Exam 19: Carbohydrate- and Fat-Modified Diets for Malabsorption Disorders

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35-year-old male has developed chronic pancreatitis due to long-term excessive alcohol consumption.The nurse recognizes that he may be at nutritional risk.The best recommendation the nurse can make to this patient is to:

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B

Someone with malabsorption problems who is experiencing flatulence and diarrhea may benefit from avoiding:

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C

Celiac disease affects intestinal tissue and results in:

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A

Case Study Questions Use the following case study to answer questions Kati is a 27-year-old Caucasian who works as a bank teller.She is 5'3" tall and weighs 102 pounds.She began experiencing recurrent gastrointestinal disturbances such as diarrhea, steatorrhea, and flatulence several months ago.She made an appointment with her physician after noticing that she was losing weight.Laboratory tests confirmed a diagnosis of celiac disease. -After Kati's diagnosis, she should be instructed to avoid _____ until her intestine has recovered.

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Malabsorption of fat results in:

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Which of the following are not allowed on a fat-controlled diet?

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Case Study Cook with Cholelithiasis: Marcia Brown is a 42-year-old Pima Indian who works as a cook in a casino in Arizona.She has just been diagnosed with cholelithiasis.She is 5'4" tall and once weighed 210 pounds.One year ago she underwent gastric bypass surgery and has lost 75 pounds.For several months she had been experiencing episodes of pain in the right upper part of her abdomen.The pain usually began after eating and lasted for several hours.Lately she began to experience nausea and vomiting with the pain and began to run a fever. -Celiac disease is characterized by an abnormal immune response to certain amino acids.

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laboratory test can help to diagnosis lactose intolerance?

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Case Study Child with Cystic Fibrosis: Julia Franklin is a 6-year-old child who was diagnosed with cystic fibrosis at age 2.She has a poor appetite, and her height and weight are below normal for her age.Her parents have been instructed to feed her a high-calorie, high-protein, high-fat diet with extra salt and to provide snacks between all meals.She takes supplemental enzymes each time she eats.She experiences frequent respiratory infections, and has had numerous hospitalizations for cystic fibrosis exacerbation since her diagnosis. -If Julia cannot swallow the supplemental enzymes, suggest ways her parents might provide the enzymes to her.

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initial diet order for the patient with acute pancreatitis should be:

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Case Study Child with Cystic Fibrosis: Julia Franklin is a 6-year-old child who was diagnosed with cystic fibrosis at age 2.She has a poor appetite, and her height and weight are below normal for her age.Her parents have been instructed to feed her a high-calorie, high-protein, high-fat diet with extra salt and to provide snacks between all meals.She takes supplemental enzymes each time she eats.She experiences frequent respiratory infections, and has had numerous hospitalizations for cystic fibrosis exacerbation since her diagnosis. -Why were her parents instructed to feed Julia a high-calorie, high-protein, high-fat diet? Why does she need extra salt?

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Hernandez, a 59-year-old female, has been experiencing diarrhea and increased intestinal gas after drinking milk.She is diagnosed with lactose intolerance and subsequently worries about her bone health if she cannot drink milk.The nurse reassures her that she may still be able to tolerate some dairy foods and consume adequate calcium by all of the following means except:

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Which of the following foods is included in a gluten-restricted diet?

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Case Study Questions Use the following case study to answer questions Kati is a 27-year-old Caucasian who works as a bank teller.She is 5'3" tall and weighs 102 pounds.She began experiencing recurrent gastrointestinal disturbances such as diarrhea, steatorrhea, and flatulence several months ago.She made an appointment with her physician after noticing that she was losing weight.Laboratory tests confirmed a diagnosis of celiac disease. -will require nutrition education aimed at eliminating gluten from her diet.The dietitian will teach Kati to:

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Case Study Child with Cystic Fibrosis: Julia Franklin is a 6-year-old child who was diagnosed with cystic fibrosis at age 2.She has a poor appetite, and her height and weight are below normal for her age.Her parents have been instructed to feed her a high-calorie, high-protein, high-fat diet with extra salt and to provide snacks between all meals.She takes supplemental enzymes each time she eats.She experiences frequent respiratory infections, and has had numerous hospitalizations for cystic fibrosis exacerbation since her diagnosis. -Explain Julia's short stature and problem maintaining a normal body weight.

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minerals commonly malabsorbed as a consequence of fat malabsorption are:

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Case Study Cook with Cholelithiasis: Marcia Brown is a 42-year-old Pima Indian who works as a cook in a casino in Arizona.She has just been diagnosed with cholelithiasis.She is 5'4" tall and once weighed 210 pounds.One year ago she underwent gastric bypass surgery and has lost 75 pounds.For several months she had been experiencing episodes of pain in the right upper part of her abdomen.The pain usually began after eating and lasted for several hours.Lately she began to experience nausea and vomiting with the pain and began to run a fever. -Many lactose-intolerant individuals can tolerate up to 2 cups of milk a day when intake is divided throughout the day and taken with food.

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Why are young people with cystic fibrosis short and very lean for their age?

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nutrient deficiencies that most frequently cause anemia are those of:

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Case Study Questions Use the following case study to answer questions Kati is a 27-year-old Caucasian who works as a bank teller.She is 5'3" tall and weighs 102 pounds.She began experiencing recurrent gastrointestinal disturbances such as diarrhea, steatorrhea, and flatulence several months ago.She made an appointment with her physician after noticing that she was losing weight.Laboratory tests confirmed a diagnosis of celiac disease. -What does Kati need to understand about the role of oats in her diet?

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