NTR 604 - FINAL EXAM STUDY GUIDE
QUESTIONS AND ANSWERS
in which case is indirect calorimetry contraindicated?
a) multiple organ system failure
b) COPD
c) wounds
d) air leaks (endotracheal tube cuff leak, chest tube, broncho-pleural fistula)
e) inadequate clinical response using predictive equations - Answer-d) air leaks
(endotracheal tube cuff leak, chest tube, broncho-pleural fistula)
when assessing the test quality for indirect calorimetry, you should check if the RQ is
within physiologic range. what is this range?
you can also assess if a steady state was achieved by looking for a covariance or
standard deviation ___% - Answer-.67-1.3
<10
true or false: in critically ill patients, you still need to account for activity and stress
factors when using indirect calorimetry - Answer-false - use 100% REE provided by IC
which type of radiation therapy can have nutrition related side effects?
a) external beam
b) brachytherapy - Answer-a) external beam
what are the side effects of radiation in the thorax area? (3)
a) anorexia
b) dysphagia
c) acute colitis and enteritis
d) heartburn
e) fistula - Answer-dysphagia, heartburn, and fistula
which of the following are NOT side effects of radiation in the abdominal and pelvic
areas? (2)
a) anorexia
b) nausea/vomiting
c) fibrosis
d) acute colitis and enteritis
e) dysphagia - Answer-fibrosis and dysphagia
, what nutritional implications might chemotherapy have on a patient? - Answer-altered
digestion/absorption
which of the following are goals of nutrition therapy in cancer patients? (2)
a) weight loss
b) preserve LBM
c) help patient tolerate treatments
d) high doses of antioxidants - Answer-b) preserve lean body mass
c) help patients tolerate treatments
list 4 approved health claims - Answer-1. calcium and osteoporosis
2. folate and neural tube defects
3. soluble fiber and coronary artery disease
4. plant stanols/stanol esters and coronary heart disease
which of the following is a health claim and which is a structure-function claim?
a) promotes bone health
b) calcium and osteoporosis - Answer-health claim - b)
structure-function claim - a)
which act regulated dietary supplements in 1994? - Answer-dietary supplement health
and education act (1994)
what is not allowed under the dietary supplement health and education act (1994)? -
Answer-disease claims
true or false: supplements are not required to provide proof of safety and efficacy prior
to marketing - Answer-true
glomerulonephritis is an example of what type of acute kidney injury? - Answer-renal
intrinsic
3 complications of acute kidney injury - Answer-1. hypercatabolism
2. acid-base disturbances
3. electrolyte and fluid imbalances
which acid-base disturbance occurs due to AKI?
which electrolyte and fluid imbalances does fluid overload and edema cause in AKI? (4)
- Answer-metabolic acidosis
sodium retention
hyperkalemia
hyperphosphatemia
hypermagnesemia
QUESTIONS AND ANSWERS
in which case is indirect calorimetry contraindicated?
a) multiple organ system failure
b) COPD
c) wounds
d) air leaks (endotracheal tube cuff leak, chest tube, broncho-pleural fistula)
e) inadequate clinical response using predictive equations - Answer-d) air leaks
(endotracheal tube cuff leak, chest tube, broncho-pleural fistula)
when assessing the test quality for indirect calorimetry, you should check if the RQ is
within physiologic range. what is this range?
you can also assess if a steady state was achieved by looking for a covariance or
standard deviation ___% - Answer-.67-1.3
<10
true or false: in critically ill patients, you still need to account for activity and stress
factors when using indirect calorimetry - Answer-false - use 100% REE provided by IC
which type of radiation therapy can have nutrition related side effects?
a) external beam
b) brachytherapy - Answer-a) external beam
what are the side effects of radiation in the thorax area? (3)
a) anorexia
b) dysphagia
c) acute colitis and enteritis
d) heartburn
e) fistula - Answer-dysphagia, heartburn, and fistula
which of the following are NOT side effects of radiation in the abdominal and pelvic
areas? (2)
a) anorexia
b) nausea/vomiting
c) fibrosis
d) acute colitis and enteritis
e) dysphagia - Answer-fibrosis and dysphagia
, what nutritional implications might chemotherapy have on a patient? - Answer-altered
digestion/absorption
which of the following are goals of nutrition therapy in cancer patients? (2)
a) weight loss
b) preserve LBM
c) help patient tolerate treatments
d) high doses of antioxidants - Answer-b) preserve lean body mass
c) help patients tolerate treatments
list 4 approved health claims - Answer-1. calcium and osteoporosis
2. folate and neural tube defects
3. soluble fiber and coronary artery disease
4. plant stanols/stanol esters and coronary heart disease
which of the following is a health claim and which is a structure-function claim?
a) promotes bone health
b) calcium and osteoporosis - Answer-health claim - b)
structure-function claim - a)
which act regulated dietary supplements in 1994? - Answer-dietary supplement health
and education act (1994)
what is not allowed under the dietary supplement health and education act (1994)? -
Answer-disease claims
true or false: supplements are not required to provide proof of safety and efficacy prior
to marketing - Answer-true
glomerulonephritis is an example of what type of acute kidney injury? - Answer-renal
intrinsic
3 complications of acute kidney injury - Answer-1. hypercatabolism
2. acid-base disturbances
3. electrolyte and fluid imbalances
which acid-base disturbance occurs due to AKI?
which electrolyte and fluid imbalances does fluid overload and edema cause in AKI? (4)
- Answer-metabolic acidosis
sodium retention
hyperkalemia
hyperphosphatemia
hypermagnesemia
