure and blood components are produced in
the kidneys
67
An acid ash would be created by ingesting
corn/cranberries
68
Symptoms of nephrosis include (2)
albuminuria and hypercholesterolemia
69
The catecholamines released during stress cause
hyperglycemia
70
What is a part of nutritional therapy for IDDM in a lean person?
Time meals
71
Increased serum uric acid levels may lead to
Gout
72
The diet for galactosemia should exclude
organ meats, MSG
73
The ketogenic diet is used to help treat
seizures
74
Immediately following a severe burn, nutritional therapy should include
fluid and electrolyte replacement
75
The theory of obesity that refers to receptors in the hypothalamus is the
glucostatic theory
76
The VMA test diet measures
total catecholamines
77
A fecal excretion of ___grams of fat/24 hours is considered fat malabsorption
more than 7
78
Iatrogenic malnutrition is
protein, calorie malnutrition
79
What are similarities between WIC and Food Stamps?
Regulated by the USDA and have income criteria
80
A 60kg female receives 2700kcals on PN. The calories to nitrogen ration is 150:1. How many grams of nitrogen is she getting
18
81
What type of food would you feed to a pt who has the athetoid from cerebral palsy
finger foods
82
Osteoporosis is likely to occur in (gender/race)
white female
83
A quick diet assessment tool for a large group
food frequency lists
84
Compared to human milk, commercially prepared infant formula is
higher in protein and iron but lacks antibodies
85
These 3 are associated with anorexia nervosa
food aversions, distorted body image, constant concern about weight
86
Advice for a person w/ anorexia nervosa
regular mealtimes, and a varied moderate intake
87
A female who eats a wide variety of foods and takes supplemental iron and birth control may be
low in folic acid
88
THe immobilized state can lead to low levels of
albumin and calcium
89
A man w/ a peptic ulcer should consume
a balanced diet he can tolerate
90
A cholesterol level of 240 mgs needs treatment first w/
diet
91
an infant formula for lactose intolerance might include:
casein hydrolsyate, corn oil, glucose, soy protein and corn syrup solids
92
A pt w/ nephrosis will likely exhibit (3) and how much protein should they receive?
hypercholesterolemia, albuminemia and edema (.8-1g/kg)
93
Fiber (the one found in oats, beans, bran) results in
increased water absorption from the intestine
94
A pt suffering from bulimia may have: (3)
a sore throat, dental problems, rectal bleeding
95
The efficacy of a low sugar, low artificial flavor diet on hyperkinesis is
not been scientifically proven
96
Signs of marasmus (3)
protein/calorie wasting, weight loss, and low anthropometrics measurements
97
Urea excretion is related to ____, while creatinine excretion is related to ______.
protein intake, muscle mass
98
A pt has a rare urea disease where the body is unable to synthesize urea. what might be the result
elevated ammonia levels
99
A nutritional screening can be
participated with all health team members according to policy
100
A sandwich with two pieces of white bread and two ounces of turkey provides how many calories
250
101
Current research on the relationship between cancer and diet includes (3)
vita A intake, epidemiolgic data, and Vita C intake
102
Two liters of a 5% dextrose solution provide how many calories
340
103
instructing a pt on diet therapy needed during intake of a monoamine oxidase inhibitor, avoid
cheddar cheese and swiss cheese
104
Catecholamines have what physiological effect
cause sodium retention
105
A pt w/ dehydration exhibits the symptoms of (3)
sunken eyes, decreased renal function, increased tachycardia
106
Why would a man who eats very little protein have an albumin of 5.5g/dl
he is dehydrated
107
the diet for stomatits is
avoid spices, very hot, very cold, sour, tart foods
108
The BMI for a woman who is 5'7'' tall and weights 148lbs indicates
normal weight
109
This survey is repeated every few years
NHANES
110
The Year 2010 Healthy People Goals are on outgrowth of a report by
The surgeon general under HHS
111
An example of a "healthy People" goal is
decrease in infant mortality
112
When a starved pt begins to eat, they might expect
an increased workload on the heart
113
The immediate post stress release of glucagon
increases glucose release into the bloodstream
114
Appropriate diet for peritoneal dialysis
1.5g pro, 30 cal/KG
115
What is an ex of a program that provides food to the needy?
