Which of the following observations about a new female resident of an extended-care facility should be entered into the medical record by the dietetic tech... [Show More] nician?
A. Her mother died of cancer at a young age.
B. Her physician told her she had sugar in her urine when she was pregnant with her second child.
C. Her favorite desserts are ice cream and pudding, but she has gas and diarrhea when she eats them with milk.
D. She and her husband always had a big garden , and she prefers fresh vegetables.
C. Her favorite desserts are ice cream and pudding, but she has gas and diarrhea when she eats them with milk.
A person who does not eat animal products is most likely afiliated with which religious denomination?
Seventh-Day Adventist
The best way to determine demographic characteristics of a rural elderly population is to...
obtain local census information
According to the ideal body weight (±10%), how many pounds should a 55-year-old man who is 5'11" tall weigh?
106# + (6# x 11) = 172#
Hamwi Method for Ideal Body Weight
Men: 106# (1st 5 ft) + (6# x additional inch)
Women: 100# (1st 5ft) + (5# x additional inch)
Nursing staff reports that a patient who has poorly fitted dentures is haing difficulty chewing food. The dietetic technician should...
determine the patient's food tolerances
The diet history of a 31-year-old woman reveals tha the woman does not drink milk. The technician should first determine whether the patient...
Is allergic to dairy products.
While screening a a patient, the dietetic technician notices an order for parenteral nutrition in the chart. The technician should...
Complete the screening process and refer the patient to a dietitian.
The most appropriate biochemical test result for screening clients of a public health clinic for anemia would be...
Hematocrit
Hemoglobin (HGB)
Number of red blood cells in whole blood.
High ==> Dehydration
Low ==> Anemia, Hemorrhage
Normal Values:
Men: 14-17 g/dL
Women: 12-15 g/ dL
Hematocrit (HCT)
Percentage of red blood cells in a given volume of blood.
High ==> Dehydration
Low ==> Anemia, Hemorrhage
Normal Values:
Men: 39-49%
Women: 33-43%
The primary nutrition concern for a patient with prolonged vomiting is...
electrolyte loss
While completing a clinical assessment, a dietetic technician notices that a child has bowed legs. The technician would most importantly review the food frequency questionnaire for...
fortified dairy products (Vit D)
Vitamin D Deficiency
rickets ==> bowed legs in children
The dietetic technician observes that a patient has no lower dentures and consumes only the soft and liquid portions of the regualr diet. The technician should first...
Interview the patient about food preferences.
A common nutrition problem of the US population is low intake of...
fruits & vegetables
The purpose of nutrition screening in the hospital is to...
Identify patients at high risk who require intervention.
The weight-for-length measurement of a 5-month old infant suddenly changes from the 65th to the 95th percentile. The dietetic technician should first investigate...
the accuracy of documentation on the growth grid.
Which of the following is the most practical parameter for scerening nutrition status in elderly clients?
A. weight change
B. serum albumin level
C. 24-hour recall
D. triceps skinfold thickness
A. weight change
A patient who requires 2500kcal daily to maintain weight consumes 2300 kal daily and gains 2# in 2 days. This suggests...
retained fluids
The plot for a prepubescent girl on a weight-for-age growth chart is at 75th percentile. The child is...
within the normal range for weight.
A 75-year-old man living at home is admitted to the emergency department with confusion and weakness. Assessment reveals oliguria and an approximate deficit of 5% of his usual weight. The patient's symptoms are most likely to be the result of...
dehydration
oliguria
low urine output
Which of the following patients is the highest priority for nutrition care?
A. A child who is anemic
B. A college football player who is dehydrated
C. A pregnant adolescent who has hyperemesis
D. An elderly adult who is scheduled for elective surgery.
C. A pregnant adolescent who has hyperemesis
Hyperemesis
A severe, debilitating nausea and vomiting in pregnancy that generally leads to more than 5 percent weight loss and may require fluid and nutritional supplement because adequate intake of food and fluids is prevented; dehydration, malnutrition, and other serious complications can result.
A low-income elderly couple consume a low-protein diet due to problems with their teeth. The couple could improve their protein intake by consuming more of which foods?
Eggs, peanut butter, and skim-milk cheeses
What dietary protocols would be appropriate for a patient who has undergone an ileostomy?
Restrict intake of high fiber foods.
Ileostomy
Connection of an ostemy pouch to the ilium (small intestine) due to the removal of the colon (Crohn's, cancer, etc.)
A full-strength tube feeding delivered at at rate of 75 ml/h has a final volume of how many milliliters?
