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WGU D440 HEALTH AND WELLNESS THROUGH NUTRITIONAL SCIENCE WITH QUESTIONS AND CORRECT ANSWERS

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Pass WGU D440 Health and Wellness Through Nutritional Science with this comprehensive study guide featuring actual questions and correct answers. Covers macronutrients (carbohydrates: 225-325g DRI, fiber types soluble/insoluble, glycemic index; proteins: complete/incomplete, indispensable amino acids, kwashiorkor vs marasmus, nitrogen balance; fats: saturated vs unsaturated, trans fats, lipoproteins LDL/HDL, essential fatty acids linoleic/alpha-linolenic, eicosanoids, chylomicrons), micronutrients (fat-soluble vitamins: A vision/skin, D calcium absorption/hypercalcemia toxicity, E antioxidant, K clotting factors; water-soluble vitamins: B complex, B12 deficiency anemia neurological, C antioxidant collagen synthesis, thiamin/riboflavin/niacin/folate; minerals: sodium hypertension, potassium cardiac arrhythmias, calcium bone health, magnesium deficiency tetany, iron deficiency anemia, phosphorus, chloride, iodine goiter, selenium Kashin-Bek disease), energy metabolism (basal energy expenditure BEE, resting energy expenditure REE, total energy expenditure TEE Mifflin-St Jeor calculation, kilocalories fat 9kcal/g vs carbs/protein 4kcal/g, glycogen storage liver muscle, Krebs cycle, catabolism vs anabolism), body composition (BMI categories, nutrient-dense foods, energy balance, caloric density), digestion and absorption (mechanical digestion, peristalsis, chemical digestion enzymes: lingual lipase, gastric juice, pancreatic lipase, cholecystokinin CCK, secretin, bile salts emulsification, micelles, chylomicrons, lacteals; absorption sites small intestine jejunum, mucosal folds villi microvilli; celiac disease gluten-free, lactose intolerance, dysphagia, dumping syndrome), hydration and electrolytes (total body water, intracellular vs extracellular fluid, interstitial fluid, plasma, cations sodium potassium, anions chloride phosphate, antidiuretic hormone ADH, aldosterone, renin-angiotensin-aldosterone system, osmolality, dehydration causes, hypernatremia, hyponatremia, acid-base balance pH 7.35-7.45, metabolic acidosis/alkalosis, respiratory acidosis/alkalosis, bicarbonate buffer system), life stage nutrition (pregnancy: folate 400mcg preconception neural tube defects, DHA, increased vitamin D; lactation: unlimited breastfeeding; infant: high body water content; older adults: vitamin B12 fortified foods, sodium restriction 1500mg/day heart failure), clinical nutrition (enteral nutrition: nasogastric, nasoenteric, gastrostomy, percutaneous endoscopic, aspiration risk; parenteral nutrition: central line subclavian vein, peripheral line osmolality considerations; refeeding syndrome; renal disease: protein restriction, glomerular filtration rate GFR stages, anemia erythropoietin, osteodystrophy, dialysis; cardiovascular disease: atherosclerosis plaque fibrin calcium cholesterol, DASH diet hypertension, statin therapy, sodium reduction CHF; hepatic disease: cirrhosis ascites jaundice, hepatic encephalopathy, esophageal varices; GI disorders: Crohn's disease bowel obstruction, ulcerative colitis, diverticular disease, cholelithiasis gallstones low-fat diet, cholecystitis, pancreatitis, GERD hiatal hernia; cancer: radiation therapy mouth lesions, xerostomia), food-drug interactions (warfarin and vitamin K consistency, grapefruit juice with nifedipine, allopurinol fluid intake, orlistat fat restriction 30%, ciprofloxacin avoid calcium-fortified juices, ginseng valerian with alprazolam), dietary guidelines (MyPlate: fruits vegetables grains protein dairy, Healthy People 2030 nutrition objectives, Dietary Reference Intakes DRI: RDA AI UL EAR, Tolerable Upper Intake Level, estimated energy requirement, Dietary Guidelines for Americans), and nutrition assessment (BMI calculation, predictive formula reliability, ventilated hood BEE measurement, doubly labeled water, food frequency, 24-hour recall, laboratory markers prealbumin albumin). Essential for nursing and nutritional science students.

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WGU D440 HEALTH AND WELLNESS THROUGH NUTRITIONAL
SCIENCE WITH QUESTIONS AND CORRECT ANSWERS


Nutrient-dense food - ANS... -Foods that are high in nutrients relative to their
calorie content.

Normal bodily functions - ANS... -Essential physiological processes necessary for
sustaining life.

Tissue growth and repair - ANS... -The process of cellular regeneration and
recovery in the body.

Body temperature regulation - ANS... -The ability of the body to maintain its
internal temperature within a certain range.

Predictive formula reliability - ANS... -Factors that can affect the accuracy of
predictions made by formulas, such as disease state and age.

Congenital hypothyroidism - ANS... -A metabolic condition present at birth that
affects thyroid function.

Hormone levels - ANS... -The concentration of hormones in the body that can
influence various physiological functions.

Body Mass Index (BMI) - ANS... -A measurement that uses height and weight to
assess body fat and categorize individuals.

Carbohydrates - ANS... -A macronutrient that is a primary source of energy for the
body.

Energy balance - ANS... -The state achieved when the calories consumed equal the
calories expended over time.

