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NSC 325 Exam 2 review Verified 2024
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NSC 325 Exam 2 review Verified 2024
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NSC 325 Exam 2 review Verified 2024#2: Behavior Modification: Other Half - ANSWER-•Behavior
-Readiness for change
-Relationship with food
-Environment
-Alcohol/late night eating
-Depression
•Realistic client goals
•Patient Centered
•Self-monitoring - log
•Attitude:
-Self-talk conversation
13.
What do the following abbreviations stand for:
NG ____________________
ND ____________________
NJ ____________________
G-tube ____________________
J-tube ____________________
PEG ____________________
PEJ __________________ - ANSWER-NG-> nasogastric
ND-> nasoduodenal
NJ-> nasojenunal
G-tube-> gastrostomy
J-tube-> jejunostomy
PEG-> percutaneous endoscopically-placed gastrostomy
PEJ-> percutaneous endoscopically-placed jejunostomy
5. What is not a step involved in reassessment of EN?
a. Access
b. Tolerance
c. Medications administered
d. Both A and C
e. All of the above - ANSWER-e. All of the above
A 22 y.o. male just had surgery to repair his abdomen after experiencing a gunshot
wound. His pH is 7.49. He has a NG tube to low continuous suction. What type of acid-
base disorder is he likely developing?
A.Metabolic acidosis
B.Respiratory acidosis
C.Metabolic alkalosis
D.Respiratory alkalosis - ANSWER-C.Metabolic alkalosis
,pH is 7.49 which is higher than range so it is alkalosis, NG tube to low continuous
suction, take out gastric acid from stomach so its metabolic
A 45 y.o. female has chronic kidney disease as manifested by a GFR of 38 (normal:
>60). Based on a pH of 7.1, what type of acid-base disorder does she likely have?
A.Metabolic acidosis
B.Respiratory acidosis
C.Metabolic alkalosis
D.Respiratory alkalosis - ANSWER-A.Metabolic acidosis
7.1 is below range so it is more acidic, and GFR relates to kidneys so it is metabolic
A patient has just been placed on Warfarin and the physician has asked you to meet
with them for nutrition counseling. Which of the following would you recommend?
a. Supplement with vitamin K to counteract the effects of warfarin
b. Skip a dosage of warfarin if recent meals were high in vitamin K
c. Keep daily vitamin K intake constant
d. Avoid intake of vitamin K entirely - ANSWER-c. Keep daily vitamin K intake constant
A patient receiving continuous nasojejunal feedings has developed significant diarrhea.
Which of the following is the most appropriate initial action for the management of this
patient?
a. Terminate enteral feedings and initiate parenteral nutrition
b. Change infusion method to bolus feedings
c. Review the patient's medication administration record
d. Switch to a fiber-containing enteral formula - ANSWER-c. Review the patient's
medication administration record
Acid-Base Balance - ANSWER-1)Acid = any substance that releases hydrogen ions in a
solution
2)Base = any substance that accepts hydrogen ions in solution
3)pH range: arterial blood level 7.35-7.45 = acid-base balance
Regulated by:
Kidneys
Lungs
Buffering systems (form weaker acids/bases)
3)Balance maintained by lungs & kidneys
a. Kidneys: regulate hydrogen ion secretion and HCO3- resorption
b. Lung: control alveolar ventilation-> alter depth & rate of breathing
•Acid-base disorders can differentiated based whether arise from renal or pulmonary
causes
Adverse effects of obesity - ANSWER-•Some types of cancers
•Gallbladder disease
•Neurodegeneration
•Osteoarthritis
•Asthma
, •Depression
•Infertility
•Cluster of metabolic disorders:
•CVD
•Type 2 diabetes
•Metabolic Syndrome
•Fatty liver disease (NASH)
•Hypertension
•Neurodegeneration
Alana is a 33 y.o. female. She is 5' 3" and currently weighs 189 lbs. She is healthy and
just had her
labs checked with the following results:
Na: 136 (135-145) K: 3.8 (3.6-5.5) Cl: 101 (101-111) HCO3: 26 (21-31)
BUN: 11 (5-20) Cr: 0.8 (0.6-1.2)
Glucose: 116 (70-99) Alb: 4.5 (3.5-5) GFR: 120 (>90) Phos: 2.9 (3-
4.5) Ca: 9.2 (8.5-10.5) H/H: 12.9/38 (14-17/40-54) Vitamin D: 22.7
(30-100) CRP: 7 (<0.1)
Based on the above information, which of the following may be influencing her labs?
a.Age
b.Gender
c.Height
d.Weight
List labs that the answer you chose above is affecting: - ANSWER-d.Weight
glucose, CRP, vitamin D
Aldosterone - ANSWER-1) secreted by adrenal gland in response to angiotensin II
2)kidney retain Na & water
3)increases in fluid & Na levels
4)Decreases K+ reabsorption
5)Maintains BP & fluid balance
All of the following describe the behavior of fat cells except:
a. # of fat cells decreases with weight loss
b. storage capacity for depends on both cell number and cell size
c. Fat cells are larger in size in obese people compared with normal-weight individuals
d. The number increases several-fold during the growth years and tapers off when adult
status - ANSWER-a. # of fat cells decreases with weight loss
All of the following GI peptide hormones have effects that decrease food intake except:
a. Ghrelin
b. Amylin
c.Glucagon-like peptide 1
d.Insulin - ANSWER-a. Ghrelin
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