Nurs 3010 Final Exam questions with correct answers
What are common signs of dysphagia you'd want to be able to recognize
in your patients? Which type of healthcare professional should be
consulted to assess a patient's swallowing if you suspect dysphagia?
Correct Answer-repeated episodes of aspiration pneumonia (food/drinks
going down the wrong throat), very slow chewing, frequent throat
cleaning, fatigue from eating, food "sticking" in throat, pocketing food
in cheeks, and coughing or choking during eating. consult with a speech-
language pathologist
What causes most peptic ulcers? What is the second most common
cause? Should these patients eat a bland diet or a well-balanced, healthy
diet and why? Correct Answer-taking a lot of ibuprofen long term use of
NSAIDs, and others are caused by excess stress, acid, and spicy food.
eat a well balanced diet not a bland one as the
antioxidants/phytochemicals will reduce oxidative stress and promote
epithelial regeneration, maintains a healthy gut microbiota and increases
microbiota diversity, and it corrects any nutrient deficiencies that could
be contributing to compromised tissue integrity.
Although Cystic Fibrosis is a pulmonary disease, it greatly impacts the
GI system. Know the following medical nutrition therapy (MNT) for
cystic fibrosis:-Do these clients have higher or lower energy needs than
the general population? Energy= calories -Which two nutrients do we
not want to restrict in these clients that we would otherwise limit for
most people? (hint: one is a macronutrient and one is a mineral) -How
do we treat pancreatic enzyme insufficiency for these patients? How
often do they need to take this medication each day? Correct Answer--
high-energy diet required (110%-120% energy needs of general
population) -encourage high-fat foods without dietary restriction WHAT
,IS THE MINERAL ASK IN CLASS is it salt?? -enzyme replacement
products (ex pancrelipase) contain the normal pancreatic enzymes for
each entry nutrient and pancreatic enzyme replacement therapy is
required for macronutrient digestion
What are two childhood environmental exposures that increase the risk
for developing inflammatory bowel disease? Correct Answer-
breastfeeding and the overuse of antibiotics
Why does Crohn's inflammatory bowel disease have more micronutrient
deficiencies than ulcerative colitis? Which two micronutrient
deficiencies can ulcerative colitis cause? Correct Answer-UC doesn't
have as many deficiencies due to the location of the inflammation. can
result in vitamin k deficiency and iron deficiency anemia
When would be the only time you would recommend a low fiber diet to
someone with inflammatory bowel disease? There are two situations.
Correct Answer-only during acute attacks or with strictures
What is the diet or eating pattern most used to treat irritable bowel
syndrome (IBS)? Why is this such a restrictive diet and how could
patients avoid restricting unnecessary foods using this diet to help with
IBS? Correct Answer-eliminate food allergens or intolerances. this is a
restrictive diet because it is so individualized so it is recommended to
use a FODMAP
Understand the difference for fiber recommendations between
diverticulosis and diverticulitis. In what situation would a patient be
, placed on nothing by mouth (NPO) or clear liquids for an episode of
diverticulitis? Correct Answer-diverticulosis: increase fiber from 26
g/day to 45 g/day
diverticulitis: low fiber diet till the inflammation and bleeding resolves.
NPO or clear liquids if you have bloody diarrhea and want to stop it
ASAP
What are 4 dietary and/or lifestyle suggestions you can give to your
patients who ask you how to treat constipation besides using
medication? Use lecture slide. Correct Answer-avoid laxative/enema
dependence, try drinking at least 64 oz fluid/day, consuming enough
fiber each day, getting physical activity each day, and pro/prebiotic
Which body system does a food allergy affect? Which body system does
a food intolerance affect? Correct Answer-food allergy affects immune
system, food intolerances affect digestive system
Know the following about Celiac Disease: -How does exposure to gluten
affect the lining of the GI tract for those with Celiac Disease? -What
affect does this have on macronutrient and micronutrient absorption? -
What would be your advice to a patient who tells you he or she is
purposely avoiding gluten prior to being tested for Celiac? Correct
Answer--damages the mucosal surface of the small intestine leaving villi
that are malformed and with few remaining functional microvilli -this
injured mucosa effectively reduces the surface area for micronutrient
and macronutrient absorption -i would tell them to still consume gluten
as the test will need to show more than 10-fold higher than the upper
normal limit and will need to go through another test to see if it is
What are common signs of dysphagia you'd want to be able to recognize
in your patients? Which type of healthcare professional should be
consulted to assess a patient's swallowing if you suspect dysphagia?
