l l l l l l l
8th
Edition By Erin Mazur; Nancy Litch withra
l l l l l l l
tionales
,Mazurl8lTestlBank 2
Chapter 1. Nutrition in Human Health
l l l l l
Alnurselislcaringlforlalclientladmittedltolthelemergencyldepartmentl(ED).lWhenlthelnursellearnslthatlthelclientl
haslbeenlconsumingltoolmuchlfiber,lwhichldiagnosisldoeslthelnurselsuspect?l -lOsteoporosis
p.l28
Rationale:leatingltoolmuchlfiberlcanlcauselproblems.leatinglmorelthanl50lgramsloflfiberlaldaylcanlinterfer
elwithlminerallabsorption,lwhichlcanlleadltolconditionslsuchlaslanemialandlosteoporosis.
Alnurselislleadinglalseminarlwithlmiddlelschoollstudentslonlhealthylfoodlchoices.lThelnurselteacheslthatlfatsla
re:l-lAlmajorlsourceloflfuellforlthelbody
p.l36
AlnurselislcaringlforlalclientlwithlCrohnldisease.lThelnurselnoteslthatlthelhealth-
carelproviderlhaslorderedltheladditionloflomega-3lfattylacidsltoltheldiet.lThelnurselsuspectslthelhealth-
carelproviderlorderedltheselfatty-acidsltolhelplthislclientlminimizelwhichlprocesslfromlthisldiagnosis?l-
lInflammation
p.l39-40
Whichlislthelmainlfocusloflthel2015-2020lDietarylGuidelines?l-
lAlhealthyleatinglpatternlthatllimitslsaturatedlfatsltoldecreaselcholesterol
p.l41
Thel2015-
2020lDietarylGuidelineslforlAmericanslrecommendslalhealthyleatinglpatternlthatllimitslthelamountloflsaturate
dlfatsltollesslthanl10%lofltotallcalorieslandlthereforelaldecreasedllevelloflcholesterol.
Inlorderltolmakelsuitablelrecommendationslaboutlnutritionallstatus,lwhichlcriterialmustlalnurselgatherlduringlas
sessmentlfromlalclientldiagnosedlwithlcardiovascularldiseasel(CVD)?l -lCholesterolllevel
p.41
Allowerlintakelofldietarylcholesterollislassociatedlwithlalreducedlriskloflcardiovascularldisease
Alnurselislcaringlforlalclientldiagnosedlasloverweight.lWhichlquestionlaskedlduringlnutritionallassessmentlislm
ostlappropriatelforlthelnurseltolask?l-lDolyoulfeellsatisfiedlwhenlyouleat?
*uncertain
Alnurselislcaringlforlalclientladmittedltolthelemergencyldepartmentl(ED).lWhenlthelnursellearnslthatlthelclientl
haslalslowlhealinglwound,lwhichldeficiencyldoeslthelnurselsuspect?l -lOmegal6
,Mazurl8lTestlBank 3
p.40lThelclinicallsignsloflessentiallfattylacidldeficiencyl(fattylacidslbeinglomega-6landlomega-
3)larelmanifestedlinldry,lscalylskin,ldecreasedlgrowthlinlinfantslandlchildren,lincreasedlsusceptibilityltolinf
ection,landlpoorlwoundlhealing.
Alnurselislleadinglalseminarlaboutlhealthylfoodlchoices.lThelnurselteacheslthatlproteinslare:l-
lAnlalternativelsourceloflenergylinlthelbody
p.l49
Proteinlcanlbelusedlaslanlauxiliarylsourceloflenergyliflkilocaloriclintakelislinadequate
Alnurselknowslthatlthelenergylrequirementsloflproteinslarelmeasuredlinlgramslandlareldistinguishedlfromlcar
bohydrateslandlfatslinlwhichloflthelfollowinglways?l-lProteinslhavelnitrogenlaslalbuilding-blocklelement.
p.l49
nitrogenlislthelelementlthatldistinguisheslthelstructureloflproteinslfromlthatloflcarbohydrateslandlfats.
