Deck 17: Foods and Food Consistency for Upper Gi Disorders

Question 1

Among the following, the one criteria that does not determine whether a food is allowed on a clear-liquid diet is:

A)its transparency.
B)the amount of digestion required.
C)its nutrient density.
D)the amount of residue left in the colon.

Answer 1

C

Question 2

It is possible to meet all nutrient needs using a mechanically altered diet.

Answer 2

True

Question 3

Which of the following foods would not be allowed on a full-liquid diet?

A)pudding
B)ice cream
C)cream of wheat
D)angel food cake

Answer 3

D

Question 4

Moist, soft-textured foods that easily form a bolus are included in a _____ diet.

A)pureed
B)mechanical soft
C)full liquid
D)blenderized

Question 5

Xerostomia is a side effect of many medications and can make chewing and swallowing more difficult.

Question 6

Sweets and sugars increase osmolarity in the small intestine and contribute to dumping syndrome.

Question 7

Many foods on a full-liquid diet contain lactose.

Question 8

Oropharyngeal dysphagia is common in elderly persons and frequently follows a stroke.

Question 9

NSAID use may promote gastritis and peptic ulcer disease by damaging the mucosal lining.

Question 10

Oropharyngeal dysphagia may be characterized by all of the following except:

A)inability to initiate swallowing.
B)aspiration.
C)impaired peristalsis.
D)hoarse voice.

Question 11

7.In the dietary treatment of gastritis, irritating foods and beverages should be eliminated regardless of whether the patient is experiencing symptoms.

Question 12

mouth can result in all of the following except:

A)bad breath.
B)reduced food intake.
C)dental disease.
D)achalasia.

Question 13

Clinical studies indicate that the gastric bypass surgery generally results in greater weight loss than the gastric banding procedure.

Question 14

Mechanically altered diets are usually ordered for the patient who has:

A)an inflamed intestine.
B)diarrhea.
C)chewing or swallowing problems.
D)heartburn.

Question 15

People with _____ often complain of food "sticking" in the esophagus.

A)esophageal dysphagia
B)oropharyngeal dysphagia
C)dyspepsia
D)gastritis

Question 16

Bariatric surgery is currently considered the most effective treatment for someone with a BMI between 35 and 40 and no weight-related medical problems.

Question 17

patient requiring a clear liquid diet for more than two days:

A)should remain on a clear liquid diet.
B)should be given added fat.
C)should be supplemented with a commercially prepared low-residue formula.
D)should be progressed to the full liquid diet.

Question 18

Diets containing foods that are modified in texture or consistency are prescribed to treat disorders or conditions that primarily affect the:

A)musculoskelatal system.
B)upper gastrointestinal tract.
C)urinary tract.
D)lower gastrointestinal tract.

Question 19

A full-liquid diet is sometimes used as a transitional diet between the clear liquid diet and diets that contain solid foods.

Question 20

Which of the following foods would be allowed on clear-liquid diet?

A)chicken broth
B)hot chocolate
C)sherbet
D)milkshake

Question 21

Foods often associated with dyspepsia include all of the following except:

A)raw foods.
B)coffee.
C)spicy foods.
D)high-fat foods.

Question 22

Dietary advice that may help treat GERD includes:

A)avoiding alcohol.
B)avoiding gas-forming foods.
C)eating large servings.
D)sucking on a peppermint after a meal.

Question 23

General discomfort in the upper abdominal area with complaints of stomach pain, gnawing sensations, early satiety, nausea, vomiting, and bloating is descriptive of:

A)peptic ulcer disease.
B)dyspepsia.
C)hiatal hernia.
D)Sjögren's syndrome.

Question 24

Patients with reflux esophagitis should be instructed to:

A)eat small meals.
B)drink liquids with meals.
C)lie down after eating.
D)consume caffeine-containing foods and beverages.

Question 25

Which of the following plays the primary role in treatment of ulcers?

A)surgery
B)relaxation therapy
C)drug therapy
D)diet

Question 26

Hypochlorhydria may result from:

A)gastritis.
B)peptic ulcer disease.
C)dyspepsia.
D)bariatric surgery.

