Deck 21: Diseases of the Respiratory System
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Deck 21: Diseases of the Respiratory System
1
Which of the following techniques would be used to detect rales?
A)percussion
B)auscultation
C)spirometry
D)pulse oximetry
A)percussion
B)auscultation
C)spirometry
D)pulse oximetry
B
2
Smokers have a higher daily requirement than non-smokers for which vitamin?
A)A
B)C
C)E
D)K
A)A
B)C
C)E
D)K
B
3
Which antibody is most associated with asthma?
A)IgG
B)IgE
C)IgA
D)IgD
A)IgG
B)IgE
C)IgA
D)IgD
B
4
In the acid-base imbalance alkalosis, what happens to respiratory activity?
A)increases
B)stays the same
C)decreases
D)it is irrelevant
A)increases
B)stays the same
C)decreases
D)it is irrelevant
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5
In general, the energy needs of an infant with BPD are _____ higher than those of normal infants in order to support lung function and growth
A)50-55%
B)15-25%
C)30%
D)70%
A)50-55%
B)15-25%
C)30%
D)70%
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6
Which of the following would be included in an ABG evaluation?
A)FEV
B)O₂ saturation
C)FVC
D)minute ventilation
A)FEV
B)O₂ saturation
C)FVC
D)minute ventilation
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7
Bronchopulmonary dysplasia is associated with which population?
A)premature infants
B)children
C)adolescents who were born prematurely
D)adults
A)premature infants
B)children
C)adolescents who were born prematurely
D)adults
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8
Your patient has asthma and her prescribed medication is Singulair What is the action of this medication?
A)bronchodilator
B)corticosteroid
C)inhaler
D)leukotriene antagonist
A)bronchodilator
B)corticosteroid
C)inhaler
D)leukotriene antagonist
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9
Respiratory changes in _____ occur quickly in response to acid-base disturbances, and can help to restore balance by altering the blood pH
A)ABGs
B)FVC
C)FEV1
D)minute ventilation
A)ABGs
B)FVC
C)FEV1
D)minute ventilation
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10
Which of the following terms refers to difficulty breathing?
A)dyspnea
B)dysphagia
C)emphysema
D)hypoxia
A)dyspnea
B)dysphagia
C)emphysema
D)hypoxia
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11
During _____, the patient breathes into a tube attached to a machine which calculates the amount of air the lungs can hold
A)metabolic cart analysis
B)spirometry
C)pulse oximetry
D)percussion
A)metabolic cart analysis
B)spirometry
C)pulse oximetry
D)percussion
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12
Which of the following is a proven intervention for asthma?
A)vitamins C and E
B)omega-3 FA
C)omega-6 FA
D)removing the trigger from the environment
A)vitamins C and E
B)omega-3 FA
C)omega-6 FA
D)removing the trigger from the environment
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13
Gas exchange occurs in the _____ unit
A)bronchi
B)bronchioles
C)blood stream
D)alveolar-capillary
A)bronchi
B)bronchioles
C)blood stream
D)alveolar-capillary
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14
In the acid-base imbalance acidosis, what happens to respiratory activity?
A)increases
B)stays the same
C)decreases
D)it is irrelevant
A)increases
B)stays the same
C)decreases
D)it is irrelevant
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15
Which of the following describes a progressive disease that limits airflow through either inflammation of the lining of the bronchial tubes or destruction of the alveoli?
A)asthma
B)BPD
C)COPD
D)CF
A)asthma
B)BPD
C)COPD
D)CF
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16
Which of the following is not a nutritional concern for a patient with BPD?
A)need for nutrition support
B)weaning off of the ventilator
C)reflux esophagitis
D)fatigue during feeding
A)need for nutrition support
B)weaning off of the ventilator
C)reflux esophagitis
D)fatigue during feeding
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17
Which of the following is NOT a common, contributing factor in the growth failure of infants with bronchopulmonary dysplasia?
A)development of fatigue during eating
B)impaired GI absorption
C)need for fluid restriction
D)increase in resting metabolic rate
A)development of fatigue during eating
B)impaired GI absorption
C)need for fluid restriction
D)increase in resting metabolic rate
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18
Although infants with BPD will have increased protein needs, intakes of greater than 4 g/kg/day should be avoided Why?
A)Excessive protein could promote necrotizing enterocolitis due to immaturity of the GI tract.
B)Excessive protein could stimulate anaphylactic shock.
C)Excessive protein interferes with corticosteroid medications used in the treatment of BPD.
D)Excessive protein increases risk of acidosis due to immaturity of kidneys.
A)Excessive protein could promote necrotizing enterocolitis due to immaturity of the GI tract.
B)Excessive protein could stimulate anaphylactic shock.
C)Excessive protein interferes with corticosteroid medications used in the treatment of BPD.
D)Excessive protein increases risk of acidosis due to immaturity of kidneys.
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19
When including recommendations in your practice for respiratory conditions, which of the following is a limitation?
