HPRO 175 Chapter 12 Quiz

An order for a cl liq diet would consist of: a. nutrition for patients who cannot tolerate solid foods; it includes broth, jello, and clear juices. b. liquids that are modified to vary in calorie content; these include milk, cream soups, ice cream, and puddings. c. liquefied nutrients administered directly into the stomach. d. the patient's choice of liquids, including ice cream, creamed soup, and vegetable juices.

a. A cl liq (clear liquid) diet is used for patients who cannot tolerate solid foods, including those in whom an acute illness has been diagnosed and patients who have just had surgery. It includes only clear liquids such as broth, bouillon, coffee, tea, carbonated beverages, clear fruit juices, gelatin, and Popsicles.

A patient cannot eat lobster because it causes a skin rash. This is an example of: a. food intolerance. b. a food allergy. c. a food preference. d. the fact that you do not need to report to his nurse because the hospital normally does not serve lobster.

a. A food allergy is a negative physical reaction to a particular food involving the immune system. People with food allergies should avoid the offending foods.

A therapeutic diet: a. must be ordered by the patient's doctor. b. must be requested by the patient. c. may be ordered by the RD. d. may be requested by the nurse.

a. A therapeutic diet is a regular diet with modifications or restrictions (also called a special diet) that must be ordered by the doctor.

Boost Plus is an example of a: a. tube-feeding preparation. b. pharmaceutical preparation that heightens a patient's energy level. c. therapeutic diet. d. sodium-restricted diet.

a. Boost Plus is one of the commercially prepared formulas that is used in tube feeding.

CHO is the abbreviation for: a. carbohydrate. b. protein. c. an essential fatty acid. d. coronary health organization.

a. CHO is an abbreviation for carbohydrate.

The dysphagia diet that is most severely restricted is Level: a. IV. b. I. c. III. d. II.

a. Level I is the most severely restricted. Patients with severe dysphagia are just beginning to eat by mouth (unable to safely swallow chewable foods and unable to safely drink thin liquids). The diet consists of thick homogenous semi-liquid textures and decreased fiber; no coarse textures, nuts, or raw fruits or vegetables are included.

If the patient is not aware of any food allergies or intolerances, which abbreviation may be written in the chart? a. NKFA b. NPO c. NPH d. NAS

a. NKFA indicates that the patient has no known food allergies.

A diet that includes all plant foods, dairy, and eggs is the _____ diet. a. Ovolactovegetarian b. Lactovegetarian c. Flexitarian d. kosher

a. The ovolactovegetarian diet includes all plant foods, dairy, and eggs.

A patient who needs rehydration would receive: a. a high-calorie diet. b. fluids orally and/or intravenously. c. a low-fat diet. d. a low-calorie diet.

b. A patient who is needing rehydration would receive fluids orally and/or intravenously.

Energy generated in the body by the heat produced after food is eaten is called: a. the theory of relativity. b. calories. c. thermodynamics. d. nutrients

b. Calories are the energy generated in the body by the heat produced after food is eaten.

A patient who is having surgery in the morning has a diet order, "NPO MN." This means: a. no proteins only after midnight (patient may eat fats and carbohydrates). b. nutrients postoperatively; may nibble. c. nothing by mouth after midnight. d. nothing preoperatively; afterward, many nutrients.

b. NPO MN means nothing by mouth after midnight.

When transcribing an order for DAT, the HUC would: a. send the DAT order to the Nutritional Care department. b. ask the patient's nurse. c. ask the patient what he feels like eating. d. order the diet that would be next in the consistency progression.

b. The nurse may then select from standard (consistency) diets such as full liquid, soft, or regular to advance the diet. The Nutritional Care department cannot decide what the patient can tolerate.

Which of the following diets could the nurse request for a patient who has a "diet as tolerated (DAT)" order written by the doctor? a. Low-fat diet b. Full liq diet c. Twelve-hundred-cal diet d. High-fiber diet

b. When the doctor writes an order to advance DAT, this order usually includes the initial diet. The nurse may then select from standard (consistency) diets such as full liquid, soft, or regular to advance the diet.

