Finall Exam:l NRl 228l NR228l Latestl

Finall Exam:l NRl 228/l NR228l (Latestl

2026/l 2027l Update)l Nutrition,l Healthl andl Wellnessl Review|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain

Q:l GERD

Answer:

-l heartburn -l severel burningl sensation,l asthma,l cough

Avoid:

-l highl inl fatl foodsl thatl increasel sphincterl relaxationl andl potentiall reflux -l overeatingl -l chocolate,l alcohol,l peppermint,l liquors,l caffeine,l highl acidl foods,l spicyl foods -l tightl clothingl aroundl waistl andl midsectionl -l lyingl downl afterl eating -l eatingl onl thel run

Q:l pepticl ulcerl disease

Answer:

-l breakl inl ulcerationl inl protectivel mucosall liningl -l acutel orl chronic -l superficiall orl deepl erosionsl

Causes:

-l H.pyloril infection -l NSAIDs

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Avoid:

-l redl andl blackl pepper -l chilil pepper -l caffeine -l alcohol -l STOPl SMOKINGl -->l disruptsl healing

Q:l dumpingl syndrome

Answer:

-l causedl byl totall orl partiall removall ofl thel pyloricl lowerl spinchter -l rapidl gastricl emptyingl

Manifestations:l (early;l 10-20l minutesl afterl meal): -l fullness -l cramps -l N/D -l tachycardial -l posturall hypotension -l sweating -l weakness -l flushing -l syncopel

Manifestationsl (late;l 1-3l hoursl afterl meal):

-l hypoglycemia -l perspiration -l hunger -l nausea -l anxiety -l tremors -l weaknessl

Teaching:

-l smalll mealsl -l avoidl largel mealsl -l nol liquidl atl mealsl butl canl havel between 2 / 3

Q:l swallowingl phases

Answer:

Preparatoryl phase:

-l personl gettingl foodl tol theirl mouthl -l peoplel withl upperl bodyl mobilityl issuesl mayl havel al hardl timel

Orall phase:

-l whenl foodl entersl thel mouthl andl endsl whenl thel foodl bolusl entersl thel pharynxl -l chewing,l mixingl withl saliva,l keepingl foodl inl bolus,l swallowingl -l coughing,l choking,l sensationl ofl foodl gettingl suck,l drooling,l gurgledl speech,l regurgitationl canl happenl

Pharyngeall phase:

-l beginsl whenl bolusl entersl thel orall pharynxl andl endsl whenl itl passesl intol thel esophagusl -l aspirationl canl happen -l swallowl inl airl

Esophageall phase:

-l beginsl asl bolusl entersl thel esophagusl andl endsl whenl itl passesl intol thel stomach -l esophageall musclesl contractl (peristalsis)l tol propell thel foodl throughl thel esophagusl tol thel stomach

Q:l dysphagial diet

Answer:

Drink:

0l =l thinl (water) 1l =l slightlyl thinkl (honey) 2l =l mildlyl thickl (nectar,l milkshake,l smoothie)

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