Question 1

The protein recommendation for bariatric surgery patients is:

Accepted Answer

A)   0.8-1.0 g/kg ideal body weight per day.
B)   1.0-1.5 g/kg ideal body weight per day.
C)   1.8-2.2 g/kg ideal body weight per day.
D)   2.5-3.0 g/kg ideal body weight per day.
E)   3.3-3.5 g/kg ideal body weight per day.

Question 2

Jennie Wilson is a 42-year-old administrative assistant who recently underwent sleeve gastrectomy surgery to treat her obesity and weight-related problems: diabetes and hypertension. Ms. Wilson will need nutrition education before being discharged from the hospital.
On the day following surgery, Ms. Wilson will be allowed to consume what food or fluids?

Accepted Answer

A)   chicken broth
B)   saltine crackers
C)   t omato soup
D)   s kim milk
E)   fruit smoothie

Question 3

What complication is most closely associated with surgical gastrectomy?

Accepted Answer

A)   o steoporosis
B)   weight gain
C)   p rotein malabsorption
D)   v itamin D deficiency
E)   h ypoglycemia

Question 4

The most effective medications for suppressing gastric acid secretion are:

Accepted Answer

A)   H2 blockers.
B)   proton-pump inhibitors.
C)   antacids.
D)   NSAIDs.
E)   antibiotics.

Question 5

Liquids are restricted during meals following a gastrectomy because they:

Accepted Answer

A)   can increase stomach emptying rate.
B)   lead to urinary retention.
C)   add unwanted kcalories.
D)   are likely to cause aspiration.
E)   can decrease stomach emptying rate.

Question 6

What food would most likely stimulate saliva flow and neutralize acids in the mouth?

Accepted Answer

A)   a  hamburger
B)   l egumes
C)   o range juice
D)   c heese
E)   p ickles

Question 7

What condition is known as a potential cause of esophageal dysphagia?

Accepted Answer

A)   Parkinson's disease
B)   c erebral palsy
C)   s cleroderma
D)   m ultiple sclerosis
E)   m uscular dystrophy

Question 8

Clients with reflux esophagitis should be instructed to:

Accepted Answer

A)   eat small, frequent meals.
B)   drink liquids with meals.
C)   lie down after eating.
D)   consume caffeine-containing foods and beverages.
E)   avoid physical activity.

Question 9

What suggestion for achieving and maintaining weight loss following bariatric surgery is most appropriate?

Accepted Answer

A)   Understand that initial meals after surgery may only be 2-3 cups.
B)   Consume food throughout the day instead of just at designated meal times.
C)   Drink plenty of water and other beverages to suppress appetite.
D)   Eat slowly and chew food thoroughly.
E)   Avoid physical activity and get plenty of rest.

Question 10

Following gastrectomy, the patient may require as many as eight to twelve small meals and snacks per day.

Accepted Answer

A) True 
 B)False

Question 11

M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or antisecretory medication continuously during that time, M.L. knows what foods or factors cause symptoms, and is able to generally avoid them; hence, he has not had reflux esophagitis in over a year. A 24-hour diet history reveals M.L. ate these foods yesterday: Breakfast: Skipped
Snack: Fresh pear; instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers; skim milk
Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard; 100% grape juice diluted with water; snack pack of carrots, no dressing
Snack: Sugar cookies; skim milk
Dinner: Tempura (deep-fried, breaded)  salmon; buttered rice; salad with lettuce and tomato; vinegar and oil dressing; water
Snack, at bedtime: Ginger ale and ginger snap cookies
The practitioner gives M.L. a checklist of lifestyle changes that can help minimize GERD symptoms. Based on the diet recall above, M.L. would benefit from education about which topic?

Accepted Answer

A)   Consume meals and liquids at the same time so that the stomach does not become overly distended.
B)   Include foods that destroy gastric acid.
C)   During periods of esophagitis, avoid foods and beverages that may irritate the esophagus.
D)   Try eating bedtime snacks and lying down after meals.
E)   Elevate the foot of the bed by placing blocks under the mattress.

Exam 17: Nutrition and Upper Gastrointestinal Disorders

Correct Answer
verified

Following gastrectomy, the patient may require as many as eight to twelve small meals and snacks per day.

Correct Answer
verified

Clients with reflux esophagitis should be instructed to:

Correct Answer
verified

What complication is most closely associated with surgical gastrectomy?

Correct Answer
verified

The protein recommendation for bariatric surgery patients is:

Correct Answer
verified

Correct Answer
verified

What condition is known as a potential cause of esophageal dysphagia?

Correct Answer
verified

Liquids are restricted during meals following a gastrectomy because they:

Correct Answer
verified

What suggestion for achieving and maintaining weight loss following bariatric surgery is most appropriate?

Correct Answer
verified

The most effective medications for suppressing gastric acid secretion are:

Correct Answer
verified

What food would most likely stimulate saliva flow and neutralize acids in the mouth?

Correct Answer
verified

Exam 17: Nutrition and Upper Gastrointestinal Disorders

Correct AnswerverifiedShow Answer

Following gastrectomy, the patient may require as many as eight to twelve small meals and snacks per day.

Correct AnswerverifiedShow Answer

Clients with reflux esophagitis should be instructed to:

Correct AnswerverifiedShow Answer

What complication is most closely associated with surgical gastrectomy?

Correct AnswerverifiedShow Answer

The protein recommendation for bariatric surgery patients is:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

What condition is known as a potential cause of esophageal dysphagia?

Correct AnswerverifiedShow Answer

Liquids are restricted during meals following a gastrectomy because they:

Correct AnswerverifiedShow Answer

What suggestion for achieving and maintaining weight loss following bariatric surgery is most appropriate?

Correct AnswerverifiedShow Answer

The most effective medications for suppressing gastric acid secretion are:

Correct AnswerverifiedShow Answer

What food would most likely stimulate saliva flow and neutralize acids in the mouth?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified