Nutritional Counseling Flashcards
7 cards from real CBC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Nutritional Counseling flashcards as text
A patient 3 weeks post sleeve gastrectomy reports difficulty meeting protein goals. What is the most appropriate initial recommendation?
Answer: Prioritize protein-rich foods and supplements first at each meal
Protein-first eating ensures adequate intake within the limited gastric capacity after surgery.
What is the typical daily protein goal for most adult bariatric surgery patients?
Answer: 60-80 grams
Most guidelines recommend 60-80 grams of protein daily to preserve lean body mass after bariatric surgery.
Why are patients advised to avoid drinking liquids within 30 minutes of meals after bariatric surgery?
Answer: Liquids can flush food through the pouch, reducing satiety and increasing intake capacity
Drinking with meals washes food through the small pouch, decreasing fullness and enabling overeating.
A patient who had Roux-en-Y gastric bypass experiences sweating, dizziness, and cramping 20 minutes after eating ice cream. What should the counselor suspect?
Answer: Early dumping syndrome
Early dumping syndrome occurs when high-sugar foods rapidly enter the small intestine, causing vasomotor and GI symptoms.
Which micronutrient deficiency is most commonly associated with Roux-en-Y gastric bypass due to bypassed absorption sites?
Answer: Vitamin B12
B12 absorption requires intrinsic factor and stomach acid, both reduced after bypass, making deficiency common.
During the pureed diet phase, which food would be most appropriate to recommend?
Answer: Blended low-fat cottage cheese
Blended cottage cheese is smooth, protein-rich, and consistent with pureed-stage texture requirements.
A counselor notices a patient is consuming mostly protein shakes 8 months post-op instead of transitioning to whole foods. What is the best counseling approach?
Answer: Explore barriers to solid food and encourage gradual transition to whole protein sources
Long-term reliance on liquids reduces satiety and may signal eating difficulties, so barriers should be explored and whole foods encouraged.