Unit 4

What does the National Research Council of the National Academy of Science recommend as a daily protein requirement for the average adult?

0.8 g protein per kg of body weight

Each gram of protein provides _____ calories.

4

Which of the following individuals has the highest-protein requirements? * A 45 year old man whose only exercise if the golfing every week-end. * A 25 year old woman who works in a bank. * A 30 year old woman pregnant with her first child * A 70 year old man who volunteers 3 times a week at habitat for Humanity

A 30 year old woman pregnant with her first child

When is PKU usually diagnosed?

A blood test is done the first week of the baby's life

Which of the following person would the nurse treat as being in a hyper metabolic state? A. A homeless person receiving one balanced meal a day B. A client with a fractured hip awaiting surgery C. A 7-year old child with a broken bone D. A surgical patient on the first day after gastric resection

A surgical patient on the first day after gastric resection

Which of these are examples of complementary protein foods? A. Corn and beans B. Corn and rice C. Both a and b D. None of the above

A. Corn and beans

Providing drinking straws is most appropriate for the clients with which of the following problems? A. Dry mouth B. Oral ulcerations C. Swallowing difficulty D. Taste alterations

B. Oral ulcerations

Acquired immunodeficiency syndrome (AIDS) has been transmitted through all except one of the following means. Identify the exception. A. Sexual contact B. Tears and saliva C. Prenatal infection of the fetus D. Needle puncture or scalpel wounds of health-care workers.

B. Tears and saliva

Which of the following foods is likely to be well received by a cancer client with mouth ulcerations? A. Hot chicken broth B. Cold lemonade C. Vanilla pudding D. Oatmeal with cinnamon and raisins

C. Vanilla pudding

The major nutrition-related problems in clients with AIDS are caused by:

Consuming enough nutrients to meet the metabolic needs of the body

Which of the following items or practices is associated with the development of cancer? A. Low alcohol intake B. Excessive intake of fatty fish C. Low-temperature cooking of meat D. Consumption of pickled and smoked foods

D. Consumption of pickled and smoked foods

Complementary proteins must be consumed in the same _____.

Day

Which of the following is a symptom of kwashiorkor?

Edema

True / False: Cancer is the leading cause of death in the United States.

False

True / False: Essential amino acids are necessary for growth and development and must be provided in the diet. There are 20 amino acids that are considered essential.

False

True / False: The nutrient and calorie needs of the cancer client are lower than they were before the onset of the disease.

False

Every client with an HIV diagnosis should be educated regarding:

Food safety and a high-protein diet

What is the term for abnormally low amounts of protein in the blood?

Hypoalbuminemia

What types of proteins are consumed routinely by vegans?

Incomplete Proteins

Where is ammonia converted to urea?

Liver

Consuming more than twice the RDA for protein may potentially overtax the

Liver and kidneys

When a client cannot or will not take food by mouth, but their gastrointestinal tract is working, they will receive _____.

Tube feeding

What is one of the first indicators of cancer?

Weight loss

What factor is related to weight loss in the AIDS client?

Appetite and the body's ability to absorb nutrients are decreased.

Mr. P, a client with AIDS, has returned to his mother's home for care. She asks for advise about protecting herself from the disease. Which of the following is the best answer to give?

Avoid direct contact with blood or body fluids

Some evidence suggest which of the following vegetables are specifically protective against cancer? A. Corn and peas B. Cauliflower and broccoli C. Bean sprouts and water chestnuts D. Green beans and spinach

B. Cauliflower and broccoli

An insufficient intake of protein in the diet can affect the body in many ways. Which of the following can be a consequence of a low-protein diet? A. Increased calcium levels B. Edema C. Insufficient levels of urea D. Increased cholesterol levels

B. Edema

In caring for a client with AIDS, which of the following gifts should the nurse intercept and refer to the dietitian? A. Cheese and cracker tray B. Fresh fruit platter C. Cream of chicken soup D. Chocolate chip cookies

B. Fresh fruit platter

Positive nitrogen balance occurs during pregnancy because ____.

New tissue is being created

_____ is the study of cancer.

Oncology

What is the preferred method for feeding the post-surgical client?

Orally

Name the term for the provision of nutrients intravenously.

Parenteral nutrition

What are some effects of long-term protein- energy malnutrition?

Physical and mental retardation

Extra ____ is needed for wound healing, tissue building, and blood regeneration.

Protein

True / False: Anorexia is a major problem of cancer clients.

True

True / False: Appropriate amounts of protein-rich foods are essential for the maintenance of a healthy immune system.

True

True / False: Bowel sounds indicate that peristalsis has returned.

True

True / False: Most animal sources are high-quality, complete proteins.

True

True / False: Proteins are essential for the development of antibodies and, consequently, for a healthy immune system.

True

True / False: There are thousands of proteins in the human body. Heredity determines the specific types within each person.

True

What type of diet is recommended for a cancer client with diarrhea?

Low fiber diet

What disease is considered a PEM disease and results in emaciation, dry hair and thin wrinkled skin?

Marasmus

Which of the following exchanges has the most protein?

Meat

What is the deadliest form of skin cancer?

Melanoma

When cancer cells spread to new tissue sites in the body, they are said to _____.

Metastasize

Which term indicates the protein status of a client with a severe burn?

Negative-Nitrogen Balance

Cachexia is defined as _____.

Severe malnutrition and body wasting

What type of diet is recommended for a cancer client who has chewing difficulty?

Soft diet

What is tofu made from?

Soy milk

Proteins may contain _____in addition to carbon, hydrogen, oxygen, and nitrogen.

Sulfur