HNF 471 FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Diet Therapy for Pernicious Anemia
- High protein diet for liver function and RBC production (1.5 g/kg) (meat, eggs, milk)
- focus on leafy green vegetables (contain folic acid, iron for RBC production)
Diet therapy for folate deficiency anemia
- reduce EtOH
- consume high folate foods (fortified cereals, lettuce, broccoli, etc)
MNT for malnourished patients
protein and energy dense foods (oral nutrition supplements like Boost, cheese, nuts,
etc)
- If there's socioeconomic issues refer them to social worker to get resources like SNAP
- alternative nutrition support after 5-7 days
- offer snacks + drinks at other times other than meal times
MNT for malnourished pts with early satiety
small frequent meals, avoid a lot of liquids that are not energy dense, separate liquids
and foods, avoid high-fat foods that tend to sit in the stomach longer, nutrient dense
foods, maximize proteins and calories in meals, add sauces to things, smoothies with
protein powder, make every bite count
MNT for malnourished pts that have taste changes
room temp foods, plastic cutlery, spices, sugar-free hard candy to stimulate saliva
production before meal
, MNT for malnourished pts that have N/V
- avoid favorite foods to avoid taste aversions
MNT for malnourished pts that don't like hospital food
give them options, ask about what they like, enhance flavor with spices and sauces,
recommend things on the menu that are better, tray tests to make sure things taste
good and are served at proper temp
MNT for pts with ill-fitting or absent dentures
altered texture (smaller pieces), soft foods
Nutrition Interventions for stomatitis
- If temp sensitive, serve foods closer to room temp
- caffeine, alcohol, tobacco products, acidic foods, or spicy foods may cause discomfort
- oral glutamine supplementation?
MNT for GERD
- avoid: acidic foods, spicy foods, fatty foods, alcohol, coffee
- smaller meals
- avoid eating for several hours before bedtime
- consume foods high in calcium and B12 at the same time
Dietary management of eosinophilic esophagitis
avoid food allergens
Dietary Management Ulcers
- similar to GERD
- highly personal, some foods causing problems but others are ok
MNT for active GI bleed
COMPLETE SOLUTIONS VERIFIED GRADED A++
Diet Therapy for Pernicious Anemia
- High protein diet for liver function and RBC production (1.5 g/kg) (meat, eggs, milk)
- focus on leafy green vegetables (contain folic acid, iron for RBC production)
Diet therapy for folate deficiency anemia
- reduce EtOH
- consume high folate foods (fortified cereals, lettuce, broccoli, etc)
MNT for malnourished patients
protein and energy dense foods (oral nutrition supplements like Boost, cheese, nuts,
etc)
- If there's socioeconomic issues refer them to social worker to get resources like SNAP
- alternative nutrition support after 5-7 days
- offer snacks + drinks at other times other than meal times
MNT for malnourished pts with early satiety
small frequent meals, avoid a lot of liquids that are not energy dense, separate liquids
and foods, avoid high-fat foods that tend to sit in the stomach longer, nutrient dense
foods, maximize proteins and calories in meals, add sauces to things, smoothies with
protein powder, make every bite count
MNT for malnourished pts that have taste changes
room temp foods, plastic cutlery, spices, sugar-free hard candy to stimulate saliva
production before meal
, MNT for malnourished pts that have N/V
- avoid favorite foods to avoid taste aversions
MNT for malnourished pts that don't like hospital food
give them options, ask about what they like, enhance flavor with spices and sauces,
recommend things on the menu that are better, tray tests to make sure things taste
good and are served at proper temp
MNT for pts with ill-fitting or absent dentures
altered texture (smaller pieces), soft foods
Nutrition Interventions for stomatitis
- If temp sensitive, serve foods closer to room temp
- caffeine, alcohol, tobacco products, acidic foods, or spicy foods may cause discomfort
- oral glutamine supplementation?
MNT for GERD
- avoid: acidic foods, spicy foods, fatty foods, alcohol, coffee
- smaller meals
- avoid eating for several hours before bedtime
- consume foods high in calcium and B12 at the same time
Dietary management of eosinophilic esophagitis
avoid food allergens
Dietary Management Ulcers
- similar to GERD
- highly personal, some foods causing problems but others are ok
MNT for active GI bleed
