Geoffrey Axiak's Nutrition Pages

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Assessment Questions

1. Eating brown bread is:

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Healthier than white bread
Required in a very large amount in one’s diet
Unhealthy due to fibre content

2. Fats are essential in our diet

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For insulation and protection
To maintain weight
As the main source of energy and calories

3. Malnutrition is defined as

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Less calories than is required in one's diet
More calories than required in one's diet
Too many or too few calories in one's diet

4. The nutrients that are very important for wound healing are:

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Zinc, Iron and Boron
Calcium, Zinc and Magnesium
Zinc, Magnesium and Phosphorus

5. In children the most common problems to watch out for are:

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Obesity and dehydration
Obesity only
Dehydration only

6. When considering food requirements for the elderly

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They must have enough calories at all costs, even if you force feed
It is important that they eat as much as they can without forcing them
How much they eat is not important but drinking is more important

7. Nutritional assessment in elderly persons is:

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More important to carry out then for normal adults
As important to carry out as in normal adults
Not important to carry out

8. To make one's metabolism more active one can

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Do more exercise and eat frequently
Eat more food
Do more exercise and eat less

9. Healthy fats are:

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Polyunsaturated and monounsaturated fats
Saturated and Polyunsaturated fats
Any type of fats that are not trans-fats

10. In diabetics:

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It is more important to take the treatment well than to control diet
Small frequent meals and calorie counting are most important
Calorie counting is not important

11. Food allergies are:

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Immediate reactions to a particular food item
Never life threatening
More serious than food intolerances

12. Malnutrition causes:

Increased infection
Impaired wound healing
Renal problems
Pressure ulcers

13. Childhood obesity in Malta

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Is not a serious concern
Is a very serious problem
Is being dealt with well

14. When considering the feeding of elderly persons

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Correct positioning of the patient is crucial
A person can be fed lying down
Positioning has nothing to do with feeding

15. Malnutrition in hospital patients is

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A rare problem
Sometimes seen
A common problem

16. The insertion of a nasogastric tube is:

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A risky, life-threatening procedure
A simple, non-risky procedure
A risky but not life-threatening procedure

17. Food allergies can be diagnosed using:

A food diary
A food allergy blood test
An elimination diet
A diet plan

18. Contamination in enteral nutrition can be caused by:

Dirty containers
Dirty hands
Unsterile equipment
Inadequate storage of feeds
Giving too many feeds
Mixing of feeds with water

19. The position of a nasogastric tube can be cofirmed safely using:

pH paper
Litmus paper
Chest X-Ray
Auscultation
Inspection of the aspirate
Lack of choking, coughing or distress

20. The advantages of PEG insertion over NGT are:

More cost-effective
More invasive
More long-term
Less visible
Offers less complications
Needs less care
Is less risky in terms of aspiration

21. The procedure of PEG insertion

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Is not a risky procedure
Carries a 2% mortality rate in certain patients
Is a very risky procedure

22. Diarrhoea in patients on enteral feeding can be due to:

Inadequate dilution of feeds
A fast rate of feed delivery
Contamination of feeds or equipment
Excessive hanging time of feeds
A normal intestinal bug
Lack of adequate nutrients

23. Total Parenteral Nutrition is:

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An IV feed containing fats, proteins and carbohydrates
An IV feed containing fats, amino acids and carbohydrates
An IV feed containing fats, proteins or carbohydrates

24. The position of a NG tube should be checked:

Once a day
Before every feed
Before treatment
On insertion
When the NGT shows signs of dislodgement
After the patient coughs strongly
Before insertion of a PEG
During administration of feeds

25. When aspirate is not obtained following NG tube insertion

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A Chest X-Ray is the only option
The patient can be repositioned, the NGT can be inserted further or air can be flushed into the tube
The NG tube is removed and replaced

26. Total Parenteral Nutrition can be administered:

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Only in hospital
At hospital or at home
Anywhere it might be required

27. Patient care for persons on enteral feeding includes:

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Temperature, Pulse and Respiration only
Blood glucose monitoring only
Various parameters

28. Patients on enteral and parenteral nutrition need:

Psychological care and support
Care of their feeding mechanism
Training regarding feeding techniques
Monitoring for calorific intake
Constant supervision of the whole procedure of feeding

29. To avoid contamination in enteral nutrition one can:

Change feeding bags once a week
Change feeding bags once a day
Keep all equipment clean
Control the rate of feed delivery
Keep all feeds stored safely

30. To avoid contamination of a central venous catheter (central line) one can:

Change dressings once daily
Change dressings only when soiled
Keep a central line only dedicated to TPN
Apply a transparent dressing over the CVC insertion site
Apply an opaque dressing over the CVC site
Administer antibiotics regularly into a CVC

31. Once inserted into a patient, a NG tube:

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Must stay in for life
Can be removed if oral feeding can be restarted
Can only be removed if feeding is continued through a PEG or button

32. Interpreting a Chest X-Ray is the responsibility of:

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The ward nurse
The specialist nurse
The doctor

33. A food intolerance occurs

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When a person can only eat a limited amount of a certain food
When a person gets a reaction to a food item immediately
When a food item can be eaten at will

34. Cholesterol is

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Always unhealthy in one's blood
Only dangerous when eaten in red meat
Dangerous whenever eaten in large amounts from all kinds of food

35. Calcium supplements, for bone strength, are

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Useless at older ages
Useful only with other supplements
Always useful

36. A healthy diet includes

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All kinds of fats
Only healthy fats from plant sources
No fats

37. Contamination in enteral feeding is:

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Worst in a home environment
Worst in a community setting
Worst in a hospital environment

38. When a patient is on Total Parenteral Nutrition:

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It is crucial to monitor blood electrolytes
Blood investigations are not important
It is optional whether to take blood investigations or not

39. The best position for feeding a patient is:

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Any position
Lying down
Sitting upright or on a number of pillows

40. The reason for not stopping Total Parenteral Nutrition can be:

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Death of a patient
Enteral feeding can be used
No other route will be possible for feeding