Correct Answer-repeated episodes of aspiration pneumonia (food/drinks
going down the wrong throat), very slow chewing, frequent throat
cleaning, fatigue from eating, food "sticking" in throat, pocketing food
in cheeks, and coughing or choking during eating. consult with a speech-
language pathologist
What causes most peptic ulcers? What is the second most common
cause? Should these patients eat a bland diet or a well-balanced, healthy
diet and why? Correct Answer-taking a lot of ibuprofen long term use of
NSAIDs, and others are caused by excess stress, acid, and spicy food.
eat a well balanced diet not a bland one as the
antioxidants/phytochemicals will reduce oxidative stress and promote
epithelial regeneration, maintains a healthy gut microbiota and increases
microbiota diversity, and it corrects any nutrient deficiencies that could
be contributing to compromised tissue integrity.
Although Cystic Fibrosis is a pulmonary disease, it greatly impacts the
GI system. Know the following medical nutrition therapy (MNT) for
cystic fibrosis:-Do these clients have higher or lower energy needs than
the general population? Energy= calories -Which two nutrients do we
not want to restrict in these clients that we would otherwise limit for
most people? (hint: one is a macronutrient and one is a mineral) -How
do we treat pancreatic enzyme insufficiency for these patients? How
often do they need to take this medication each day? Correct Answer--
high-energy diet required (110%-120% energy needs of general
population) -encourage high-fat foods without dietary restriction WHAT
,IS THE MINERAL ASK IN CLASS is it salt?? -enzyme replacement
products (ex pancrelipase) contain the normal pancreatic enzymes for
each entry nutrient and pancreatic enzyme replacement therapy is
required for macronutrient digestion
What are two childhood environmental exposures that increase the risk
for developing inflammatory bowel disease? Correct Answer-
breastfeeding and the overuse of antibiotics
Why does Crohn's inflammatory bowel disease have more micronutrient
deficiencies than ulcerative colitis? Which two micronutrient
deficiencies can ulcerative colitis cause? Correct Answer-UC doesn't
have as many deficiencies due to the location of the inflammation. can
result in vitamin k deficiency and iron deficiency anemia
When would be the only time you would recommend a low fiber diet to
someone with inflammatory bowel disease? There are two situations.
Correct Answer-only during acute attacks or with strictures
What is the diet or eating pattern most used to treat irritable bowel
syndrome (IBS)? Why is this such a restrictive diet and how could
patients avoid restricting unnecessary foods using this diet to help with
IBS? Correct Answer-eliminate food allergens or intolerances. this is a
restrictive diet because it is so individualized so it is recommended to
use a FODMAP
Understand the difference for fiber recommendations between
diverticulosis and diverticulitis. In what situation would a patient be
, placed on nothing by mouth (NPO) or clear liquids for an episode of
diverticulitis? Correct Answer-diverticulosis: increase fiber from 26
g/day to 45 g/day
diverticulitis: low fiber diet till the inflammation and bleeding resolves.
NPO or clear liquids if you have bloody diarrhea and want to stop it
ASAP
What are 4 dietary and/or lifestyle suggestions you can give to your
patients who ask you how to treat constipation besides using
medication? Use lecture slide. Correct Answer-avoid laxative/enema
dependence, try drinking at least 64 oz fluid/day, consuming enough
fiber each day, getting physical activity each day, and pro/prebiotic
Which body system does a food allergy affect? Which body system does
a food intolerance affect? Correct Answer-food allergy affects immune
system, food intolerances affect digestive system
Know the following about Celiac Disease: -How does exposure to gluten
affect the lining of the GI tract for those with Celiac Disease? -What
affect does this have on macronutrient and micronutrient absorption? -
What would be your advice to a patient who tells you he or she is
purposely avoiding gluten prior to being tested for Celiac? Correct
Answer--damages the mucosal surface of the small intestine leaving villi
that are malformed and with few remaining functional microvilli -this
injured mucosa effectively reduces the surface area for micronutrient
and macronutrient absorption -i would tell them to still consume gluten
as the test will need to show more than 10-fold higher than the upper
normal limit and will need to go through another test to see if it is
