Nokea
A patient with renal insufficiency should limit the intake of which of the following nutrients?
- A. Phosphorus
- B. Potassium
- C. Sodium
- D. Calcium
Correct Answer: A
Rationale: In patients with renal insufficiency, impaired kidney function can lead to difficulty in excreting phosphorus. High phosphorus levels can result in further complications such as bone and heart problems. Therefore, limiting the intake of phosphorus is crucial. Potassium and sodium restrictions may also be necessary in renal insufficiency, but the primary concern related to nutrients is phosphorus in this scenario. Calcium, while important for bone health, does not typically need to be restricted in renal insufficiency unless there is a specific medical reason to do so.
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What describes a criterion used to diagnose diabetes?
- A. a plasma glucose concentration of 100 mg/dL or higher after a fast of at least 12 hours
- B. a casual blood sample of 200 mg/dL or higher in a person with classic symptoms
- C. a plasma glucose concentration measured two hours after a 200-gram glucose load is 400 mg/dL or higher
- D. a HbA1C higher than 5 percent
Correct Answer: B
Rationale: A casual blood sample of 200 mg/dL or higher in a person with classic symptoms is a diagnostic criterion for diabetes. This choice aligns with the typical clinical presentation of diabetes and is a key diagnostic indicator. Choices A, C, and D do not accurately reflect the established criteria for diagnosing diabetes, making them incorrect. Choice A pertains to a fasting plasma glucose level, Choice C involves a glucose challenge test, and Choice D refers to HbA1C levels, which are used for monitoring blood sugar control over time, not for diagnosing diabetes.
Which of the following suggestions is the healthiest for Miguel, who is always hungry and never seems to feel full despite eating enough calories?
- A. Switch out energy-dense foods with more nutrient-dense foods that are more likely to make him feel full
- B. Drink adequate amounts of water
- C. A, B
- D. Eat foods with more fat, as fat slows gastric emptying and will make him feel more full
Correct Answer: C
Rationale: The correct answer is A and B. Switching to more nutrient-dense foods can help Miguel feel full despite eating enough calories. Nutrient-dense foods provide essential nutrients and are more satisfying. Drinking adequate water is also crucial for overall health and can help with feelings of fullness. Choice D is incorrect because while fat can contribute to satiety, it should be consumed in balance with other nutrients. Consuming foods with high fat content excessively may lead to other health issues and does not address the underlying problem of feeling constantly hungry despite eating.
What best describes a task of the registered dietitian?
- A. administering total parenteral nutrition
- B. administering formula through feeding tubes
- C. prescribing diet orders
- D. conducting nutrition assessments
Correct Answer: D
Rationale: The correct answer is D, conducting nutrition assessments. Registered dietitians are responsible for assessing an individual's nutritional status, dietary intake, and health needs. This assessment forms the basis for developing personalized nutrition care plans. Choices A and B involve the administration of specialized nutrition support, which is typically done by healthcare providers with specific training in those areas. Choice C, prescribing diet orders, may fall outside the scope of practice for a dietitian as they focus more on assessment, education, and counseling related to nutrition rather than prescribing medical treatments.
In the following ingredient list, which is the most abundant by weight? Ingredients: enriched flour, sugars, eggs, soy lecithin, artificial colors, natural flavors, milk.
- A. milk
- B. eggs
- C. sugar
- D. enriched flour
Correct Answer: D
Rationale: The correct answer is 'enriched flour.' In ingredient lists, items are typically listed by weight in descending order. Therefore, the first ingredient, in this case, 'enriched flour,' is the most abundant by weight. Choice A, 'milk,' is not the most abundant as it appears last in the list. Choice B, 'eggs,' and choice C, 'sugar,' also rank lower in the list compared to 'enriched flour,' making them less abundant by weight.
Electrolytes create _____, which is caused by water following electrolytes within or between cells.
- A. energy
- B. active transport
- C. passive diffusion
- D. osmotic pressure
Correct Answer: D
Rationale: Osmotic pressure is the force that drives water movement across cell membranes due to the presence of electrolytes, helping to balance fluid levels in the body. Choice A, 'energy,' is incorrect as electrolytes do not directly create energy. Choice B, 'active transport,' refers to the movement of molecules across a cell membrane requiring energy, not the movement of water. Choice C, 'passive diffusion,' is the process by which substances move from an area of higher concentration to lower concentration, not related to the movement of water following electrolytes.