Chapter 22. Surgery and Nutritional Support
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Chapter 23. Nutritional Support in Cancer and AIDS
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,Chapter 01: Food, Nutrition, and Health
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Nix: Williams' Basic Nutrition and Diet Therapy, 15th Edition
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MULTIPLECHOICE l
1. Promoting a health care service that improves diabetes management for the elderly in
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acommunity would assist in which of the following?
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a. Supporting the national health goals Healthy People 2020 ll ll ll ll ll ll ll
b. Reducing hunger in a subset of the United States population ll ll ll ll ll ll ll ll ll
c. Improving Medicare reimbursement claims ll ll ll
d. Providing access to primary health care services ll ll ll ll ll ll
ANS: A ll
Healthy People 2020 has a wide influence and is the focus of the nation’s main objective
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topromote health and prevent disease.
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DIF: Cognitive Level: Application REF: p. 2 ll l ll ll
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
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2. A patient requires a nutrition assessment. The most appropriate professional to perform
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theassessment is a
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a. physician.
b. nurse.
c. public health nutritionist. ll ll
d. registered dietitian. ll
ANS: D ll
The registered dietitian is the nutrition expert registered with the Commission of Dietetic
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Registration (CDR), the certifying agency ofAcademy of Nutrition and Dietetics.
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Registereddietitians are the only professionals who have met strict educational and
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professional prerequisites and passed a national registration examination that properly
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prepares them to conduct a nutrition assessment.
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DIF: Cognitive Level: Application REF: p. ll l ll
1TOP: Nursing Process: Assessment
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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3. The sum of all body processes inside living cells that sustain life and health is
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a. science.
b. digestion.
c. metabolism.
d. nutrition.
ANS: C ll
Metabolism is the sum of all chemical changes that take place in the body.
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Metabolismprovides energy, builds tissue, and regulates metabolic processes in the
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body.
ll
, DIF: Cognitive Level: Knowledge REF: p. 3 TOP: Nursing Process: ll ll ll ll l l ll l l ll
PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation
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4. The nutrients that provide the body with its primary source of fuel for energy are
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a. vitamins.
b. minerals.
c. fiber.
d. carbohydrates.
ANS: D ll
Carbohydrates (e.g., starches and sugars) are the body’s primary fuel to carry out ll ll ll ll ll ll ll ll ll ll ll ll
necessaryprocesses; fat is the secondary source of energy.
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DIF: Cognitive Level: Knowledge REF: p. 4 TOP: Nursing Process: ll ll ll ll l l ll l l ll
PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation
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5. Which of the following is the most accurate statement regarding the functions of protein?
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a. Proteins can be a primary fuel source even if there is adequate carbohydrate intake.
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b. Proteins are a necessary nutrient to provide energy for the body in times of stress.
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c. Proteins can be used as coenzyme factors during cell metabolism. ll ll ll ll ll ll ll ll ll
d. Proteins are essential to building and repairing tissues within the body. ll ll ll ll ll ll ll ll ll ll
ANS: D ll
The primary function of proteins is to provide amino acids, which are the building units
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necessary to building and repairing tissues within the body. This is a constant process
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thatensures adequate growth and maintenance of tissues for a strong body.
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DIF: Cognitive Level: Comprehension REF: p. ll ll ll
4TOP: Nursing Process: Assessment
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MSC: NCLEX: Physiological Integrity: Physiological Adaptation
l l ll ll ll l
6. A 65-year-old man requires 2000 kcal/day without any specific fat or carbohydrate
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requirements. The approximate number of kilocalories per day from fat that his diet
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shouldprovide is kcal/day.
ll l ll
a. 400 to 700 ll ll
b. 100 to 300
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c. 500 to 800 ll ll
d. 900 to 1200
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ANS: A ll
Fat should provide no more than 20% to 35% of the total kilocalories per day, so for a 2000-
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kcal diet, 400 to 700 kcal should be provided.
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DIF: Cognitive Level: Application REF: p. 4 ll l ll ll ll ll TOP: Nursing Process: l l ll
PlanningMSC: NCLEX: Health Promotion and Maintenance
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7. The body’s main storage form of carbohydrate is
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a. glycogen.
b. glycerol.
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