NTR 604 Exam Questions with Complete
Answers
HIV/AIDS public health issues (5) - Answer--healthful eating principles
-water and food safety
-perinatal and breastfeeding issues
-nutrition management for symptoms such as anorexia, swallowing problems, diarrhea,
etc.
-psychosocial and economic issues
Different adult lifecyles ages defined (3) - Answer-Young adult (19-30)
Middle adult (31-50)
Older adult (51-70)
AND position and ANH in terminally ill patients (4) - Answer--oral feeding should be
advocated
-supplements should be used
-liberalized diet
-suboptimal oral feeding may be more appropriate then EN/PN
Apoptosis - Answer-decreased number of viable cells
Aspiration risk factors with tube feeding (5) - Answer-Aspiration: 25 and 40% patients
-history of previous aspiration
-depressed level of consciousness
-neuromuscular disease
-vomiting
-prolonged supine condition
Benefits of PEG (4) - Answer-Prolonged life - alleviate symptoms, enhance QOL
-improve nutrition status/lessen dehydration
-reduced risk of pressure sores or infections
-prevents aspiration and pneumonia
-lack of evidence in patients with terminal disease, AD, Parkinson's
Calcium CKD stage 1-4 and stage 5 - Answer-stages 1-4 = 1,200mg
stage 5 = no more than 2000mg
Calorie recommendation CKD - Answer-35kcal/kg
Cancer prevention recommendations (4) - Answer--eat a plant-based diet - includes a
wide variety of F/V, whole grains, beans, and legumes
-eat less fat from all sources
-limit calories and maintain a healthy weight; vigorous PA -5day/wk
, -drink alcohol in moderation
Cholesterol recommendation (7) - Answer--decrease sat fat intake < 7%
-decrease cholesterol < 200mg/day
-fat intake between 25-35%
-plant sterols 2g/day
-increase soluble fiber 10-25g/day
Common health problems in older adults (5) - Answer--cardiovascular disease
-peripheral vascular and cerebrovascular disease
-incontinence (urinary, fecal)
-visual function
-osteoporosis
Common nutrient deficits in the elderly (5) - Answer--Vitamin D (elderly -
institutionalized or homebound)
not outside as much & skin can't synthesize as well
-Thiamin - poor intake
-Vitamin B6 - age related changes related to metabolism and absorption
-Vitamin B12 -due to pernicious anemia, gastritis, and age related malabsorption
-Fluid - risk of dehydration
Consequences of undernutrition in nursing home (4) - Answer--unintended wt loss
-protein energy malnutrition
-pressure ulcers
-dehydration
criteria for HIV wasting syndrome (4) - Answer--unintentional wt loss of 10% body wt
over 6 mons
-loss of 5% LBM w/in 6 mons
-body cell mass <35% and BMI <27 in men
-body cell mass <23% and BMI 27 in women
dehydration can lead to (5) - Answer--acute confusion
-urinary tract infection
-pressure ulcer
-constipation
-adverse drug responses
Health care proxy (4) - Answer--person chosen to make medical decisions if pt is unable
to
-legal document
-all adult healthy or sick
-goes into effect only when the person is declared unable to make their own healthcare
decisions
Answers
HIV/AIDS public health issues (5) - Answer--healthful eating principles
-water and food safety
-perinatal and breastfeeding issues
-nutrition management for symptoms such as anorexia, swallowing problems, diarrhea,
etc.
-psychosocial and economic issues
Different adult lifecyles ages defined (3) - Answer-Young adult (19-30)
Middle adult (31-50)
Older adult (51-70)
AND position and ANH in terminally ill patients (4) - Answer--oral feeding should be
advocated
-supplements should be used
-liberalized diet
-suboptimal oral feeding may be more appropriate then EN/PN
Apoptosis - Answer-decreased number of viable cells
Aspiration risk factors with tube feeding (5) - Answer-Aspiration: 25 and 40% patients
-history of previous aspiration
-depressed level of consciousness
-neuromuscular disease
-vomiting
-prolonged supine condition
Benefits of PEG (4) - Answer-Prolonged life - alleviate symptoms, enhance QOL
-improve nutrition status/lessen dehydration
-reduced risk of pressure sores or infections
-prevents aspiration and pneumonia
-lack of evidence in patients with terminal disease, AD, Parkinson's
Calcium CKD stage 1-4 and stage 5 - Answer-stages 1-4 = 1,200mg
stage 5 = no more than 2000mg
Calorie recommendation CKD - Answer-35kcal/kg
Cancer prevention recommendations (4) - Answer--eat a plant-based diet - includes a
wide variety of F/V, whole grains, beans, and legumes
-eat less fat from all sources
-limit calories and maintain a healthy weight; vigorous PA -5day/wk
, -drink alcohol in moderation
Cholesterol recommendation (7) - Answer--decrease sat fat intake < 7%
-decrease cholesterol < 200mg/day
-fat intake between 25-35%
-plant sterols 2g/day
-increase soluble fiber 10-25g/day
Common health problems in older adults (5) - Answer--cardiovascular disease
-peripheral vascular and cerebrovascular disease
-incontinence (urinary, fecal)
-visual function
-osteoporosis
Common nutrient deficits in the elderly (5) - Answer--Vitamin D (elderly -
institutionalized or homebound)
not outside as much & skin can't synthesize as well
-Thiamin - poor intake
-Vitamin B6 - age related changes related to metabolism and absorption
-Vitamin B12 -due to pernicious anemia, gastritis, and age related malabsorption
-Fluid - risk of dehydration
Consequences of undernutrition in nursing home (4) - Answer--unintended wt loss
-protein energy malnutrition
-pressure ulcers
-dehydration
criteria for HIV wasting syndrome (4) - Answer--unintentional wt loss of 10% body wt
over 6 mons
-loss of 5% LBM w/in 6 mons
-body cell mass <35% and BMI <27 in men
-body cell mass <23% and BMI 27 in women
dehydration can lead to (5) - Answer--acute confusion
-urinary tract infection
-pressure ulcer
-constipation
-adverse drug responses
Health care proxy (4) - Answer--person chosen to make medical decisions if pt is unable
to
-legal document
-all adult healthy or sick
-goes into effect only when the person is declared unable to make their own healthcare
decisions