Question 27

most effective medications for suppressing gastric acid secretion are:

A)antibiotics.
B)proton-pump inhibitors.
C)antacids.
D)NSAIDs.

Question 28

alleviate nausea you would tell a patient to:

A)limit highly spiced foods.
B)drink liquids with meals.
C)consume hot meals.
D)eat as quickly as possible.

Question 29

Dysphagia can be caused by all of the following except:

A)Parkinson's disease.
B)diabetes.
C)esophageal cancer.
D)stroke.

Question 30

condition in which a portion of the stomach protrudes above the diaphragm is:

A)hiatal hernia.
B)Barrett's esophagus.
C)gastritis.
D)gastric ulcer.

Question 31

Which of the following foods would not be appropriate on a Level 1 diet for dysphagia?

A)pudding
B)yogurt with fruit
C)baby cereal
D)pureed sweet potatoes

Question 32

often, GERD develops as a consequence of:

A)aging.
B)drugs.
C)feeding tubes.
D)pregnancy.

Question 33

Repeated bouts of pneumonia may be associated with:

A)dysphagia.
B)irritable bowel syndrome.
C)peptic ulcers.
D)diverticular disease.

Question 34

of the most common causes of acute gastritis is:

A)food allergies.
B)viral infections.
C)repeated use of NSAIDS.
D)radiation therapy.

Question 35

of the following are appropriate for a patient suffering from mouth dryness except:

A)sauces.
B)potato chips.
C)gravies.
D)sugarless gum.

Question 36

All of the following foods may be indicated for individuals with dysphagia except:

A)cream of wheat.
B)scrambled eggs.
C)brownies with nuts.
D)pureed chicken.

Question 37

Nutrition interventions to ease the symptoms of nausea include:

A)eating dry, starchy foods.
B)drinking warm beverages.
C)adding fat to foods.
D)eating raw vegetables.

Question 38

_____ occurs in up to 15% of cases of peptic ulcer disease.

A)Pain
B)Dysphagia
C)Gastrointestinal bleeding
D)Reflux esophagitis

Question 39

A major factor in the development of both gastritis and peptic ulcer disease is:

A)infection with H.pylori.
B)stress.
C)overeating.
D)cigarette smoking.

Question 40

To improve a patient's acceptance of pureed foods you would:

A)make them watery and thin.
B)use brightly colored foods.
C)avoid the use of spices and seasonings.
D)avoid pureeing a patient's favorite foods.

Question 41

Postgastrectomy diets limit the amounts of:

A)fat.
B)sugar.
C)protein.
D)complex carbohydrate.

Question 42

Appropriate foods for a postgastrectomy diet include:

A)lean, tender meats.
B)fruit punch.
C)milk shakes.
D)frosted flakes.

Question 43

avoid dehydration, the patient who has undergone bariatric surgery should:

A)sip water and other noncaloric beverages throughout the day.
B)drink plenty of fluids with meals.
C)increase intake of foods with high water content.
D)drink sports drinks.

Question 44

Liquids are restricted following a gastrectomy because they:

A)can speed up the emptying rate of the stomach.
B)slow down the emptying rate of the stomach.
C)add unwanted kcalories.
D)are likely to cause aspiration.

Question 45

Case Study Questions
Use the following case study to answer questions
Jennie Wilson is a 42-year-old administrative assistant who recently underwent gastric bypass surgery to treat her obesity and weight-related problems of diabetes and hypertension.
she is able to tolerate regular foods, what type of foods should Ms.Wilson be encouraged to eat before consuming other foods in a meal?

A)complex carbohydrates
B)high-protein foods
C)low-fat foods
D)high-fat foods

Question 46

protein recommendation for bariatric surgery patients is:

A)0.8 g/kg to 1.0 g/kg per day.
B)1.0 g/kg to 1.5 g/kg per day.
C)1.2 g/kg to 1.8 g/kg per day.
D)1.5 g/kg to 2.0 g/kg per day.

Question 47

help delay stomach emptying and reduce diarrhea following a gastrectomy, foods high in _____ may be useful.