Food bank
116
A formula that is high in calories and low in protein
AminAid
117
The goal of the dietary guidelines
prevention of chronic disease
118
If an IDDM tells you she eats meals on an irregular schedule, you should
explain that insulin therapy is related to intake
119
The allowance for Food Stamps is based on
The USDA Thrifty Food Program
120
A single man w/ two daughters, ages 10 and 11, is looking for aid; what is a good program for them
Food stamps
121
Why is an affluent couple (man with diabetes, wife with broken arm) not eligible for Meals on Wheels
They can leave the house
122
This food is permitted in a gluten free diet
corn
123
Nutrients involved in energy metabolism
pantothenic acid and biotin
124
Where can a pregnant teen learn to cook
EFNEP
125
metabolic acidosis involves the excretion of
sodium bicarbonate
126
How can you enhance usage of commodity foods from a donation program
give each participant recipes using the food items
127
A poor, healthy 19yr old mother is unsure how to feed her 4yr old child. Which program may offer the most help
EFNEP
128
An athlete weighs more than the average person of his height, what should you do first
examine other anthropometric measurements
129
The most effective nutrition assessment method for large groups is
food frequency list
130
What is a good snack for a diabetic on NPH insulin
cheese and crackers
131
What can be done to lower the respiratory quotient of a tube fed pulmonary pt
add a fat emulsion to replace some of the CHO
132
Which correlates best w/ energy intake
body mass index
133
What affects osmolarity?
electrolytes
134
A fiber that is insoluble in water?
hemicellulose
135
An infant wants a bottle at bedtime, you should suggest
only give water in the bottle
136
A diabetic wants to exchange his bedtime snack of 8oz whole milk; what do you suggest
1oz cheese and 1/2 cup
137
Providing only 5% dextrose in water solution after stress can result in
hypoalbuminernia
138
Mother w/ 2 daughters, ages 8 and 11, does not have enough money for her family, you suggest
food stamps
139
Mormons can't drink
caffeinated beverages
140
What section of the intestine is most likely involved in crohn's disease
ileum
141
An infant's failure to thrive is seen in
comparison w/ growth charts
142
Tricep skinfold and arm muscle circumference of 79% can indicate
a protein calorie malnutrition
143
A child w/ AIDS needs a high calorie and ___ intake
high protein
144
Appropriate measurement for iron status in a local community is
hematocrit
145
Food that can may help decrease cavities
cheese
146
Test that can help determine if a diabetic is following their diet
glycosylated hemoglobin
147
When discovering an incorrect diet order....
discuss the order w/ physician and make suggestions
148
Best therapy for weight loss
exercise, diet, and behavior modification
149
which is more associated w/ the incidence of Type 2 disease
1. sugar intake
2. overweight
overweight
150
Iron status is best monitored by
dietary and lab studies
151
Bacteria that can cause gastric ulcers
helicobacter pylori
152
Appropriate diet therapy for Billroth II
decrease simple CHO, high protein and moderate fat
153
What disease can lead to anemia
Renal Failure
154
To learn about prenatal problems in the community, go to
WIC
155
When doing nutritional screenings include
nutritional parameters
156
When using anthropometrics measurements, the most important factor is
competence of the practitioner and calibration
157
A pork chop is what type of meat exchange
lean
158
What should be encouraged in a headstart program
nutrition activities related to food
159
Medicaid benefits apply to
low income individuals
160
the symbol U on a food label indicates
it is kosher designation
161
Congregate meals and home delivered meals fall uner
Title III (old americans)
162
Most characteristics of marasmus
severe fat and muscle wasting
163
The stasis of pancreatic juice and bile could result in (3)
Autodigestion, fat malabsorption, and obstructive jaundice
164
A side effect of antidepressants is
weight gain
165
Hypertension will decrease w/ a decrease in
alcohol
166
What medication is affected by serum sodium levels
Lithium
167
Low levels of folate, pyridoxine, and cyanocobalamin are associated w/
homocystinurias
168
A pt w/ low hgb and low MCV might have
microcytic anemia
169
According to the diabetic exchanges, a 2T peanut butter is
2 high fat meats
170
After a gastrectomy, the diet order should indicate a decrease in
disaccharides
171
Children and adolescents need what level of physical activity
60 mins every day
172
The prader willi syndrome is associated w/
obesity
173
What type of cheese is allowed w/ a diet restricting tyramine
uncured cheeses
174
What does a fecal fat of 12g indicate
severe fat malabsorption
175
If a pt has a biochemical block in the formation of urea, what will accumulate in his blood
Ammonia
176
The main goal for a Type 2 obese diabetic w/ persistent hyperglycemia is
control of serum glucose levels
177
When counseling an anorexic, the best advice is to
be flexible and help them choose reasonable goals
178
In reviewing the pt's medical record, you note a hgb of 10 g/dL and an MCV of 110 cu mm. you should document:
anemia w/ larger than normal erythrocytes
179
Ascites needs a this type of diet
low sodium
180
A 75yr old w/ adequate income would benefit from
Congregate meals
181
Phytochemicals are found in
fruits, veggies, grains
182
Reactive hypoglycemia needs a diet that restricts
carbohydrates
183
Compared to whole milk, breast milk is
lower in protein, higher in CHO and fat
184
A person w/ dumping syndrome can't handle
disaccharides
185
Diet for heart failure
low sodium
186
How many calories are in 1.5 Liters of D25W
1275
187
A homeless pt who is deficient in all nutrients is to be discharged. What organization may help
The social workers group
188
Why might a child w/ PKU have an increased incidence of dental caries
the diet is high in CHO, and low in Pro
189
Trauma can place the pt in a
hypermetabolic state
190
A pt who had an ileal resection is placed on a tube feeding and begins to have diarrhea, this may be d/t
use of a hypertonic formula
191
Which is restricted in a diet for hepatic encephalopathy
protein, sodium and fluid
192
How many non-protein calorie are provided by a 2 liters of 7% aminosyn solution and 1 liter of 10% dextrose in water
340
193
When should you provide nutrition counseling to an AIDS pt?
