Nutrition final
Protease inhibitors work by
inhibiting the enzyme protease
Mr. Brady has chronic kidney disease. He is 55 years of age, weighs 165 lbs, and has a GFR of 22mL/min. His estimated energy needs per day are approximately
2625kcal/d
Symptoms that may occur during the asymptomatic HIV infection stage infection
A short bout of flulike syndrome
The bone disease osteodystrophy develops because of the kidney's inability to
Activate vitamin D
Ms. Jones comes to the emergency department with a severe drug reaction to penicillin. She may be at risk for
Acute kidney failure
The sudden shutdown of kidney function as the result of traumatic injury is called
Acute kidney failure
Nephrotic syndrome , or nephrosis, is a disease that
Allows large amounts of protein to escape into the tubule
Patients who receive chemotherapeutic drugs often develop
Anemia
For patients with uric acid stones, health practitioners may recommend a diet low in
Animal potein
The hormone that causes the kidneys to reabsorb water and decrease urine production is
Antidiuretic hormone
For patients with cancer, a good source of dietary protein could be
Applesauce
Mr. T has been undergoing treatment for cancer and has not felt like eating all day and complains of much discomfort and pain. Of the following which may be an intimal intervention to assist in increasing his appetite?
Assessing pain and discomfort and providing pain relief measures
An HIV-positive patient should be referred to the clinical dietitian on the AIDS team
At the first contact with a health professional
The cells responsible for synthesis and secretion of antibodies are the
B cells
Nutrition support is a vital care component throughout the progression of HIV infection because of its role in
Controlling involuntary weight loss and tissue wasting
An appropriate intervention for a patient with neutropenia would be to
Cook food items immediately after thawing
Patients who receive chemotherapy drug often develop anemia because the drugs
Damage the bone marrow
Clinical symptoms associated with chronic kidney disease do not include
Diabetes mellitus
The "cleaning solution" used in hemodialysis is called the
Dialysis
A diabetic diet involves a combination of specific foods that should remain constant
False
Chronic complications occur in a relatively small number of people with diabetes
False
Insulin is a hormone that is produced by the pituitary gland
False
Most people with type 2 diabetes are underweight when the disease is diagnosed
False
People with unstable type 1 diabetes should follow a low-carbohydrate diet for better control
False
The two energy-yielding nutrients whose metabolism is most severely affected in patients with diabetes are fat and protein
False
Ordinarily the cell operates in an orderly fashion under the influence of the
Genetic code
The structure responsible for filtering the blood is the
Glomerulus
Of the following, a side effect of protease inhibitors is
Hyperglycemia
One of the first recommendations for any type of kidney stone is to
Increase fluid intake
The nutrition care plan for AIDS patients is
Individualized and continually adjusted throughout th course of the disease
The point at which a mutagen causes irreversible damage to DNA is referred to as
Initiation
The counteract the hypermetablolic state of cancer, it is important to increase the intake of
Kilocalories
The massive edema of nephrotic syndrome is caused by
Large protein losses in the urine
A fundamental effect of HIV infection is
Major weight loss
Patients with chronic renal disease may need to restrict heir intake of foods high in phosphorus such as
Milk, nuts, and legumes
Medical nutrition therapy for nephrotic syndrome includes
Moderate protein intake
Category 2 CD4 T-Lymphocyte values are defined as
More than 200 cells/uL
A major systemic effect of cancer is
Negative nitrogen balance
The microscopic functional units of the units of the kidney are called
Nephrons
Symptoms of chronic kidney failure include
Nitrogen retention
Given a functional gastrointestinal tract, the preferred method of feeding a patient with cancer is
Normal oral intake
Disease conditions that can interfere with normal nephron function include
Obstruction and infection
A major clinical symptom of acute kidney failure is
Oliguria
Mucositis is an inflammation of the
Oral mucosa
The method of dialysis that allows patients to be mobile is
Peritoneal dialysis
The primary goal in nutrition care of patients with cancer is to
Prevent malnutrition
The classic symptoms of chronic kidney failure result from
Progressive loss of nephrons
Guidelines for counseling a person with HIV infection include
Promoting optimal nutrition while making fewest food changes.
The nutrient primarily responsible for maintaining tissue integrity and immunocompetence is/are
Protein
The patient treated by peritoneal dialysis can increase ___intake
Protein
Classic symptoms of acute glomerulonephritis include
Proteinuria
The presence of protein in the urine is called
Proteinuria
Cancer therapy that uses radiative isotopes is
Radiation
Factors associated with the development of cancer include
Radiation exposure
List conditions that are potential long-term complications of uncontrolled diabetes
Retinopathy, Nephropathy, Neuropathy, Heart diease
For patients treated with dialysis, a good source if protein could be
Scrambled eggs
if salivary secretions are reduced or absent, it may be most helpful to
Serve food in semiliquid form
The capacity of the immune system is compromised by
Serve malnutrition with atrophy of organs and tissues
Carbohydrates and fats are important in the diets of patients with kidney disease because they
Spare protein for tissue synthesis
Glomerulonephritis or nephritic syndrome is one of the causes of
Stage 5 CKD or ESRD
The caloric value of the diet for a person with diabetes should be
Sufficient to maintain the person' appropriate lean weight
The cells that activate the phagocytes are the
T cells
The cellular component of the immune system that is derived from the thymus is the
T cells
The type of diet recommended for a person with a calcium stone depends on
The composition of the stone
Carbohydrate counting is based on which of the following principles ?
The insulin-to-carbohydrate ratio
Which of the following describes a disadvantage of abdominal radiation?
The structure and function of the bowel may be adversely affected
Acetone in the urine of a person with diabetes usually indicated that the diabetes is poorly controlled
True
Coronary artery disease occurs in people with diabetes at a higher rate than that seen in the general population
True
Insulin action is influenced by both glucagon and somatostatin
True
People with type 1 diabetes are taught to test their own blood glucose daily and to regulate their insulin, food, and exercise accordingly
True
Oral hypoglycemic agents are used for individuals with which kind of diabetes?
Type 2 diabetes
Azotemia refers to elevated blood levels of
Urea
The most common type of kidney stone is composed of
Calcium
A progressive increase in serum urea levels occurs in
Chronic kidney failure
The bone disease called osteodystrophy is associated with
Chronic renal failure