As a patient's condition improves postoperatively, the diet progression would likely be: a. TPN NKFA NPO. b. reg low chol ADA. c. NPO cl liq full liq. d. reg NAS full liq.

c. After the patient has tolerated clear liquids following surgery, the nurse may order a full liquid diet for the evening meal. Usually, the patient is advanced from clear liquid to full liquid, to soft, and then to a regular diet, according to the current stage of recovery.

When transcribing an order for, "Limit fluids to 1000 mL per day," the health unit coordinator (HUC) would: a. only notify the nurse so the patient's fluids may be monitored. b. only notify the nursing assistants to monitor the patient's fluids. c. notify the Nutritional Care department so it will limit the fluid on patient trays d. not need to let the nurse know; the fluid restriction is limited to what the patient receives on the meal trays, not what is given on the floor.

c. All dietary information, including orders for nothing by mouth, tube feedings, allergies, limit fluids, force fluids, and calorie count, must be sent to the nutritional care department, so necessary adjustments will be made when the patients trays are prepared. The nurse would receive a copy of the doctors orders.

An order for 2.5 g Na for a patient on a soft diet would: a. cancel the soft diet. b. have to be clarified by the doctor for a consistency order. c. be added to the soft diet. d. have to be clarified by the nurse for a consistency order.

c. An order that modifies a nutrient or number of calories would not change the consistency of a patients diet.

A tube feeding is also known as: a. intravenous hyperalimentation. b. enteral feeding set. c. gavage. d. a therapeutic diet.

c. Gavage is feeding by means of a tube inserted into the stomach, duodenum, or jejunum through the nose or an opening in the abdominal wall; this is also called tube feeding.

Stage 4 of the postoperative diet for the gastric bypass procedure consists of which of the following a. Pureed b. Cl liquids c. Soft solids d. Gastric bypass liquids

c. Stage 4 consists of soft solids begun after postoperative week 6; it is continued indefinitely.

The patient has been unable to eat because of a severe intestinal problem and recent surgery. The doctor may order a: a. regular diet with no restrictions. b. high-fiber diet. c. tube feeding. d. renal diet.

c. Tube feedings are ordered for patients who have difficulty swallowing, who are unable to eat sufficient nutrients, or who cannot absorb nutrients from the foods they eat.

The usual measurement that defines overweight and obesity is the: a. DRI. b. PEG. c. RDA. d. BMI.

d. Body mass index (BMI) is the usual measurement used to define overweight and obesity; it is calculated by body weight in kilograms divided by height in square meters.

A patient may request which diet because of religious beliefs? a. Dysphagia diet b. Bland diet c. BRAT diet d. Kosher diet

d. Kosher diets are those that adhere to the dietary laws of Judaism

An order for a PEG would involve: a. a diet consisting of proteins, eggs, and greens. b. providing all necessary nutrients intravenously. c. feeding by means of a tube inserted into the stomach, duodenum, or jejunum through the nose. d. inserting a tube through the abdominal wall into the stomach under endoscopic guidance.

d. Percutaneous endoscopic gastrostomy (PEG) is the insertion of a tube through the abdominal wall into the stomach under endoscopic guidance.

A diet that is commonly used as short-term dietary treatment for diarrhea, gastroenteritis, and some incidences of food poisoning is the _____ diet. a. Vegan b. high-protein c. low-cholesterol d. BRAT

d. The BRAT diet (bananas, rice, applesauce, and toast) is commonly used as short-term dietary treatment for patients with diarrhea, gastroenteritis, and some incidences of food poisoning.

A patient who is returning from major surgery would be likely to have which diet until fully awake and not nauseated? a. Sips (of coke) and (potato) chips b. Forced fluids c. Dietitian to determine diet d. Sips (water) and (ice) chips

d. The patient would be likely to have only sips of water and ice chips. This order would also be sent to the Nutritional Care department to update the patients dietary record.