CSO study Exam Questions With Correct Answer

CSO study Exam Questions With Correct Answer MNT for Small Bowel Resection - Correct Answer 1. Some patients may not be able to tolerate normal feedings and may require enteral or parenteral nutrition. 2. Small, frequent feedings (6 times/day) 3. Fluid and electrolytes should be provided in small, frequent amounts. Consider use of oral rehydration solutions when fluid losses result in dehydration. 4. If terminal ileum has been resected: monitor serum vitamin B12, monitor for diarrhea (addition of bile acid sequestrants may be indicated), fat soluble vitamins ADEK, and calcium, zinc, and magnesium may be supplemented. MNT for Colectomy with reanastomosis - Correct Answer 1. Encourage intake of small, more frequent meals. 2. Monitor fluid and electrolyte status. 3. Advise dietary interventions (e.g. low fiber diet) to slow transit time, if indicated. MNT for Colectomy with ileostomy - Correct Answer 1. Manage fluid and electrolyte imbalances, including Na and K+ losses. 2. Drink at least 1 L more than their output daily. 3. Chew foods well. 4. Avoid foods high in dietary fiber (both insoluble and soluble), high fat foods, and simple sugars. MNT for Ileal Pouch ("J-pouch") - Correct Answer 1. Monitor for pouchitis 2. Limit caffeine, avoid lactose if lactose-deficient, limit fructose and sorbitol; stress adequate fluid and electrolyte intake d/t increase in losses. 3. Reinforce anti-diarrheal meds. Vitamin and Mineral malabsorption in Colorectal Cancer - Correct Answer -Monitor serum vitamin D -Encourage calcium-rich diet -Vitamin B12 supplementation if ileum is resected -Folate supplementation may be indicated because of low fresh veggie and fruit intake Risk factors for Colorectal Cancer - Correct Answer 1. Age 50 2. Presence of adenoma polyps in the colon. Inherited syndromes (e.g. HNPCC, FAP, Peutz-Jeghers syndrome, MUTYH-associated polyposis) 3. Race and ethnicity (African Americans, Ashkanazi Jews) 4. Type II DM 5. Overweight and obesity, especially abdominal obesity 6. Smoking, use of tobacco products 7. Heavy ETOH use 8. Physical inactivity