Chapter 20. Diet in Digestive Diseases
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A nurse is caring for a client prior to a major surgery. Which of the following minimum fasting
recommendations should the nurse expect?
1. No fruit juice should be consumed 3 hours prior.
2. Toast and black coffee should be consumed 8 hours prior.
3. Alcohol should be consumed 6 hours prior.
4. French fries and a cheeseburger should be consumed more than 8 hours prior.
____ 2. A nurse is caring for a client who is recovering from partial gastrectomy. The client notes that 2
hours postprandial he experiences sweating, shakiness, and difficulty concentrating. Which dietary
change does the nurse anticipate for this client?
1. Consume three small meals per day.
2. Consume a diet low in protein.
3. Consume a diet low in simple sugars.
4. Consume three larger meals per day.
____ 3. A 20-year-old Caucasian woman presents with abdominal pain, anemia, and fatigue. The client notes
these symptoms occur after eating pasta and bread. The client also has a history of infertility,
rheumatoid arthritis, and gastric ulcers. Preliminary laboratory results indicate that the client is also
anemic. Which condition does a nurse suspect?
1. Irritable bowel syndrome (IBS)
2. Celiac disease
3. Fecal impaction
4. Ulcerative colitis
____ 4. A client with Crohn disease has just experienced an exacerbation. Which dietary change does the
nurse expect?
1. Increase intake of omega-3 fatty acid
2. Consume high-protein, low-fat foods
3. Increase fiber intake
4. Consume foods high in oxalate
____ 5. A nurse is caring for a client with well-managed ulcerative colitis. Which dietary need should the
nurse expect?
1. Providing enteral feeding by mouth
2. Administering parenteral nutrition (PN)
3. Use of omega-3 fatty acid supplements
4. Use of probiotics
Copyright © 2019 F. A. Davis Company
, ____ 6. A client, who is a new mother, notes that her child becomes extremely fussy after meals, including
arching his back after feeding, coughing, wheezing, and vomiting. Which would help alleviate these
symptoms?
1. Giving larger feedings
2. Burping after feeding is complete
3. Placing infant upright after feeding
4. Spacing out feedings
____ 7. Which lifestyle change may help a client with hiatal hernia manage symptoms?
1. Standing during meals
2. Increasing liquid with meals
3. Lying down after eating
4. Elevating bed by 6 inches
____ 8. A nurse is caring for a client with cirrhosis. Which dietary component can the nurse expect?
1. Eating a snack in late evening
2. Drinking moderate amounts of alcohol
3. Consuming 2 to 3 grams of protein per kilogram of weight
4. Increasing sodium intake
____ 9. A client with cirrhosis presents with irritability, weakness, personality changes, and confusion. What
treatment should the nurse expect?
1. Increased consumption of skim milk
2. Administration of lactulose
3. Administration of sodium
4. Increased consumption of folate
____ 10. A nurse who works in the emergency department is caring for a female client who is experiencing
pain in the right upper quadrant that radiates to the right shoulder. During screening, the client notes
that after having her last child, she began using oral contraceptives. Her 24-hour diet recall includes
consumption of lasagna for dinner the previous evening. Which should the nurse expect will be
administered?
1. Lactulose
2. Ursodiol
3. Glucose
4. Rifaximin
____ 11. A nurse is caring for a 1-year-old pediatric client with cystic fibrosis. Which should the nurse expect
to be administered on a trial basis if the client is not achieving normal growth?
1. Vitamin A
2. Vitamin E
3. Vitamin D
4. Zinc
____ 12. Clients with cystic fibrosis often experience:
Copyright © 2019 F. A. Davis Company
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A nurse is caring for a client prior to a major surgery. Which of the following minimum fasting
recommendations should the nurse expect?
1. No fruit juice should be consumed 3 hours prior.
2. Toast and black coffee should be consumed 8 hours prior.
3. Alcohol should be consumed 6 hours prior.
4. French fries and a cheeseburger should be consumed more than 8 hours prior.
____ 2. A nurse is caring for a client who is recovering from partial gastrectomy. The client notes that 2
hours postprandial he experiences sweating, shakiness, and difficulty concentrating. Which dietary
change does the nurse anticipate for this client?
1. Consume three small meals per day.
2. Consume a diet low in protein.
3. Consume a diet low in simple sugars.
4. Consume three larger meals per day.
____ 3. A 20-year-old Caucasian woman presents with abdominal pain, anemia, and fatigue. The client notes
these symptoms occur after eating pasta and bread. The client also has a history of infertility,
rheumatoid arthritis, and gastric ulcers. Preliminary laboratory results indicate that the client is also
anemic. Which condition does a nurse suspect?
1. Irritable bowel syndrome (IBS)
2. Celiac disease
3. Fecal impaction
4. Ulcerative colitis
____ 4. A client with Crohn disease has just experienced an exacerbation. Which dietary change does the
nurse expect?
1. Increase intake of omega-3 fatty acid
2. Consume high-protein, low-fat foods
3. Increase fiber intake
4. Consume foods high in oxalate
____ 5. A nurse is caring for a client with well-managed ulcerative colitis. Which dietary need should the
nurse expect?
1. Providing enteral feeding by mouth
2. Administering parenteral nutrition (PN)
3. Use of omega-3 fatty acid supplements
4. Use of probiotics
Copyright © 2019 F. A. Davis Company
, ____ 6. A client, who is a new mother, notes that her child becomes extremely fussy after meals, including
arching his back after feeding, coughing, wheezing, and vomiting. Which would help alleviate these
symptoms?
1. Giving larger feedings
2. Burping after feeding is complete
3. Placing infant upright after feeding
4. Spacing out feedings
____ 7. Which lifestyle change may help a client with hiatal hernia manage symptoms?
1. Standing during meals
2. Increasing liquid with meals
3. Lying down after eating
4. Elevating bed by 6 inches
____ 8. A nurse is caring for a client with cirrhosis. Which dietary component can the nurse expect?
1. Eating a snack in late evening
2. Drinking moderate amounts of alcohol
3. Consuming 2 to 3 grams of protein per kilogram of weight
4. Increasing sodium intake
____ 9. A client with cirrhosis presents with irritability, weakness, personality changes, and confusion. What
treatment should the nurse expect?
1. Increased consumption of skim milk
2. Administration of lactulose
3. Administration of sodium
4. Increased consumption of folate
____ 10. A nurse who works in the emergency department is caring for a female client who is experiencing
pain in the right upper quadrant that radiates to the right shoulder. During screening, the client notes
that after having her last child, she began using oral contraceptives. Her 24-hour diet recall includes
consumption of lasagna for dinner the previous evening. Which should the nurse expect will be
administered?
1. Lactulose
2. Ursodiol
3. Glucose
4. Rifaximin
____ 11. A nurse is caring for a 1-year-old pediatric client with cystic fibrosis. Which should the nurse expect
to be administered on a trial basis if the client is not achieving normal growth?
1. Vitamin A
2. Vitamin E
3. Vitamin D
4. Zinc
____ 12. Clients with cystic fibrosis often experience:
Copyright © 2019 F. A. Davis Company
