NURS 3370: EXAM 2 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
prebiotics
"fertilizer" for the gut; feeds gut to grow bacteria; garlic, onions, bananas, asparagus
probiotics
lactose bacillus, bacteremia; live bacteria; supplementation, yogurt, aged cheeses, miso
soup
anti-inflammatory diets
fresh fruits and vegetables; antioxidants; Mediterranean or DASH diet; plant based
three stages of swallowing
oral preparation (voluntary, tongue pressing on food), pharyngeal transit, esophageal
transit (peristalsis, involuntary)
dysphagia nutrition
diets individualized on the basis of swallowing ability and food preference; ability to
swallow solids and liquids evaluated; features of food to consider and modify= texture,
cohesiveness, density, viscosity, temperature, taste; use of thickening agents;
dehydration concerns; positioning; look for food pocketing, drooling, etc;
dysphagia swallowing aids
encourage patient to think/talk about food before meals (can help stimulate flow of
saliva, aids in formation of bolus, chewing and swallowing process); tart or sour foods
(stimulate saliva production); have pt lick jelly from lips, pucker, hum, or whistle (helps
, strengthen mouth muscles, may help pt learn to close lips around fork or spoon); nurse
responsibilities= safe procedures, supervision, documentation of intake, mealtime
environment)
GERD nutrition
avoidance of certain foods, especially those high in fat that increase sphincter relaxation
and potential reflux; foods such as chocolate, alcohol, peppermint, spearmint, liqueurs,
caffeine, spicy, and high-acid foods can irritate the esophagus; meds= cardiac; spanks,
lying down after eating (wait >4 hours), smoking
esophageal and hiatal hernia nutrition
avoid certain foods, especially those high in fat; avoid large meals; meds= PPIs, pepcid;
wait 2 hours after eating to lay down
peptic ulcer disease nutrition
no need for special diet or bland diet; high-quality diet with suffice; elimination of foods
that may worsen damage to lining of esophagus, stomach, or duodenum such as red
and black pepper, chili pepper, coffee, caffeine, and alcohol (spicy food); smoking
cessation
gas and flatulence
cased by swallowing air/ carbonated beverages (chewing gum, eating too fast); flatus=
gas produced by food digestion and fermentation by intestinal bacteria (beans, lentils,
broccoli, cabbage); nutrition= avoid gas-forming foods on a trial basis (increase fluid
intake), remain upright for 30 minutes after meals (let food digest)
constipation nutrition
COMPLETE SOLUTIONS VERIFIED
prebiotics
"fertilizer" for the gut; feeds gut to grow bacteria; garlic, onions, bananas, asparagus
probiotics
lactose bacillus, bacteremia; live bacteria; supplementation, yogurt, aged cheeses, miso
soup
anti-inflammatory diets
fresh fruits and vegetables; antioxidants; Mediterranean or DASH diet; plant based
three stages of swallowing
oral preparation (voluntary, tongue pressing on food), pharyngeal transit, esophageal
transit (peristalsis, involuntary)
dysphagia nutrition
diets individualized on the basis of swallowing ability and food preference; ability to
swallow solids and liquids evaluated; features of food to consider and modify= texture,
cohesiveness, density, viscosity, temperature, taste; use of thickening agents;
dehydration concerns; positioning; look for food pocketing, drooling, etc;
dysphagia swallowing aids
encourage patient to think/talk about food before meals (can help stimulate flow of
saliva, aids in formation of bolus, chewing and swallowing process); tart or sour foods
(stimulate saliva production); have pt lick jelly from lips, pucker, hum, or whistle (helps
, strengthen mouth muscles, may help pt learn to close lips around fork or spoon); nurse
responsibilities= safe procedures, supervision, documentation of intake, mealtime
environment)
GERD nutrition
avoidance of certain foods, especially those high in fat that increase sphincter relaxation
and potential reflux; foods such as chocolate, alcohol, peppermint, spearmint, liqueurs,
caffeine, spicy, and high-acid foods can irritate the esophagus; meds= cardiac; spanks,
lying down after eating (wait >4 hours), smoking
esophageal and hiatal hernia nutrition
avoid certain foods, especially those high in fat; avoid large meals; meds= PPIs, pepcid;
wait 2 hours after eating to lay down
peptic ulcer disease nutrition
no need for special diet or bland diet; high-quality diet with suffice; elimination of foods
that may worsen damage to lining of esophagus, stomach, or duodenum such as red
and black pepper, chili pepper, coffee, caffeine, and alcohol (spicy food); smoking
cessation
gas and flatulence
cased by swallowing air/ carbonated beverages (chewing gum, eating too fast); flatus=
gas produced by food digestion and fermentation by intestinal bacteria (beans, lentils,
broccoli, cabbage); nutrition= avoid gas-forming foods on a trial basis (increase fluid
intake), remain upright for 30 minutes after meals (let food digest)
constipation nutrition