A)fat
B)insoluble fiber
C)protein
D)soluble fiber

Question 48

Case Study Questions
Use the following case study to answer questions
Jennie Wilson is a 42-year-old administrative assistant who recently underwent gastric bypass surgery to treat her obesity and weight-related problems of diabetes and hypertension.
Wilson's stomach capacity immediately following surgery will be:

A)a few teaspoons.
B)a few tablespoons.
C)½ cup.
D)¾ cup.

Question 49

minimize or prevent dumping syndrome, you would tell a patient to:

A)limit the amount of fluid consumed with a meal.
B)drink a cold beverage with each meal.
C)avoid fiber-rich foods.
D)avoid lying down after eating.

Question 50

Following bariatric surgery, the gastric pouch will eventually stretch to hold about _____ of food.

A)1/3 cup
B)½ cup
C)1 cup
D)1 ½ cups

Question 51

of the following foods can be problematic following bariatric surgery except:

A)pasta.
B)grapes.
C)asparagus.
D)crackers.

Question 52

Frequent complications of gastric surgery include all of the following except:

A)bone disease.
B)weight loss.
C)protein malabsorption.
D)iron-deficiency anemia.

Question 53

Nutrition intervention for peptic ulcer disease includes advising the patient to do all of the following except:

A)avoid foods that increase acid secretion.
B)avoid large meals.
C)avoid eating right before bedtime.
D)avoid gas-forming foods.

Question 54

Dietary adjustments after a gastrectomy are influenced by:

A)the size of the remaining stomach.
B)the resulting slower gastric emptying.
C)the type of surgical procedure performed.
D)the patient's food preferences.

Question 55

Case Study Questions
Use the following case study to answer questions
Jennie Wilson is a 42-year-old administrative assistant who recently underwent gastric bypass surgery to treat her obesity and weight-related problems of diabetes and hypertension.
Which of the following foods should Ms.Wilson be advised to avoid to prevent possible obstruction of the gastric outlet?

A)bananas
B)celery
C)fish
D)mashed potatoes

Question 56

The symptoms of dumping syndrome include all of the following except:

A)diarrhea.
B)lightheadedness.
C)difficulty breathing.
D)rapid heartbeat.

Question 57

Suggestions for achieving and maintaining weight loss following bariatric surgery include all of the following except:

A)Eat only during designated mealtimes.
B)Engage in regular physical activity.
C)Drink plenty of water and other beverages to suppress appetite.
D)Eat slowly and chew food thoroughly.

Question 58

The diet progression following bariatric surgery is:

A)liquid, pureed, soft, regular.
B)liquid, mechanical soft, low-fat, regular.
C)pureed, chopped, regular.
D)pureed, chopped, soft, regular.

Question 59

Rapid weight loss following bariatric surgery increases the risk of developing:

A)gallbladder disease.
B)hypertension.
C)type 2 diabetes.
D)Sjögren's syndrome.

Question 60

Case Study Questions
Use the following case study to answer questions
Jennie Wilson is a 42-year-old administrative assistant who recently underwent gastric bypass surgery to treat her obesity and weight-related problems of diabetes and hypertension.
the day following surgery, Ms.Wilson will be allowed to consume all of the following except:

A)sugar-free iced tea.
B)low-fat broth.
C)water.
D)skim milk.

Question 61

Green uses NSAIDs regularly to control chronic pain and complains of frequent stomach pain.The nurse recognizes this as gastritis and realizes that he may be at risk for deficiencies of:

A)calcium and phosphorous.
B)iron and vitamin B₁₂.
C)sodium and potassium.
D)vitamins C and E.

Question 62

Which of the following foods stimulates saliva flow and does not contribute to acid formation in the mouth?

A)beef
B)legumes
C)orange juice
D)cheese

Question 63

Dental caries are caused by:

A)bacteria that produce acids that attack tooth enamel.
B)excessive fluoride intake that attacks tooth enamel.
C)high-fiber foods that cause carbohydrate to stick to teeth.
D)excessive consumption of sugar that eats into teeth.

Question 64

should the nurse include in the care plan to address the nutritional needs of a patient who has undergone a partial gastrectomy?

A)several small meals and snacks
B)low-fiber diet
C)low-fat diet
D)high-kcalorie diet with snacks between meals

Question 65

A patient experiences nausea, vomiting, abdominal cramping, diarrhea, and lightheadedness after meals following gastric bypass surgery.The nurse recognizes these as symptoms of:

A)malabsorption.
B)high blood sugar.
C)Sjögren's syndrome.
D)dumping syndrome.

