Download CSO Exam 2023/ with complete solutions and more Exams Nursing in PDF only on Docsity! CSO Exam 2023/ with complete solutions What 2 dietary supplement/CAM may protect liver? – correct Reishi Mushroom, silymarin What supplements/CAM affects cytochrome P-450 (CYP) 3A4 - correctGreen tea, st John's wort What is bio active component of St Johns wort that has cytotoxic effect on cells - correctHypericin St. John's Wort dose that is least likely to interact with meds - correct<1mg hyperforin Is St. John's Wort ok to take during chemo? - correctNo- due to possible effects on enzyme induction for multiple enzymes (CYP 2B6; CYP 2C9; etc) PSK in Turkey tail does what - correctImprove immune function; reduce tumor related s/s; extend survival in lung ca PSP in Turkey tail does what? - correctMay protect against adverse effects of radiation What dietary supplement/CAM may reduce bone loss w/ methotrexate? - correctResveratrol What dietary supplement may decrease mucositis r/t 5FU? - correctSelenium Selenium may help what chemo's tx efficacy and/or help apoptosis - correctTaxol, docetaxel, etoposide What is upper limit for Vit D - correct4,000 IU /day Level of 25-hydroxyvitamin D that is adequate in blood - correct40-60 mg/mL is ideal according to the endocrine society Most unfounded diets (budwig, bill Henderson, etc) involve vegetarian/vegan meal plans. What are common nutr deficiencies associated? - correctB12; calcium; vit D; iron; zinc; iodine; sometimes protein What type of enteral formula would you choose for pt s/p whipple with EPI - correctSemi-elemental, high in MCT to limit need for enzymes How to get PERT with tube feeds (continuous, G, J) - correctContinuous- give q3hr Large bore G tube- enzyme delivered in thickened liquid Small-bore or J tube- enzymes crushed and dissolved w/ bicarbonate What diet is recommended for malabsorption r/T biliary obstruction? - correctLow fat, while waiting for surgery (Pancreatic cancer) Pre-op immunonutrition product should contain: - correctArginine, omega 3, and nucleotides x5d before surgery The duodenum, removed during whipple, is primary source of ____ absorption and therefore you must monitor ____. - correctCalcium; bone density ALSO- because many pt are on acid-suppressive therapy that changes solubility of calcium salts Pancreatic cancer survivors are at risk for what? - correctNAFLD Mostly widely accepted dietary/environmental risk for thyroid cancer - correctDietary- iodine Def. Environmental- exposure to radiation, especially infant/young child Labs that may help dx thyroid cancer - correctTSH, calcitonin Low iodine diet prior to RAI (radioactive iodine therapy) 1) how long to stay on diet 2) main foods to avoid - correct1) 1-2 weeks before tx 2) iodized salt; seafood; egg yolks; chocolate;
