A nurse is providing nutritional education to a client who is obese. The nurse should include in the information which of the following gastrointestinal disorders is commonly associated with obesity.
Crohn's disease.
Peptic ulcer disease.
Gastroesophageal reflux disease.
Celiac disease.
The Correct Answer is C
Choice A rationale:
Crohn's disease is not commonly associated with obesity. Crohn's disease is a chronic inflammatory bowel disease that can lead to weight loss due to malabsorption and other gastrointestinal symptoms.
Choice B rationale:
Peptic ulcer disease is not directly linked to obesity. Peptic ulcers are primarily caused by Helicobacter pylori infection or the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Choice C rationale:
Gastroesophageal reflux disease (GERD) is commonly associated with obesity. Excess weight, especially around the abdominal area, can contribute to increased pressure on the stomach and lower esophageal sphincter, leading to the backflow of stomach acid into the esophagus and causing symptoms of GERD such as heartburn and regurgitation.
Choice D rationale:
Celiac disease is not typically associated with obesity. Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. Individuals with celiac disease often experience weight loss and malabsorption due to intestinal damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. “Consume foods that are high in calcium.”
Choice A rationale:
The DASH diet recommends limiting sodium intake to no more than 2,300 milligrams per day, and ideally to 1,500 milligrams per day for greater blood pressure reduction. Therefore, 3,200 milligrams per day is too high.
Choice B rationale:
Consuming foods high in calcium is part of the DASH diet, which emphasizes the intake of fruits, vegetables, and low-fat dairy products to help lower blood pressure.
Choice C rationale:
The DASH diet advises reducing saturated fat intake to less than 6% of total daily calories. Ten percent is higher than recommended.
Choice D rationale:
The DASH diet encourages the consumption of whole grains and discourages refined carbohydrates, which can contribute to higher blood pressure and other health issues.
: WebMD - DASH Diet Foods for High Blood Pressure
Correct Answer is B
Explanation
Choice A rationale:
Serving foods while still at a hot temperature (Choice A) is not an appropriate intervention for a client with stomatitis following radiation therapy. Stomatitis can cause inflammation and soreness in the mouth, and hot foods can further irritate the sensitive tissues, leading to increased discomfort and potential injury.
Choice B rationale:
Serving foods without sauces or gravies (Choice B) is the correct choice. Stomatitis often causes pain and discomfort in the mouth, and spicy or acidic foods, as well as those with sauces or gravies, can exacerbate this discomfort. Providing plain and bland foods can help reduce irritation and promote healing in sensitive oral tissues.
Choice Crationale:
Instructing the client to drink liquids without a straw (Choice C) is not a direct intervention for stomatitis. It's more commonly recommended for clients who have undergone oral surgery to prevent dislodging of blood clots. While it's generally a good practice for oral health, it might not significantly impact the discomfort caused by stomatitis.
Choice Drationale:
Offering mouth rinses with normal saline and water (Choice D) is generally a good practice for maintaining oral hygiene, but it might not be the most appropriate intervention for a client with stomatitis following radiation therapy. While rinsing can help keep the mouth clean, it might cause discomfort in the presence of stomatitis due to the potential for mechanical irritation.
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