Basal energy expenditure - ANS... -The number of calories required to keep your
body functioning at rest.

Ventilated hood - ANS... -A method used to measure the basal energy expenditure
of athletes with high accuracy.

,Respiratory effort - ANS... -The energy expended during breathing, which is
significant in metabolic conditions.

Estimated energy requirement - ANS... -Guidelines for daily energy intake based
on age, sex, height, weight, and physical activity.

Non-nutritive sweeteners - ANS... -Sweeteners that provide no calories.

Insoluble fiber - ANS... -A type of fiber that helps the digestive tract hold water.

Mechanical digestion - ANS... -The physical breakdown of food into smaller
pieces.


Recommended daily intake of vitamin C - ANS... -125 mg/day is recommended for
a patient who smokes approximately half a pack of cigarettes per day.

Thiamin deficiency - ANS... -Deficiency of thiamin can cause symptoms of
constipation, poor appetite, fatigue, and malaise.

Riboflavin sources for vegetarians - ANS... -Milk, soybeans, and enriched cereal
can increase riboflavin in the diet.

Vitamin D toxicity signs - ANS... -Hypercalcemia and hypercalciuria indicate that
a patient is experiencing vitamin D toxicity.

Zeaxanthin function - ANS... -Zeaxanthin is specifically associated with the
prevention of age-related macular degeneration.

Vitamin D measurement - ANS... -Vitamin D is measured in international units.

Nutrient that breaks down to yield energy - ANS... -Fats, Proteins, Carbohydrates

Household with the highest risk for food insecurity - ANS... -All household with
children

National goal of the Healthy People 2030 initiative under Nutrition and Healthy
Eating - ANS... -Promoting access to healthier food, Increasing iron intake,
Improving nutrition in healthcare settings

,Major theme identified in the most recent major report in the Healthy People series
- ANS... -Weight control, Healthy choices in diet, Education about risk factors for
disease

Nurse's response to a patient who dislikes milk but needs calcium - ANS... -"Let's
explore some other dietary options."

Type of fat that should be limited in the diet according to Dietary Guidelines for
Americans - ANS... -Trans fats, Saturated fats, Hydrogenated fats

Resource available on the MyPlate website for nursing students - ANS... -Sample
menus based on sex and age, Easy-to-read fact sheets, Healthy recipes

Nutritional element that may cause fatigue according to the nurse's hypothesis -
ANS... -Vitamins, Minerals, Dietary fiber, Low-fat dairy

Basis of MyPlate food guidelines - ANS... -Recommendations designed to help
Americans make better food choices

Current patterns of consumption - ANS... -Current trends and habits regarding food
intake.

The 2020-2025 Dietary Guidelines for Americans - ANS... -A set of
recommendations for healthy eating patterns and nutrition.

Dietary references intakes (DRIs) - ANS... -A system of nutrition
recommendations that includes various dietary reference values.

Which dietary element does the nurse know is included on the MyPlate visual? -
ANS... -Fruit, Grains, Vegetables, Protein

How many kilocalories are consumed when eating 16g of fat? - ANS... -144; there
are 9 kcal in each gram of fat. To determine the amount of kcal in 16g of fat, 9 kcal
is multiplied by 16g. There are 144 kcal in 16g of fat.

Which provides an essential base for all metabolic processes? - ANS... -Water

Which dietary reference intake (DRI) panel was developed by the Food and
Nutrition Board of the Institute of Medicine? - ANS... -Antioxidants, Trace
elements, Folate and other B vitamins

, Which are the preferred reference values for evaluating diets in healthy people? -
ANS... -Dietary reference intakes

In which category of the daily recommended intake of (DRI) interconnected
categories will the patient fall if a diet that is 35% fat is consumed? - ANS... -
Tolerable upper intake level

Which special nutrient should an older woman include in her meal plan? - ANS... -
Foods fortified with vitamin B12

Which nutrient DRIs were increased to promote bone health? - ANS... -Calcium
and Vitamin D

What is the recommended daily sodium intake for an older patient with heart
failure? - ANS... -1500 mg/day

Which statement defines resting energy expenditure (REE)? - ANS... -It is the
amount of energy (in kcal) needed by the body for the maintenance of life at rest
over a 24-hour period.

Calculate the total energy expenditure (TEE) using Mifflin-St. Jeor formula for a
patient who is mildly obese. - ANS... -1685 kcal/day; Patient height in inches: (5
feet x 12 in/ft) + 4 in = 64 in. Patient's height in cm: 64 in x 2.54 cm/in = 162.56.
Patient's weight in kg: 178 lbs / 2.2 lbs/kg = 80.91. Multiply the patient's height,
weight, and age to the respective numbers in the formula before adding height and
weight together and subtracting the age total and 161. Then complete the formula
by multiplying the total by the PA. TEE = [(10 x 80.91) + (6.25 x 162.56) - (5 x
52) - 161] x 1.2 = 1685 kcal/day.

In a well-nourished person, which anatomical structure holds a 12 to 48-hour
reserve of glycogen, a source of stored energy? - ANS... -Muscle, Liver

The clinician is measuring the basal energy expenditure (BEE) of a patient using
food consumption and physical activity records. Which factor can increase the
BEE? - ANS... -Increased physical activity or muscle mass.

Increased lean body mass - ANS... -A condition where there is an increase in the
amount of lean tissue in the body.

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