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Exam 17: Nutrition and Upper Gastrointestinal Disorders

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Question 41

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Clients with reflux esophagitis should be instructed to:

A) eat small, frequent meals.
B) drink liquids with meals.
C) lie down after eating.
D) consume caffeine-containing foods and beverages.
E) avoid physical activity.

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Question 42

Multiple Choice

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The protein recommendation for bariatric surgery patients is:

A) 0.8-1.0 g/kg ideal body weight per day.
B) 1.0-1.5 g/kg ideal body weight per day.
C) 1.8-2.2 g/kg ideal body weight per day.
D) 2.5-3.0 g/kg ideal body weight per day.
E) 3.3-3.5 g/kg ideal body weight per day.

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Question 43

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M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or antisecretory medication continuously during that time, M.L. knows what foods or factors cause symptoms, and is able to generally avoid them; hence, he has not had reflux esophagitis in over a year. A 24-hour diet history reveals M.L. ate these foods yesterday: Breakfast: Skipped Snack: Fresh pear; instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers; skim milk Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard; 100% grape juice diluted with water; snack pack of carrots, no dressing Snack: Sugar cookies; skim milk Dinner: Tempura (deep-fried, breaded) salmon; buttered rice; salad with lettuce and tomato; vinegar and oil dressing; water Snack, at bedtime: Ginger ale and ginger snap cookies The practitioner gives M.L. a checklist of lifestyle changes that can help minimize GERD symptoms. Based on the diet recall above, M.L. would benefit from education about which topic?

Following gastrectomy, the patient may require as many as eight to twelve small meals and snacks per day.

What food would most likely stimulate saliva flow and neutralize acids in the mouth?

Jennie Wilson is a 42-year-old administrative assistant who recently underwent sleeve gastrectomy surgery to treat her obesity and weight-related problems: diabetes and hypertension. Ms. Wilson will need nutrition education before being discharged from the hospital. On the day following surgery, Ms. Wilson will be allowed to consume what food or fluids?

The most effective medications for suppressing gastric acid secretion are:

What condition is known as a potential cause of esophageal dysphagia?

Liquids are restricted during meals following a gastrectomy because they:

What complication is most closely associated with surgical gastrectomy?

What suggestion for achieving and maintaining weight loss following bariatric surgery is most appropriate?