A)lack of RDs that work with respiratory diseases
B)lack of evidence-based research
C)lack of a strong correlation between nutrition and respiratory disease
D)lack of a certification for respiratory diseases
A)lack of RDs that work with respiratory diseases
B)lack of evidence-based research
C)lack of a strong correlation between nutrition and respiratory disease
D)lack of a certification for respiratory diseases
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20
There is some evidence showing a positive relationship between dietary _____ and healthy lung function
A)macronutrients
B)B vitamins
C)antioxidants
D)minerals
A)macronutrients
B)B vitamins
C)antioxidants
D)minerals
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21
Increased production of abnormal RBC is also a late complication of COPD This is called secondary
A)polycythemia.
B)anemia.
C)cyanosis.
D)clubbing.
A)polycythemia.
B)anemia.
C)cyanosis.
D)clubbing.
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22
The main goal of managing transplant patients is:
A)preventing rejection and its associated complications.
B)maintaining adequate serum protein levels.
C)severe immunosuppression.
D)providing new antibodies to the host.
A)preventing rejection and its associated complications.
B)maintaining adequate serum protein levels.
C)severe immunosuppression.
D)providing new antibodies to the host.
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23
Which of the following is the most common cause of COPD?
A)smoking
B)inadequate vitamin C intake
C)inadequate antioxidant intake
D)air pollution
A)smoking
B)inadequate vitamin C intake
C)inadequate antioxidant intake
D)air pollution
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24
Cystic fibrosis is
A)an autosomal recessive disorder.
B)an autosomal dominant disorder.
C)an X-linked recessive disorder.
A)an autosomal recessive disorder.
B)an autosomal dominant disorder.
C)an X-linked recessive disorder.
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25
Your patient has chronic bronchitis You would expect to see all of the following signs except:
A)cyanosis.
B)cor pulmonale.
C)clubbing.
D)secondary polycythemia.
A)cyanosis.
B)cor pulmonale.
C)clubbing.
D)secondary polycythemia.
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26
Case Study Multiple Choice
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
What is TS's % UBW?
A)99%
B)90.4%
C)104.5%
D)89.6%
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
What is TS's % UBW?
A)99%
B)90.4%
C)104.5%
D)89.6%
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27
The syndrome of cardiac complications that occurs with COPD is called _____ and can lead to _____
A)cor pulmonale, heart failure
B)L ventricular failure, orthopnea
C)cardiomyopathy, L ventricular failure
D)orthopnea, cor pulmonale
A)cor pulmonale, heart failure
B)L ventricular failure, orthopnea
C)cardiomyopathy, L ventricular failure
D)orthopnea, cor pulmonale
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28
The defect seen in CF results in improper transport of:
A)glucose.
B)sodium.
C)chloride.
D)magnesium.
A)glucose.
B)sodium.
C)chloride.
D)magnesium.
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29
The basic nutritional goals for a patient with COPD include:
A)consumption of high-fat diets.
B)limiting fluids.
C)maintaining IBW and LBM.
D)provision of enteral nutritional support.
A)consumption of high-fat diets.
B)limiting fluids.
C)maintaining IBW and LBM.
D)provision of enteral nutritional support.
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30
Overfeeding results in:
A)lipolysis.
B)gluconeogenesis.
C)increased CO₂ retention.
D)hyponatremia.
A)lipolysis.
B)gluconeogenesis.
C)increased CO₂ retention.
D)hyponatremia.
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31
All of the following are nutritional concerns for the CF patient except:
A)glomerulonephritis.
B)increased nutrient needs.
C)pancreatic insufficiency.
D)diabetes.
A)glomerulonephritis.
B)increased nutrient needs.
C)pancreatic insufficiency.
D)diabetes.
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32
A patient has dyspnea, orthopnea, and a barrel chest Which of the following conditions would most likely be suspected?
A)chronic bronchitis
B)emphysema
C)upper respiratory infection
D)pneumonia
A)chronic bronchitis
B)emphysema
C)upper respiratory infection
D)pneumonia
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33
Cystic fibrosis is usually diagnosed by
A)a fecal fat test.
B)a sweat test.
C)genetic mapping.
D)urinalysis.
A)a fecal fat test.
B)a sweat test.
C)genetic mapping.
D)urinalysis.
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34
Case Study Multiple Choice
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
What % weight loss has TS experienced?
A)9.6%
B)5.7%
C)10.6%
D)8.9%
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
What % weight loss has TS experienced?
A)9.6%
B)5.7%
C)10.6%
D)8.9%
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35
Which of the following recommendations would you make to your patient with CF?
A)high-protein, high-kcal, low-fat diet
B)take LCT oil between meals
C)take pancreatic enzymes with meals
D)restrict carbohydrate kcal if DM is present
A)high-protein, high-kcal, low-fat diet
B)take LCT oil between meals
C)take pancreatic enzymes with meals
D)restrict carbohydrate kcal if DM is present
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36
What type of enteral formula is preferred for ARDS patients?
A)high-protein
B)omega-3 enhanced
C)hydrolyzed
D)low-carbohydrate
A)high-protein
B)omega-3 enhanced
C)hydrolyzed
D)low-carbohydrate
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37
Anticholinergics
A)decrease swelling.
B)relax smooth muscle.
C)decrease airway contraction.
A)decrease swelling.
B)relax smooth muscle.