immediately upon diagnosis
194
Medicare is for the
elderly
195
What best measures excess calorie reserves
triceps skinfold
196
Why may a pt w/ ascites be dehydrated
fluid has moved to interstitial spaces
197
Common complication w/ AIDS
diarrhea
198
A post surgical pt w/ prolonged ileus should be treated w/
PN nutrition
199
A common result of treating an AIDS pt w/ zidovudine?
Macrocytic anemia
200
A 140lb female on dialysis should have how many grams of protein
70-89
201
An obese person w/ Type 2 diabetes should
achieve DBW
202
A tube fed pt receiving bolus feedings develop a distended abdomen, what should be recommended
decrease the rate
203
Osteoporosis is common w/
65yrs and above
204
Open tube feedings should be disposed of after
24hrs
205
What is a guide for calculating water needs w/ tube feedings
1 cc water/1.0 kcal
206
Following a colectomy, the absorption of which of the following would be of the most concern
water and sodium
207
A long term care pt has normal intestinal functions but can't eat, which tube feeding should be provided
isotonic lactose free formula
208
Normal range for hgb A1C
4-6%
209
If a pt reduces their kcal intake from 2300 to 1800, they will lose how much in one month
4lbs
210
A spastic quadriplegic requires
fewer calories, increased fluid and fiber
211
An athlete complains of weakness, rapid weight gain and muscle spasms, what can be the cause
CHO loadign
212
Pts w/ decubitus ulcers will likely demonstrate low
serum albumin
213
NHANES III increased the number of participants in which age group
the elderly
214
WHich type of anemia is likely to be seen in a pt w/ arthritis
anemia secondary to chronic disease
215
How much free water is in 1.5L of formula that has 1.5calories per cc
1155 cc
216
A pt w/ a GFR is <50 mL; what shoudld their protein intake be
.8g/KG
217
A 2yr old w/ iron deficiency anemia has anorexia, weight loss and vomiting. Look for:
pica and lead poisoning
218
Pt has heart failure but no CAD or increased CHD risk. Nutrition prescription should be
2g Sodium
219
Creatine supplement may be beneficial to
body builders
220
Acidic chyme in the duodenum is neutralized by pancreatic
bicarbonate
221
Milk is packaged in opaque containers to avoid UV destruction of
Riboflavin
222
A PN pt is receiving 45 calories/kg; what may be the result
Hypokalemia
223
A tube fed pt develops diarrhea. what can be the cause
medications
224
A pt with obesity, hypertension, high cholesterol and diabetes; you recommend
less calories
225
A pt w/ liver disease needs adjustments in the intake of
protein, fluid, and sodium
226
The data that is most useful in evaluating children is
energy intake and health history
227
Survey that is conducted every 10 years
The USDA Food consumption survey
228
Goals for a community nutrition program should be based on
the Dietary guidelines for Americans
229
The essential amino acid tryptophan is most closely related to
niacin
230
Memory loss may be associated w/ a deficiency of
thiamin
231
Enteral feeding products that contain protein in the form of small peptides and amino acids are recommended for pts who have
short bowel syndrome
232
A nutritional care plan for overweight children should include
reduce rate of body weight gain while allowing growth
233
A nutrition surveillance program is designed to
identify the nutritional needs of the population
234
A standing height should first be obtained when an infant is how many months
24
235
When given as the sole source of energy, isocaloric amounts of which energy substrate would most effectively reduce starvation ketosis
Glucose
236
For the past 2 months, a man who is 6'0'' tall has been nauseated and anorexic and has consumed fewer than 500 kcal/day, mostly from sweet foods. His albumin of 5.0 g/dL most likely reflects
an increase in albumin d/t dehydration
237
a dietary deficiency of _____ causes a macrocytic anemia resembling pernicious anemia
folacin
238
Best approach for controlling obesity in an otherwise healthy ten year old girl
maintenance of weight during continued growth
239
an obese pregnant woman gained 30 lbs in the beginning of her pregnancy, you should advise her to
gain weight slowly throughout the remaining time
240
The effectiveness of a group education program for decreasing the number of anemic pregnant women enrolled in a community nutrition program is best indicated by
an increase in hematocrit or hgb levels
241
Congealed fruit is not okay for
vegans
242
Which has more fiber, raisin bran or whole wheat bread
raisin bran
243
Best way to counsel a pt w/ anorexia nervosa
Emphasize the health benefits associated w/ weight gain and increased calorie intake
244
Primary fuel used by resting muscle and at low intensity exercise
fatty acids
245
When measuring a child's somatic protein mass, in addition to the BMI, use
upper arm muscle area
246
Your pt is on coumadin, what foods to make sure is consistently in their diet
spinach, collard greens
247
If an child is at the 95th percentile weight for height and after one month drops to the 10th; what is likely?
