WGU Nutrition D440 Exam Guide with
Questions and answers
Which vitamin deficiencies are bariatric patients at risk for?
Vitamins: A, B1, B6, B12, C, D, E, K, and folate
Which mineral deficiencies are bariatric patients at risk for?
Minerals: calcium, copper, iron, selenium, and zinc
How do we keep bariatric patients healthy?
two multivitamin/mineral supplements with iron
calcium citrate (600-1200 mg/day)
Vitamin D (3000 IU/day) in chewable or liquid form for the first couple of months after
surgery
Also, should take sublingual Vitamin B12 supplement (250-350 mcg/day) or a monthly
injection of 1000 mcg
What are discharge instructions for bariatric patients immediately following surgery?
Slowly progress from a clear liquid diet to a regular balanced solid diet over
approximately 2 months.
What are some foods that lower cholesterol?
Oats, Barley and other whole grains, beans, eggplant and okra, nuts, vegetable oils,
apples, grapes, strawberries, citrus fruits, soy, fatty fish, foods fortified with sterols
and stanols.
Unsaturated fats are commonly found in plants foods such as olive oil and nuts.
Omega-3 fatty acids (fish and other types of seafood)
Which foods usually increase cholesterol?
Meats and dairy
Which foods increase good cholesterol?
Olive oil, eggplant, red cabbage, blueberries, blackberries, black raspberries, fatty fish
(salmon, herring, sardines, mackerel, anchovies)
,What increases the absorption of iron?
vitamin C
Which foods are iron rich?
Clear liquid diet:
Limited nutrients; only used for a short period of time. Clear juices that do not contain
pulp. Examples: apple or cranberry juice, gelatin, popsicles, and clear broths. Prescribed
for patients with gastrointestinal (GI) problems, before (preoperatively) and after
surgery. (postoperatively), and before some diagnostic tests.
Full liquid diet:
Foods that are or may become liquid at room or body temperature. Examples: juices
(including those with pulp), milk and milk products, yogurt, strained cream soups, and
liquid dietary supplements. Used to advance a patient with GI disturbances, after having
dental work performed, and for those patients who cannot tolerate solid food.
Mechanical soft diet:
As for clear and full liquid and pureed, with addition of all cream soups, ground or finely
diced meats, flaked fish, cottage cheese, cheese, rice, potatoes, pancakes, light breads,
cooked vegetables, cooked or canned fruits, bananas, soups, peanut butter, eggs (not
fried) Food consistencies that have been modified such as ground meat or soft cooked
foods. They are also used for persons who have difficulty chewing effectively.
pureed diet:
Food is placed into a blender and made into a pulp-like mixture. This type of diet is used
for persons who cannot safely chew or swallow solid food. The addition of raw eggs,
nuts, and seeds should be avoided.
Foods high in protein?
Veggies, nuts, seeds, meat, peanuts, polished rice, whole wheat, sesame seeds, peas
Which foods are complete proteins?
Egg, milk, cheese, meat, poultry, fish, soy
complex carbs:
, polysaccharides (starch) that sustain energy needs and supply necessary fiber,
vitamins, and minerals and include grains and grain products (cereal, bread, crackers,
baked goods, legumes in the form of beans and peas, potatoes, rice, corn, and bulgur)
simple carbs:
monosaccharides and disaccharides (glucose, fructose, and galactose) corn syrup,
fruits, honey, lactose, table sugar, milk products, molasses, sweetener in food
products
monosaturated fat:
vegetable oils; olive oil, canola, peanut, nuts such as macadamia, hazelnuts, almonds,
and pecans, avocados
polysaturated fats
vegetable oils; safflower, sunflower, corn, and soybean
saturated fats:
bacon, sausage, cream, ice cream, butter, cheese
Unsaturated fats:
vegetable oil spreads, avocados, olive, peanut, and canola oils. Nuts (almonds,
hazelnuts, pecans) pumpkin seeds, sesame seeds
Which diets are best for client with decubitus ulcers and why?
Meat and other protein foods, milk and milk products, grains, fruits and vegetables,
fats, and oils. Provide nutrients to rebuild tissue
Vegan Diet:
No foods originating from or containing animal products. Can have whole or enriched
grains, legumes, nuts, seeds, fruits, and vegetables. Soybeans, soymilk, tofu.
What is a good source of protein for vegans?
Soy products, peanuts, polished rice, whole wheat, sesame seeds, peas
What deficiencies are vegans at risk for?
Vitamin B12, calcium, vitamin D, omega-3 fatty acids, protein
What is a good source of protein for vegetarians?