C)decrease airway contraction.
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38
If your patient has respiratory failure in the ICU and is on a mechanical ventilator, generally his or her nutritional needs are:
A)increased.
B)decreased but only slightly.
C)decreased dramatically.
D)the same as those of other patients.
A)increased.
B)decreased but only slightly.
C)decreased dramatically.
D)the same as those of other patients.
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39
Which of the following patients is at highest risk for developing aspiration pneumonia?
A)patient with compromised pyloric sphincter
B)patient with dysphagia
C)someone on a jejunal tube feeding
D)someone who has low gastric residuals
A)patient with compromised pyloric sphincter
B)patient with dysphagia
C)someone on a jejunal tube feeding
D)someone who has low gastric residuals
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40
Beta agonists
A)decrease swelling.
B)relax smooth muscle.
C)decrease airway contraction.
A)decrease swelling.
B)relax smooth muscle.
C)decrease airway contraction.
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41
Case Study Multiple Choice
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
How many kcal/day would be recommended for TS?
A)1512 kcalories
B)1276 kcalories
C)1150 kcalories
D)1654 kcalories
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
How many kcal/day would be recommended for TS?
A)1512 kcalories
B)1276 kcalories
C)1150 kcalories
D)1654 kcalories
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42
Case Study Multiple Choice
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
The registered dietitian is called in on this case How much protein would he/she recommend for TS?
A)47 g
B)52 g
C)70 g
D)99 g
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
The registered dietitian is called in on this case How much protein would he/she recommend for TS?
A)47 g
B)52 g
C)70 g
D)99 g
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43
HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
Because HD is not growing as expected, the registered dietitian may also recommend which of the following as part of his/her overall nutrition plan?
A)EN
B)PN
C)po supplement
D)LCT oil
Because HD is not growing as expected, the registered dietitian may also recommend which of the following as part of his/her overall nutrition plan?
A)EN
B)PN
C)po supplement
D)LCT oil
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44
Case Study
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
-The doctor has determined that TS requires mechanical ventilation and has consulted the registered dietitian He/she is most concerned with:
A)not underfeeding due to previous weight loss.
B)overfeeding causing excess CO₂ production.
C)providing >REE * 3.
D)decreased O₂ consumption.
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
-The doctor has determined that TS requires mechanical ventilation and has consulted the registered dietitian He/she is most concerned with:
A)not underfeeding due to previous weight loss.
B)overfeeding causing excess CO₂ production.
C)providing >REE * 3.
D)decreased O₂ consumption.
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45
HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
Which of the following will be an optimal amount of vitamin A for HD?
A)200-400 IU/day
B)10,000 IU/day
C)400-800 IU/day
D)0.3-0.5 IU/day
Which of the following will be an optimal amount of vitamin A for HD?
A)200-400 IU/day
B)10,000 IU/day
C)400-800 IU/day
D)0.3-0.5 IU/day
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46
HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
The registered dietitian is creating a meal plan for HD that will also include effective ways to manage CFRD How much of the diet should come from fat?
A)20-30% of kcal
B)enough to provide essential fatty acids
C)35-45% of kcal
D)at least 60 grams/day of polyunsaturated fatty acids
The registered dietitian is creating a meal plan for HD that will also include effective ways to manage CFRD How much of the diet should come from fat?
A)20-30% of kcal
B)enough to provide essential fatty acids
C)35-45% of kcal
D)at least 60 grams/day of polyunsaturated fatty acids
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47
HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
Which of the following will the registered dietitian also recommend based on the above?
A)restricting carbohydrate intake
B)set meal planning
C)only incorporating omega-3 fatty acids for inflammation
D)pancreatic enzymes with each meal
Which of the following will the registered dietitian also recommend based on the above?
A)restricting carbohydrate intake
B)set meal planning
C)only incorporating omega-3 fatty acids for inflammation
D)pancreatic enzymes with each meal
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48
HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
Which of the following is not a likely cause of his osteopenia?
A)reduced enzyme function
B)lack of vitamin supplementation
C)long-term use of corticosteroids
D)decreased intake
Which of the following is not a likely cause of his osteopenia?
A)reduced enzyme function
B)lack of vitamin supplementation
C)long-term use of corticosteroids
D)decreased intake
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49
Case Study Multiple Choice
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
All of the following would be part of registered dietitian's nutrition plan for TS except:
A)resting before meals.
B)small, frequent meals.
C)avoiding excess energy intake.
D)physical exercise to increase fat mass.
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
All of the following would be part of registered dietitian's nutrition plan for TS except:
A)resting before meals.
B)small, frequent meals.
C)avoiding excess energy intake.
D)physical exercise to increase fat mass.
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50
HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
The registered dietitian suspects that HD's symptoms of lethargy, vomiting, and dehydration are a result of:
A)reduced absorption of minerals.
B)loss of sodium through the skin.
C)HD's climate.
D)increased intake of K.
The registered dietitian suspects that HD's symptoms of lethargy, vomiting, and dehydration are a result of:
A)reduced absorption of minerals.
B)loss of sodium through the skin.
C)HD's climate.
D)increased intake of K.
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51
Match between columns
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