CDRE Practice Questions With 100% Correct Answers

CDRE Practice Questions With 100% Correct Answers A client with a history of ovarian cancer is being treated with radiation. The client is admitted to the hospital with a high-output distal gastrointestinal fistula and has lost 15 kg in the last 4 months. What nutrition intervention should the dietitian recommend? -answerPN to meet nutrition needs When the fistula output is high and distal, discontinuation of oral intake is recommended because oral intake stimulates further loss of fluids, electrolytes and protein via the fistula. The client is at risk for refeeding syndrome. Which electrolyte abnormalities should the dietitian monitor? -answerIn refeeding syndrome, a rapid increase in insulin stimulates movement of extracellular potassium and phosphate into the cells causing a rapid fall in blood concentrations of these ions. The dietitian notices that the client's serum sodium is above the normal range. What is the mostlikely cause? Overhydration Diuretic use Inadequate sodium intake Dehydration -answerdehydration High-output fistula is defined by fluid loss over 500 mL/day. A high-output fistula increases the possibility of fluid and electrolyte imbalance and puts the client at high risk of dehydration. The fistula has healed, and the physician asks the dietitian to reassess the client. What should the dietitian recommend? Initiate nutrition support Initiate a regular meal plan Initiate clear fluids Initiate a low-fibre meal plan -answerCF Oral feeding should be initiated as soon as the gastrointestinal tract is functional. Dilute liquids are taken first and then, as the bowel adapts, the patient begins the slow return to a regular diet. The client is now on a regular meal plan and the dietitian wants to determine if nutrition needs are being met. What method would the dietitian use to get an estimate of the client's usual intake? Obtain a 3-day food intake record Observe the client at mealtime Complete a 24-hr food recall Request nursing for comments on the client's intake -answer3 day food record A 3-day food record would provide the best picture of usual intake as it allows the dietitian to average intake over a 3-day period. observation : This will provide information only for the observed meals, not total food intake. A 24-hr recall provides no information about day-to-day variation of food intake. Information from nursing can be subject to interpretation depending on the person. Also, often the rotation of nursing staff can change every 8-12 hours and from day to day so observations may not be consistent. A patient is admitted to hospital for shortness of breath, nausea, vomiting and ascites. The patient reports a recent rapid weight gain of 7 kg (height: 160 cm, current weight: 67 kg). Upon admission, lab data reveal a low serum albumin and normal liver function tests. The patient's diet provides about 6,800 kJ (1,600 kcal) and 60 g protein. Which conclusion should the dietitian make based on this information? Weight gain is a positive indicator of improved nutrition status Recent weight gain reflects an increased oral intake Serum albumin is low due to the intake of a low-protein diet Recent weight gain is related to low serum albumin -answerRapid and significant weight gain is most likely due to a shift in fluid balance. This is supported by the low albumin level, which can result in edema, confirmed by theclient's ascites. A client is referred to the dietitian for an initial