Deck 20: Diet in Digestive Diseases

Question 1

A client, who is a new mother, notes that her child becomes extremely fussy after meals, including arching his back after feeding, coughing, wheezing, and vomiting. Which would help alleviate these symptoms?
1)Giving larger feedings
2)Burping after feeding is complete
3)Placing infant upright after feeding
4)Spacing out feedings

Answer 1

3

Question 2

A nurse is caring for a client with cystic fibrosis. Which should the nurse expect? Select all that apply.
1)Stunted growth
2)Foul-smelling feces
3)Increased appetite
4)Pulmonary dysfunction
5)Altered gastrointestinal tract motility

Answer 2

1, 2, 4, 5

Question 3

Clients with cystic fibrosis often experience:
1)Increased absorption of fat.
2)Decreased caloric intake needs.
3)Increased production of pancreatic enzymes.
4)Decreased absorption of protein.

Answer 3

4

Question 4

Which lifestyle change may help a client with hiatal hernia manage symptoms?
1)Standing during meals
2)Increasing liquid with meals
3)Lying down after eating
4)Elevating bed by 6 inches

Question 5

A nurse is caring for a client with cirrhosis. Which will likely be restricted in this client's diet? Select all that apply.
1)Salt
2)Wine
3)Chocolate
4)Beans
5)Number of meals per day

Question 6

In which situations should a nurse expect to administer parenteral nutrition? Select all that apply.
1)A client with Crohn disease who has anastomotic fistulas
2)A client with well-controlled ulcerative colitis
3)A client with Crohn disease who has experienced exacerbation
4)A client with ulcerative colitis who has intestinal failure
5)A client with severe ulcerative colitis as part of supportive therapy

Question 7

Which of the following would be considered appropriate for consumption 6 hours prior to a surgical procedure? Select all that apply.
1)Mozzarella sticks and marinara sauce
2)French fries
3)Black coffee
4)Steak and baked potato
5)A soda

Question 8

A client with cirrhosis presents with irritability, weakness, personality changes, and confusion. What treatment should the nurse expect?
1)Increased consumption of skim milk
2)Administration of lactulose
3)Administration of sodium
4)Increased consumption of folate

Question 9

Which foods should a client with celiac disease avoid? Select all that apply.
1)Ground beef
2)Ravioli
3)Bread
4)Cake
5)Rice

Question 10

A nurse is caring for a client who is recovering from partial gastrectomy. The client notes that 2 hours postprandial he experiences sweating, shakiness, and difficulty concentrating. Which dietary change does the nurse anticipate for this client?
1)Consume three small meals per day.
2)Consume a diet low in protein.
3)Consume a diet low in simple sugars.
4)Consume three larger meals per day.

Question 11

A nurse is caring for a client with cirrhosis. Which dietary component can the nurse expect?
1)Eating a snack in late evening
2)Drinking moderate amounts of alcohol
3)Consuming 2 to 3 grams of protein per kilogram of weight
4)Increasing sodium intake

Question 12

A nurse is caring for a client who is recovering from a partial gastrectomy. The client notes abdominal pain, cramping, and diarrhea around 45 minutes postprandial. Which of the following does the nurse know to be true? Select all that apply.
1)The client is experiencing late dumping syndrome.
2)The client is experiencing hypoglycemia.
3)The client may be treated with acarbose.
4)The client should lie down for around 45 minutes after meals.
5)The client should decrease intake of very hot foods.

Question 13

Which dietary treatments may be used to treat clients with GERD? Select all that apply.
1)Increasing consumption of peppermint
2)Increasing consumption of chocolate
3)Avoiding alcohol
4)Consuming small, frequent meals
5)Avoiding caffeine

Question 14

A nurse is caring for a client with well-managed ulcerative colitis. Which dietary need should the nurse expect?
1)Providing enteral feeding by mouth
2)Administering parenteral nutrition (PN)
3)Use of omega-3 fatty acid supplements
4)Use of probiotics

Question 15

Which foods would be appropriate for inclusion in the diet of a client with chronic gallbladder disease? Select all that apply.
1)Croissant
2)English muffin
3)Avocado
4)Coconut
5)Tuna packed in water

Question 16

A nurse is caring for a client prior to a major surgery. Which of the following minimum fasting recommendations should the nurse expect?
1)No fruit juice should be consumed 3 hours prior.
2)Toast and black coffee should be consumed 8 hours prior.
3)Alcohol should be consumed 6 hours prior.
4)French fries and a cheeseburger should be consumed more than 8 hours prior.

Question 17

A nurse who works in the emergency department is caring for a female client who is experiencing pain in the right upper quadrant that radiates to the right shoulder. During screening, the client notes that after having her last child, she began using oral contraceptives. Her 24-hour diet recall includes consumption of lasagna for dinner the previous evening. Which should the nurse expect will be administered?
1)Lactulose
2)Ursodiol
3)Glucose
4)Rifaximin

Question 18

A client with Crohn disease has just experienced an exacerbation. Which dietary change does the nurse expect?
1)Increase intake of omega-3 fatty acid
2)Consume high-protein, low-fat foods
3)Increase fiber intake
4)Consume foods high in oxalate

Question 19

A nurse is caring for a 1-year-old pediatric client with cystic fibrosis. Which should the nurse expect to be administered on a trial basis if the client is not achieving normal growth?
1)Vitamin A
2)Vitamin E
3)Vitamin D
4)Zinc

Question 20

A 20-year-old Caucasian woman presents with abdominal pain, anemia, and fatigue. The client notes these symptoms occur after eating pasta and bread. The client also has a history of infertility, rheumatoid arthritis, and gastric ulcers. Preliminary laboratory results indicate that the client is also anemic. Which condition does a nurse suspect?
1)Irritable bowel syndrome (IBS)
2)Celiac disease
3)Fecal impaction
4)Ulcerative colitis