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(Download PDF) Krauses Food and The Nutrition Care Process 13th Edition Mahan Test Bank Full Chapter
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Mahan: Krause's Food and the Nutrition Care Process, 13th Edition
Test Bank
MULTIPLE CHOICE
1. Eating which of the following would most increase dietary potassium intake?
a. Fruits and vegetables
b. Saltwater fish
c. Grains
d. Cereals
ANS: A
Fruits and vegetables tend to be the richest sources of dietary potassium, with a number of them
providing more than 300 mg per serving. Seafood, grains, and cereals do not contribute nearly
the same amount of potassium available in fruits and vegetables.
REF: p. 186
2. When vasopressin is excessively secreted in the blood, which of the following effects occurs?
a. Low serum potassium because water is retained
b. Low serum sodium because water is retained
c. High serum potassium because water is excreted
d. High serum sodium because water is excreted
ANS: B
Vasopressin, also known as antidiuretic hormone, stimulates renal reabsorption of water. In
syndrome of inappropriate diuretic hormone, excessive secretion of vasopressin retains water and
results in hyponatremia and low urine output. Aldosterone is the hormone that stimulates renal
sodium retention, and when present, the kidneys excrete potassium in exchange for the sodium,
which then attracts the retention of water
REF: p. 181
4. For the average woman, _____ mL/day would meet fluid needs.
a. 1500
b. 1700
c. 2700
d. 3500
ANS: C
A daily allowance of water from all sources, including beverages and foods, is about 2,700 mL
per day for women and 3,700 mL per day for men. The general recommendation for water intake
is 1 mL/kcal eaten of 35 mL/kg body weight for adults.
REF: p. 182
5. How does body water, as a percentage of body weight, change based on stage of the life cycle
and lifestyle?
a. Decreases significantly with age and is higher in athletes than non-athletes
b. Decreases significantly with age and is lower in athletes than non-athletes
c. Increases significantly with age and is higher in athletes than non-athletes
d. Increases significantly with age and is lower in athletes than non-athletes
ANS: A
At birth, an infant’s body weight is about 75% to 85% water compared with a lean adult, who is
60% to 70% by body weight. As muscle mass decreases with age, total body water also
decreases. Also, compared with the lean adult, an obese adult may be 45% to 55% water by body
weight. This is because the weight is displaced by adipose tissue, which contains very little
water.
REF: p. 179
REF: p. 179
7. By what mechanism is thirst stimulated in the hypothalamus?
a. Increase in serum osmolality
b. Decrease in serum osmolality
c. Increase in both serum osmolality and in extracellular volume
d. Decrease in serum osmolality and an increase in extracellular volume
ANS: A
A decrease in extracellular fluid volume results in a hemoconcentration of the blood, resulting in
an increase in serum osmolality. The renin–angiotensin system is triggered by the decreased
extracellular volume, and as a consequence, angiotensin II stimulates the thirst centers.
REF: p. 180
REF: p. 182
10. For a normal healthy adult, fluid balance is achieved when the amount of water taken in is
a. half the amount that is lost.
b. about equal to the amount lost.
c. twice the amount lost.
d. unrelated to the amount of water lost.
ANS: B
Water balance is achieved when the water taken into the body through food and beverage
sources and water produced through metabolic processes is equal to the amount of water lost
through urine, feces, sweat, and respiration. Excessive water intake or losses results in water
imbalance.
REF: p. 180
REF: p. 182
12. Which of the following results from ingesting a large amount of sodium in a short time?
a. Hypotension
b. Muscular cramps
c. Increased urinary calcium excretion
d. Increased urinary output of potassium
ANS: C
Persistent excessive sodium intake has been associated with the development of hypertension
and increased calcium excretion. Hypotension does not occur as result of decreased sodium
intake. Muscle cramping is more associated with imbalances in calcium and magnesium intake.
Increased urinary output of potassium is a common side effect of the use of loop diuretics used in
the control of hypertension and fluid volume.
REF: p. 184
13. Which organ(s) maintain acid–base balance by the regulation of hydrogen ions?
a. Lungs
b. Liver
c. Kidneys
d. Adrenal glands
ANS: C
Hydrogen ion excretion and retention is controlled through the kidneys. The kidneys also
contribute to acid–base regulation through the excretion and retention of bicarbonate. The lungs
are the other organs involved in acid–base regulation, and they do so by controlling the
expiration of carbon dioxide. The liver and adrenal glands do not function in acid–base
regulation, although their metabolic activities may contribute to acid or base production.
REF: p. 186
14. What is the primary means by which hydrogen ions are generated in the body?
a. Normal tissue metabolism
b. Ingestion of highly acidic foods
c. Oxidation-reduction reactions
d. Reabsorption of bicarbonate
ANS: A
Hydrogen ion and acid formation results from normal metabolism. All foods, not just acidic
ones, may result in the production of organic acids. Carbon dioxide is a common volatile acid
that results from oxidation of carbohydrates, fats, and proteins. Bicarbonate is considered to be a
base, and control of its concentration, along with carbon dioxide concentrations, is a primary
focus of acid–base regulation.
REF: p. 186
REF: p. 186
REF: p. 185
REF: p. 186
18. Which acid–base imbalance can result from diuretics use, vomiting, and loss of chloride?
a. Respiratory alkalosis
b. Respiratory acidosis
c. Metabolic alkalosis
d. Metabolic acidosis
ANS: C
Metabolic alkalosis results from a loss of acid, such as HCl through gastric suctioning, and loss
of extracellular fluid, such as would occur in diuretic use or vomiting. Respiratory alkalosis
occurs when excessive respiration occurs, such as heavy breathing after exercise or in anxiety.
Respiratory acidosis happens when there is damage to the lungs or respiration that does not allow
for the exchange of carbon dioxide with oxygen. Metabolic acidosis results from medical
conditions that lead to a build-up of metabolic acids in the body.
REF: p. 188
20–11179
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