error
248
A child at the 65th percentile is considered
normal
249
In acute hepatitis, you will see an increase
of both SGOT and SGPT
250
in Severe cirrhosis and ascites, diet therapy should be
restrict sodium
251
A pt has a temp rise to 102 degrees, BMR has increased by
24%
252
A pt on a clear liquid diet should not be served
vegetable stock
253
What elements of the diet vary in hepatic disease
sodium, fluid and protein
254
Pt with BMI of 32 and hypertension comes to you, what is the first recommendation
reduce sodium intake
255
A female with a 36'' waist and 40' hip measurement is at risk for
heart disease
256
A vegan with macrocytic anemia needs
fortified soy milk
257
A pt with GFR of 20 mL/min should receive how many grams of protein/kg
.6
258
A pt is recovering from an ileocecal resection, where 100cm was removed; you recommend
B12, increased fluids and pro
259
A pt on Lithium decreases his sodium intake to 2g/day; this will
enhance activity of the drug
260
In the Dietary Guidelines, what represents fat included
20-35% calories, and less than 10% Sat fat
261
What can cause marasmus
chemotherapy
262
A pt with short bowel syndrome will likely receive initial nutrition therapy:
PN
263
Pt on PN develops sepsis, what is the likely cause
bacterial translocation
264
When should a discharge plan begin
the first day of admission
265
Will a vegetarian diet cause failure to thrive?
no
266
What is an example of an NI in the NCP
Increased energy expenditure
267
Who resolves differences in bills from the House and the Senate
Joint conference committee of the House and Senate
268
Which bill requests government funding
appropriation bill
269
Food staff from a Commodity Distribution program are not allowed to bring foods to a Jewish facility b/c
Kosher foods are not allowed to be mixed w/ non Kosher foods
270
A pt with dysphagia is admitted, what is the first request
a swallow exam
271
The immune system reacts to foods that are normally harmless; this is
Immunoglubulin E (igE) mediated reaction
272
A pt with 2.3 serum phosphorus and 1.3 serum magnesium has
hypo-phosphatemia and hypomagnesmia
273
A concern w/ PN feeding is
hypokalemia
274
Self assessment tool that is given to clients prior to screening is
DETERMINE checklists
275
You have successfully met an indicator for 6 months, the next step is to
evaluate the need to continue monitoring the indicator
276
A nephrotic syndrome pt w/ edema has a serum albumin level that continues to fall; recognize that
protein is being lost in the urine
277
Intervention by a Dietitian conducting nutrition assessment is best determined by
results of nutrition screening
278
The best way to justify continuation of WIC would be to show improvement in
infant morbidity rate
279
Roman Catholics dietary laws states that fish is to be served
on Ash Wednesday and Fridays during lent
280
A normal pregnancy require supplementation of
iron and folic acid
281
The use of indirect calorimetry is best used for
pt w/ third degree burns
282
Cows milk is (3)
high in protein, creates high solute load and low in iron/vitamin C
283
A pt is on PN and is going to be transitioned to EN; he should recieve
full strength EN feeding at low rate
284
A pt on a full liquid diet should not receive
strained cereal
285
Best practical way to measure energy balance
evaluate weight gain and weight loss
286
Iron supplementation should be taken w/
meals
287
What hormone is involved in developing the placenta
progesterone
288
What supplement to give to breast fed infants
vita D and Flouride
289
Useful for evaluating recent under nutrition or over nutrition
weight for height
290
Useful evaluation tool for a community assessment
Weight for age
291
A child under the 5th percentile may be an indication of
under nutrition
292
First advise for a constipated pt
increase fluids and fiber intake
293
A pt w/ dysphagia waiting for a swallow test may receive
thick liquids
294
Normal weight gain during the first trimester
2-5lbs
295
Colostrum is provided for about
first few days
296
WHat is lacking in a traditional diet for Asians living in the USA
calcium
297
What indicates stunted growth
height for age
298
A pt comes to you w/ a diet that you know is not good to follow; what should you say
explain why it's not good