Alnurselislteachinglclientslaboutlhealthyllivinglandlobtainingladequatelproteinlfromlthelfoodslinlourldiets.l
Whichlstatementlbylthelclientslshowslanlunderstandingloflanlessentiallaminolacid?l-
lAlgreatlsourceloflproteinlthatlIlenjoylisldriedlpumpkinlseeds
Whichlconditionallessentiallaminolacidlislnecessarylforlorganlgrowthlandldevelopment?l-lProline
*uncertainl
p.l49
cysteinelandlprolinelarelindispensablelforlprematurelinfants
Alnurselislcaringlforlalclientldiagnosedlwithlcirrhosis.lWhichlconditionallylessentiallproteinldoeslthelnurselkno
wlbecomeslanlessentiallproteinldueltolthelclient'slcondition?l -lcysteine
p.50
Alnurselislcaringlforlalclientldiagnosedlwithlalbrokenlpelvislafterlalskiinglaccident.lThelclientlhaslbeenlinlthelIC
Ulonlbedrestlforlthelpastl2lweeks.lWhatldoeslthelnurselexpectltolassesslinlthislcriticallylilllclientldueltolimmobil
ity?l-lMusclelwasting
p.l52
Musclelmasslwastinglislseenlwithinl10ldayslinlhealthlolderlindividualslonlbedrest.lupltol40%llossloflmusclelstre
ngthlcanloccurlwithinlthelfirstlweek.lfurtherlcompoundinglthelmusclellosslislcriticallillness,lwhichlcauseslmorelm
usclelwastinglandlweaknessldueltolimmobility.
Alnurselknowslthatlenergylnutrientslarelmeasuredlinlwhichloflthelfollowinglways?l -lkilocalories
p.4
AlnurselislcaringlforlalclientlwithlCrohnldisease.lThelnurselnoteslthatlthelhealth-
carelproviderlhaslorderedltheladditionloflomega-3lfattylacidsltoltheldietlandlomega-
3lfattylacidlsupplementltolthe
, Mazurl8lTestlBank 4
medicationlregimen.lThelnurselsuspectslthelhealth-
carelproviderlislapplyinglwhichlprocessltolhelplthislclientlminimizelchroniclinflammationlfromltheldisease?l-
lnutrigenomics
p.l5
Whichlislthelmainlfocusloflthel2015-2020lDietarylGuidelines?l-
loverallleatinglpatternslshouldlbelbasedlonlpersonallandlculturallchoices
p.7
Whichlstatementlmadeltolalnurselaboutlfoodlinsecuritylislconcerning?l-
lWeloftenleatlatlthellocallshelterlwhenlwelcan
rationale:lfoodlinsecuritylislthellimitedlorluncertainlavailabilityloflnutritionallyladequatelandlsafelfoodslorldou
btfullabilityltolacquirelfood,lwhetherlsomelofltheltimelorlalways.
p.l9
Inlorderltolmakelsuitablelrecommendationslaboutlnutritionallstatus,lwhichlcriterialmustlthelnurselgatherlduri
nglassessmentlfromlalclientldiagnosedlwithldiabetes?l-lreportedldietarylintakelandlphysicallexamination
p.l12
Alnurselislcaringlforlalclientldiagnosedlwithldiverticulitis.lWhichlquestionlaskedlduringlnutritionallassessmentlis
lmostlappropriatelforlthelnurseltolask?l -lW hatltypesloflfoodldolyoulconsumelregularly?
*uncertain
Alnurselislcaringlforlalclientladmittedltolthelemergencyldepartmentl(ED).lWhenlthelnursellearnslthatlthelclientli
slanlAlaskanlnative,lwhichldiagnosisloflacculturationldoeslthelnurselsuspect?l -lDiabetes
p.l19
Whenltakinglcareloflalclientlwithlirritablelbowellsyndromel(IBS),lthelnurseltalkslaboutlnewlgeneticlknowl
edgelthatlcouldlpersonalizelnutritionlprescriptions.lThelnurseldoeslthislto:l-lutilizelnutrientslproperly
p.20
"newlgeneticlknowledgelofferslthelpotentialltolpersonalizelnutritionlprescriptionsltolavoidlinteractionslbetw
eenlone'sldietlandlhislorlherlgenes,lwhichlcanladverselylaffectlthelbody'sluseloflnutrients"
Alnurselislleadinglalseminarlwithlmiddlelschoollstudentslcalledl"Overeating:lHowltolPreventlNegativelEffectslo
nlthelBody."lWhichlstatementlindicateslthatlteachinglhaslbeenlsuccessful?l-
lMylmonosaccharidellevellisl8E.lthatlislnormal.
*uncertainlbutlthelotherloptionslarelfalse