Deck 20: Diet in Digestive Disease

Question 1

A client with alcoholism and cirrhosis of the liver is admitted after 2 days of vomiting and diarrhea. The physician orders a hydrating solution of 5% dextrose in water intravenously. If thiamin is not included in that order, the nurse should inquire about it because:
1) Thiamin is necessary to predigest the dextrose for immediate absorption
2) Intravenous glucose without thiamin in the cirrhosis client can precipitate the Wernicke-Korsakoff syndrome
3) Thiamin prevents folic acid stores from being diluted by the hydrating solution
4) Deficiency of thiamin causes delirium tremens

Answer 1

2

Question 2

Which of the following diseases is suspected of having an autoimmune component?
1) Celiac disease
2) Crohn's disease
3) Ulcerative colitis
4) All of the above

Answer 2

4

Question 3

Nutrients especially needed by surgical clients include protein, vitamins C and K, and zinc. Protein is necessary to build scar tissue and to:
1) Control edema in the wound
2) Correct anemia
3) Make antibodies
4) Prevent ketosis

Answer 3

1

Question 4

Clients who have had resection of which of the following are vulnerable to vitamin B₁₂ deficiency?
1) Duodenum
2) Jejunum
3) Ileum
4) Liver

Question 5

The systemic effects of the dumping syndrome are:
1) Bradycardia, dyspnea, and polyuria
2) Headache, blurred vision, and hypertension
3) Nausea, vomiting, and diarrhea
4) Weakness, sweating, and hypotension

Question 6

Which of the following is allowed on a low-fat diet?
1) French fries
2) Spare ribs
3) Avocado
4) Frozen yogurt

Question 7

The "E" in the CAGE questionnaire stands for:
1) "Have you ever felt guilty about your drinking?"
2) "Have you ever needed to start the day with a drink?"
3) "Have you ever had a need to decrease your drinking?"
4) "Have people irritated you with criticism about your drinking?"

Question 8

Which of the following items is associated with tightening the cardiac sphincter?
1) Alcohol
2) Peppermint
3) Chocolate
4) Protein

Question 9

A client with which of the following conditions is likely to be given pancreatic enzymes (pancrelipase) before meals?
1) Cholecystitis
2) Cystic fibrosis
3) Diabetes
4) Hiatal hernia

Question 10

The self-treatment for diarrhea in healthy adults includes which of the following?
1) Nothing by mouth for 24 hours
2) When beginning clear liquids, use milk cautiously
3) When taking full-liquid diet, include banana for pectin content
4) Avoiding very hot, very cold, and caffeine-containing beverages

Question 11

Which of the following are least likely to cause the ostomy client problems?
1) Eggs, green pepper, and corn
2) Applesauce, cheese, and pasta
3) Beans, fish, and diet soda
4) Broccoli, beer, and cauliflower

Question 12

To reduce the risk of gallstones, clients could be advised to:
1) Eat breakfast
2) Limit fluid intake after supper
3) Eliminate fats from their diets
4) Add vinegar to cooked vegetables

Question 13

Clients with hepatitis and cirrhosis of the liver are likely to consume their best intake at:
1) Breakfast
2) Lunch
3) Dinner
4) Bedtime

Question 14

The client with dumping syndrome should be taught to:
1) Drink plenty of fluids with meals
2) Lie down after meals
3) Limit protein to 30 g/day
4) Eat high-carbohydrate meals

Question 15

Which of the following statements about peptic ulcer treatment is true?
1) Modern medications are almost always effective without a drastic change in diet.
2) Avoidance of alcohol and coffee is required to promote healing.
3) Whole milk is advised to neutralize gastric acid.
4) Surgery for peptic ulcer cures the disease with no long-term nutritional effects.

Question 16

When diet modification is advisable, the client with cholecystitis will most likely require which type of diet?
1) Low protein
2) Low fat
3) Low residue
4) Low carbohydrate

Question 17

A client with acute colitis will probably be prescribed which type of diet?
1) High protein
2) Low fat
3) Low fiber
4) Sodium restricted

Question 18

Ascites in the client with cirrhosis of the liver is worsened by sodium retention and:
1) Jaundice
2) Diuresis
3) Diaphoresis
4) Hypoalbuminemia

Question 19

Which of the following dietary modifications is suggested for gastroesophageal reflux disease (GERD)?
1) Consuming a small glass of wine with meals
2) Taking mint lozenges after meals
3) Planning small, frequent meals that include protein
4) Substituting decaffeinated coffee for regular

Question 20

Ms. P is a 78-year-old resident of a home for the aged where independence is the norm. She is being taught a diet for hiatal hernia. Selection of which of the following foods indicates that she understands the instructions?
1) Chocolate milk, tomato soup, and nut bread
2) Decaffeinated coffee, tuna salad, and orange sections
3) Peppermint tea, coleslaw, and fried egg
4) Skim milk, canned carrots, and lean roast pork

Question 21

Which of the following factors has not been implicated in the etiology of inflammatory bowel disease?
1) Autoimmune reaction to bacterial flora in the bowel
2) Environmental factors
3) Genetic susceptibility
4) Reactivation of a viral infection

Question 22

The American Society of Anesthesiologists' guidelines suggest which of the following intakes is permissible for healthy individuals undergoing elective procedures?
1) White grape juice until 2 hours before the procedure
2) Breast milk until 2 hours before scheduled surgery
3) Infant formula 4 hours before an elective procedure begins
4) Meal containing roast chicken 6 hours before scheduled surgery

Question 23

All but one of the following measures can be helpful in treating postprandial hypotension except:
1) Eating small, frequent meals
2) Limiting carbohydrate intake
3) Resting in a recliner after eating
4) Increasing fiber intake

Question 24

The recommended fiber intake for clients with uncomplicated diverticulosis is how many grams per day?
1) 15
2) 30
3) 45
4) 60

Question 25

Which of the following practices should be avoided to prevent traveler's diarrhea?
1) Drinking sealed carbonated beverages without ice
2) Buying foods from street vendors
3) Eating cooked foods piping hot
4) Selecting dry foods such as bread and cereal