Nutrition and Eating Disorders Quiz

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Questions and Answers

What is a characteristic of a patient with malnutrition and a cachectic appearance?

Normal waist-to-hip proportions

Visceral proteins above normal

Inadequate calorie and protein intake with decreased nutritional requirements

Body weight and anthropometric measurements below normal (correct)

Which of the following is a nursing intervention for a patient with anorexia nervosa?

Encouraging severe dietary restrictions

Providing high-calorie supplements

Fostering a positive body image (correct)

Administering vitamin B3 supplements

A patient with bulimia nervosa is at risk for which of the following electrolyte imbalances?

Hypocalcemia

Hypernatremia

Hyperkalemia

Hypokalemia (correct)

What is a risk factor for acute gastritis?

Ingestion of corrosive agents Signup and view all the answers

What is a surgical option for managing obesity?

Gastric stapling Signup and view all the answers

A patient with metabolic syndrome is at risk for which of the following?

Elevated triglycerides and insulin resistance Signup and view all the answers

What is a physical manifestation of anorexia nervosa?

Acrocyanosis Signup and view all the answers

What is a complication of anorexia nervosa?

Dilated cardiomyopathy Signup and view all the answers

What is a biochemical change associated with anorexia nervosa?

Increased white blood cell count Signup and view all the answers

Which of the following is a dietary recommendation for managing malnutrition?

Increasing protein and calorie intake Signup and view all the answers

What is a medication interaction to be aware of in patients with anorexia nervosa?

Laxatives and diuretics Signup and view all the answers

Which of the following lifestyle changes can help manage obesity?

Incorporating regular exercise and healthy eating habits Signup and view all the answers

What is a treatment for pellagra?

Niacin or nicotinamide Signup and view all the answers

What is the primary goal of vagotomy in the treatment of Peptic Ulcer Disease?

To decrease gastric motility and HCl secretion Signup and view all the answers

Which of the following foods should be avoided by a patient with Peptic Ulcer Disease?

Fatty foods and spices Signup and view all the answers

What is a potential medication interaction for a patient with malnutrition?

Iron supplements and antacids Signup and view all the answers

What is the recommended daily intake of milk for a patient with Peptic Ulcer Disease?

400mls (2 glasses) Signup and view all the answers

What is a lifestyle change that may help manage anorexia nervosa?

Avoiding emotional tension Signup and view all the answers

What is a nursing intervention for a patient with anorexia nervosa?

Monitoring for orthostasis Signup and view all the answers

What is the purpose of pyloroplasty in the surgical management of Peptic Ulcer Disease?

To improve gastric emptying Signup and view all the answers

Which of the following lifestyle changes is recommended for a patient with Peptic Ulcer Disease?

Quit smoking and engage in regular exercise Signup and view all the answers

What is the purpose of antrectomy in the surgical management of Peptic Ulcer Disease?

To remove 50% of the distal part of the stomach Signup and view all the answers

What is the recommended exercise routine for a patient with Peptic Ulcer Disease?

Regular pattern of exercise to reduce stress Signup and view all the answers

What is the purpose of DBCT exercises in the nursing management of Peptic Ulcer Disease?

To promote deep breathing, coughing, and turning Signup and view all the answers

Study Notes

Malnutrition

Below normal anthropometric measurements (height, weight, frame size, body mass index, mid-arm muscle circumference (MAMC), waist-to-hip proportions)
Visceral proteins below normal range

Eating Disorders

Anorexia Nervosa: intentionally imposes severe dietary restrictions, resulting in weight loss, endocrine dysfunction, and fluid and electrolyte imbalance
Body image is grossly distorted, and attitude toward eating is impaired
Bulimia Nervosa: frequent binge eating and purging (vomiting) with similar distortions in attitudes toward weight and eating

Pellagra

Vitamin B3 (Niacin) deficiency
Clinical manifestations: scaly rashes (dermatitis), edema, mental changes
Mucosal inflammation and insomnia
Treatment: Niacin/Nicotinamide

Peptic Ulcer Disease (PUD)

Surgical interventions:
- Vagotomy: resection of the vagus nerves, resulting in decreased gastric motility and HCl secretion
- Pyloroplasty: surgical dilatation of the pyloric sphincter, improving gastric emptying
- Antrectomies: surgical resection of 50% of the distal part of the stomach followed by anastomosis with the duodenum or jejunum (Billroth I - Gastroduodenostomy)

Gastric Surgery

Preop care: provide psychosocial support, teach the client DBCT (deep breathing, coughing, and turning) exercises
Interprofessional collaborative management for patients undergoing gastric surgery

Physical Manifestations of Anorexia Nervosa

Dizziness
Dry, brittle hair
Lanugo-type hair
Low BP, pulse, ECG voltage
Orthostasis
Cachexia
Biochemical changes: WBC-Up, Glucose-Down, Cholesterol-Up, Carotene-Up
Stool retention

Gastritis

An inflammation of the gastric mucosa, classified as either acute or chronic
Risk factors:
- Foods with rough texture or those eaten at extremely high temperature
- Ingestion of corrosive agents
- Prolonged emotional tension

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Description

Test your knowledge on malnutrition, anorexia nervosa, bulimia nervosa, and their effects on the human body. Learn about the physical and psychological symptoms of these eating disorders.