Question 66

nurse recognizes that finding the best diet for a patient with dysphagia is often challenging, and the most appropriate foods are:

A)dry foods like crackers.
B)sticky foods like peanut butter.
C)foods with mixed textures like casseroles.
D)soft, cohesive foods like mashed potatoes.

Question 67

Which of the following foods would be most likely to contribute to dental caries?

A)raw carrots
B)milk
C)dried fruits
D)cheese

Question 68

Following bariatric surgery, the nurse understands that the capacity of the stomach is:

A)a few teaspoons.
B)a few tablespoons.
C)about 2/3 cup.
D)about 1 cup.

Question 69

Following gastric resection, the nurse understands the need to limit _____ in the patient's diet.

A)fiber
B)meat
C)vegetables
D)sugar

Question 70

nurse is working with a patient who had bariatric surgery four months ago.The nurse should tell this patient to:

A)consume only liquids.
B)eat whatever she wants.
C)take megadoses of vitamins and minerals.
D)consume only small amounts of food at a time.

Question 71

nurse understands that a patient with GERD will benefit from education on managing the disease.All of the following suggestions would be included in the education except:

A)Avoid eating at bedtime.
B)Limit chocolate, high-fat foods, coffee, and tea.
C)Consume liquids with meals.
D)Avoid alcohol.

Question 72

Current research suggests that periodontal disease may increase the risk of developing:

A)heart disease.
B)renal failure.
C)arthritis.
D)dermatitis.

Question 73

Case Study Questions
Use the following case study to answer questions
Jennie Wilson is a 42-year-old administrative assistant who recently underwent gastric bypass surgery to treat her obesity and weight-related problems of diabetes and hypertension.
order to achieve and maintain weight loss after surgery, Ms.Wilson should be encouraged to:

A)avoid drinking high-calorie beverages.
B)eat at least one cup of food at each meal.
C)limit her physical activity.
D)snack between meals to avoid feelings of hunger.

Question 74

nurse is reinforcing the dietitian's instructions for a postgastrectomy diet.The nurse realizes the client understands his diet when he states that he should:

A)emphasize grains, fruits, and vegetables in his diet.
B)limit the amount of sweets like colas, honey, and jam.
C)eliminate meats, eggs, and milk.
D)exclude decaffeinated coffee, tea, and artificially sweetened drinks.

Question 75

nurse recognizes that a patient with peptic ulcer disease should avoid foods that may irritate the gastrointestinal lining, such as:

A)alcohol, coffee, and spicy foods.
B)eggs, ribs, and cheese.
C)tea, orange juice, and potato chips.
D)apples, broccoli, and sweet potatoes.

Question 76

Which of the following factors is not involved in tooth decay?

A)the type of carbohydrate consumed
B)the frequency of carbohydrate intake
C)the stickiness of foods consumed
D)the fat content of foods consumed

Question 77

Case Study Questions
Use the following case study to answer questions
Jennie Wilson is a 42-year-old administrative assistant who recently underwent gastric bypass surgery to treat her obesity and weight-related problems of diabetes and hypertension.
to reduced food intake and nutrient malabsorption, Ms.Wilson will likely require supplements of:

A)vitamin B₁₂, iron, and calcium.
B)zinc, magnesium, and iron.
C)vitamin B₆, folate, and niacin.
D)calcium, iron, and vitamin D.

Question 78

of the following are risk factors for developing periodontal disease except:

A)dental plaque.
B)smoking.
C)diabetes.
D)atherosclerosis.

Question 79

nurse is reviewing a patient's chart and notices that the patient has a history of Sjögren's syndrome.The nurse recognizes that the patient may have nutritional problems due to:

A)low blood sugar.
B)dry mouth.
C)impaired digestion.
D)malabsorption.

Question 80

nurse is working with a patient who recently suffered from a stroke.The patient complains of painful swallowing, nasal regurgitation during swallowing, and coughing during meals.The nurse recognizes these as symptoms of:

A)dysphagia.
B)gastritis.
C)reflux esophagitis.
D)hiatal hernia.