75 ml/h x 24h = 1800ml total
Which condition requires small, frequent feedings?
esophageal reflux
Which of the following foods would be appropriate for a client who eats only kosher foods?
A. Halibut
B. Shrimp
C. Catfish
D. Lobster
A. Halibut
The Harris-Benedict equation for calculating basal energy expenditure for women is 655 + (9.6 x wt in kg) + (1.8 x ht in cm) - (4.7 x age in yrs). What is the total kcal requirement for a sedentary woman who is 65 yo, 170 cm tall, and weighs 61.29 kg?
1100-1300 kcal
What is the relationship between dietary intake and serum cholesterol?
Dietary saturated fats tend to increase cholesterol and monounsaturated fats tend to decerase it.
Which of the folowing menus would be best or a patient who is to follow a high-calcium diet?
A. Cheese omelet, broccoli, and fresh fruit
B. Macaroni and cheese, stewed tomatoes, and garden salad
C. Tuna casserole, pineapple cream cheese salad, and green beans
D. Fish chowder, green salad with feta cheese, and fruit-flavored yogurt
D. Fish chowder, green salad with feta cheese, and fruit- flavored yogurt
Which of the following grain products would be the best choice for a patient with diverticulosis?
A. Sesame seed crackers
B. Cream of rice cereal
C. All-bran cereal
D. Banana-nut bread
All-bran cereal
Which of the following statements by the dietetic technician is most appropriate during a counseling session on infant feeding with new mothers?
A. "There is no specific sequence of food additions that must be followed."
B. "When cereal is introduced, it can be thinned with cow's milk."
C. "Introduce solid foods when the infant is between 4 and 6 months of age."
D. "The addition of solid foods wil help calm a colicky baby."
C. "Introduce solid foods when the infant is between 4 and 6 months of age."
The best community support service for a client who has difficulty with self-feeding is...
home health services
Which of the following menus would be appropriate for a patient who is on a low-potassium diet?
A. Meat loaf, sweet potatoes, creamed peas, and applesauce.
B. Pork chop, seasoned rice, acorn squash, and canned peas.
C. Roast beef, boiled potato, broccoli, and canned apricots
D. Baked chicken, buttered noodles, green beans, and canned peaches.
D. Baked chicken, buttered noodles, green beans, and canned peaches.
High potassium foods
White Beans
Dark Leafy Greens (spinach, kale)
White Potato with Skin
Apricots
Acorn Squash
Yogurt
Fish
Avocado
Mushroom
Banana
According to the carbohydrate counting method, the following menu consists of how many carbohydrate servings?
3-oz grilled, skinless chicken breast
1/2 c green beans
1/2 c of mashed potatoes
one small roll
3 tsp margarine
one small piece of angel food cake
3
A young woman is pregnant, has a 2yo child, and has a low income. Which nutrition program should the dietetic technician suggest?
Special Supplemental Nutrition Program for Women, Infants, and Children
What is the first intervention for reducing the risk of heart disease?
Lifestyle changes
The dietetic technician is to monitor the food intake of an underweight patient to determine if a tube feeding is needed. The most practical way to monitor the patient's food intake is to...
institute a calorie count with the assistance of the nursing service.
Which of the following dietary protocols is most important when monitoring a patient who has pancreatitis?
Minimize the intake of fat
The risk of coronary atery disease ion postmenopausal women is increased, primarily due to...
a decreased level of estrogen
Two men are the same age and weight, but one man is 5'7" and the other is 6' tall. What can be determined about their resting metabolic rate?
The resting metabolic rate is higher for the taller man.
Soluble Fiber
- As soluble fiber is digested, it becomes gel-like
- Soluble fiber works to slow the digestive process
- Soluble fiber may help lower cholesterol levels
Chronic alcoholics are most likely to be deficient in what nutrients?
- Magnesium
- Thiamin
- Folate
The end product of sucrose digestion is...
glucose and fructose
Protein digestion begins in the...
stomach
A deficiency of Vitamin D results in...
rickets
Vitamin C facts:
- sources
- smokers
- deficiency
- Sources: citrus fruits and broccoli
- Smokers: consume at least 100 mg daily
- Deficiency: impaired wound healing, bleeding gums, tooth loss, and leg pain
Which of the following cases indicates nutritional risk?
A. A nursing home patient sable on a tube feeding regimen.
B. Diarrhea for 1 week with a 10 pound weight loss.
C. A 3 yo girl with a sore throat and poor appetite for 2 days.
D. A 21 yo male who is drinking protein shakes in an attempt to build muscle.
B. Diarrhea for 1 week with a 10 pound weight loss. [Show Less]