299
Hormone that regulates breast milk production
prolactin
300
How many grams does a low birth weight infant weights
less than 2500
301
W/ SGOT it is increased w/
hepatitis and decreased diabetes
302
An infant percentile goes from 65 to 95; the dietitian should
check if the weights are plotted properly
303
When is breastfeeding contradicted
when the mother has AIDS
304
What test measures somatic protein
creatinine clearance, serum creatinine
305
Expected creatinine clearance is estimated from the client's
height
306
How much water does an athlete need if they have lost 2 pounds during a marathon
32 oz
307
High doses of which vitamin will interfere w/ levodopa
pyridoxine
308
Levodopa is used in the treatment of
Parkinson's disease
309
Quickly stopping a 25% dextrose solution leads to
hypoglycemia
310
Infants born to mothers w/ diabetes may be
larger than normal, and be hypoglycemic shortly after birth
311
Most important advice to give to someone w/ a peptic ulcer
abstain from spicy foods
312
A tube fed pt develops diarrhea; what should be done
review the osmolality of the feeding
313
A pt admitted to the ICU is diagnosed w/ HIV and progressive infection, which nutrients would be helpful
phosphorus and zinc
314
Why would you add bicarbonate to a solution for a person w/ hyperkalemia
it exchanges hydrogen for potassium
315
A pt w/ Parkinson's disease on Levodopa should
minimize protein at breakfast and lunch and add it to the evening meal
316
Food to recommend for a pt w/ mild dysphagia
Pudding
317
Lactic acid is a result of
anaerobic glycolysis
318
Medicare reimbursement depends on two things:
age of patient and primary diagnosis
319
A pt is diagnosed w/ iatrogenic malnutrition; nutrition therapy should be
high calorie, high protein
320
w/ 2-3 hours of continuous exerciser at 60-80% muscle glycogen
is depleted
321
To maintain hydration during continuous endurance physical activity of 4hrs, consume
Fluids, sodium, and CHO
322
To restore hydration after continuous endurance activity of 2 hours consume:
fluid, CHO, and sodium
323
The test that measures toxic levels of lead on heme synthesis is the
free erythrocyte protopophyrin test
324
Nutrition intervention w/ Alzheimer's disease should include
offering one food at a time w/ no distractions
325
Anasarca is extreme generalized edema and swelling of the skin associated w/
heart, liver, or renal failure
326
Metaformin functions by
enhancing insulin action
327
If an infant is constipated it can be a sign of
not enough fluids
328
A client who eats frozen dinners and breakfast cereals b/c no access to transportation may have a nutrition diagnosis of
impaired ability to prepare meals
329
A pt complains of abdominal distention, mouth lesions, and a 10% weight loss in the past 6 months, the diagnosis may be
impaired nutrient ultilization
330
A pt with radiation therapy to head and neck presents w/ weight loss; the diagnosis may be
swallowing difficulty
331
When working w/ pts who have food allergies in a pediatric GI clinic, what should be measured
reduction of food related reactions among pts
332
What is an achievable outcome for a weight loss program
reduce by 10% the number of obese adults, ages 25-49 within two years of starting the program
333
A child w/ cystic fibrosis has had a recent weight loss and several large, foul smelling stools, the first step is to asses her
compliance w/ PERTS
334
A pt w/ diabetes has not eaten for more than 3 days, you should
liberalize the diet
335
Nutrition screening in a hospital will
provide directions for patient care
336
A child has chronic non-specific diarrhea w/o malaborption, an increased intake of what can be the cause
soritol
337
An infant is receiving formula; you should monitor
weight and intake
338
A pt on warfarin should avoid
black cohosh
339
The best way to follow up on a pt instructions for a diet is for them to provide you a
food diary
340
Hyperlipidemia is associated with ____ therapy
cyclosporine
341
An infant w/ hypersensitivity could safely consume
a casein hydrolysate formula
342
Dietary intake is included in
subjective global assessment
343
An indication to use a protein hydrolysate infant formula is
protein hypersensitivity
344
A good source of folate is
black beans
