Diet therapy

Correct answer: D. In an underweight patient recovering from infection

Explanation: An underweight patient recovering from infection may have increased energy and protein requirements for immune defence, tissue repair, and rebuilding lost body mass. Further energy restriction could worsen weakness and delay recovery. Nutritional status and clinical goals must be assessed before prescribing restriction.

Correct answer: B. In some kidney disease conditions

Explanation: Some kidney diseases reduce the body's ability to excrete potassium, allowing blood potassium to rise. Depending on kidney function, medicines, and laboratory results, potassium-rich foods may need review or adjustment. Such restriction must be individualized and guided by medical and nutrition professionals rather than applied to everyone.

Correct answer: B. When the patient cannot accept low-salt food

Explanation: If a patient finds low-salt food unacceptable, adherence may fail even when the prescription is medically appropriate. Herbs, spices, lemon, garlic, onion, and other suitable flavouring methods can improve palatability without adding excessive sodium, while respecting the patient's condition and preferences.

Correct answer: D. Planning an intervention according to the problem

Explanation: Nutrition diagnosis identifies a specific nutrition problem, its cause, and evidence. The next step is to formulate a targeted intervention with measurable goals, such as changing intake, texture, nutrient distribution, or education. The intervention is then implemented and monitored for response and revision.

Correct answer: C. When kidney function may be impaired

Explanation: Protein needs may rise during wound healing, but impaired kidney function can reduce the safe handling of nitrogenous waste. The amount and type of protein must therefore be individualized using renal status, laboratory results, disease stage, and medical or dietetic advice rather than assumed to be high for everyone.

Correct answer: A. To reduce blood glucose fluctuations

Explanation: Keeping carbohydrate amounts reasonably consistent at planned meals helps match food intake with insulin or other glucose-lowering medicines and physical activity. It can reduce sudden post-meal rises and unexpected lows. The quality, fibre content, portion size, timing, and individual treatment plan also matter; consistency does not mean eating only one food.

Correct answer: A. They may further irritate the gastric mucosa

Explanation: Very hot foods and strongly spiced preparations may aggravate discomfort in some people with gastric irritation by increasing sensory irritation or worsening symptoms such as burning, pain and reflux. A bland, moderate-temperature diet may be better tolerated, but advice should be individualized because triggers differ among patients.

Correct answer: A. Disease control and patient safety may be affected

Explanation: A wrong tray can expose a diabetic patient to excess carbohydrate, a renal patient to unsuitable potassium or protein, or a sodium-restricted patient to excess salt. It may worsen the disease, cause an adverse reaction, or interfere with treatment. Safe practice requires matching the tray with the patient’s identity, prescribed diet, allergies, and restrictions before serving.

Correct answer: A. Because fibre, water and habit help long-term control

Explanation: Laxatives may relieve constipation, but long-term management also requires attention to the cause and daily habits. Adequate fibre, sufficient fluid when medically appropriate, regular physical activity, a consistent toileting routine, and gradual dietary changes can improve stool bulk and bowel movement. The plan must be individualized because severe obstruction, swallowing problems, fluid restriction, or some diseases may make a generic high-fibre recommendation unsafe.

Correct answer: A. Add pulses, vegetables and a little oil to khichdi in balanced amounts

Explanation: Nutrient density means providing more useful nutrients in each unit of food rather than merely increasing volume. Adding pulses contributes protein and minerals, vegetables add fibre and micronutrients, and a small appropriate amount of oil increases energy and supports absorption of fat-soluble vitamins. The recipe must still match tolerance, disease restrictions and portion needs.

Correct answer: B. Controlled carbohydrate and low sodium

Explanation: A patient with diabetes and hypertension usually needs an individualized plan that controls carbohydrate quality and portions while limiting sodium. Emphasis on vegetables, suitable fibre, unsaturated fats, and appropriate energy may help, but exact quantities must be adapted to medicines, kidney function, and medical advice.

Correct answer: B. It may add extra load on the kidneys

Explanation: Protein requirements in kidney disease vary with the stage of disease, dialysis status, nutritional condition, and other clinical findings. Excessive protein may increase nitrogenous waste that impaired kidneys cannot remove efficiently. Therefore the amount must be assessed and prescribed by a qualified professional.

Correct answer: A. Sudden high fibre may cause discomfort

Explanation: A sudden large increase in fibre can cause gas, bloating, abdominal cramps, or discomfort, especially when the person is not accustomed to it. Gradual increase allows the digestive system to adapt. Adequate fluid, movement, and medical evaluation are also important when treating persistent constipation.

Correct answer: A. Milk contains lactose

Explanation: Lactose is the natural milk sugar. In lactose intolerance, insufficient lactase enzyme prevents complete digestion, so undigested lactose reaches the large intestine and may cause gas, bloating, cramps, or diarrhoea. Tolerance varies, and suitable alternatives or small portions may be advised individually.

Correct answer: A. To help control uric acid

Explanation: Purines are broken down to uric acid. In susceptible people, excess uric acid can form crystals in joints and contribute to gout attacks. A low-purine pattern may reduce dietary contribution, but hydration, medicines, weight, and the complete clinical plan are also important; diet alone may not be sufficient.

Correct answer: A. It controls quantity and energy intake

Explanation: Portion control limits the amount of energy and carbohydrate consumed at one time without requiring every food to be completely eliminated. It can support weight management and more predictable blood-glucose responses. Food quality, meal timing, activity, medicines, and individual medical advice remain important.

Correct answer: A. One with severe swallowing difficulty

Explanation: A pureed diet has a smooth, uniform consistency and may be easier to control and swallow than a regular soft diet for a patient with significant dysphagia. However, texture and fluid thickness should be prescribed after swallowing assessment because aspiration risk and nutritional needs vary.

Correct answer: A. They may contain high hidden salt

Explanation: Pickles and packaged salty snacks often contain added salt, sodium-containing preservatives, or seasoning, so they can raise total sodium intake even when salt is not added at the table. Limiting them helps meet a low-sodium prescription, particularly when blood pressure or fluid retention is a concern.

Correct answer: A. It may disturb blood sugar control

Explanation: Skipping meals can produce unpredictable blood-glucose changes, excessive hunger, overeating later, and mismatch with glucose-lowering medicines or insulin. A regular, individually planned meal pattern with suitable portions is usually safer. Any change must consider the person’s treatment, activity, and professional advice.

Correct answer: A. To make intake easier with poor appetite and fatigue

Explanation: Cancer and its treatment may cause poor appetite, nausea, early fullness, taste changes, or fatigue. Small meals offered frequently can be easier to tolerate and can provide repeated opportunities for energy and protein intake. The plan should be adapted to symptoms, treatment effects, hydration, and medical nutrition advice.

Correct answer: A. When normal meals do not meet needs

Explanation: An oral nutrition supplement may be considered when usual meals do not provide enough energy or protein because of poor appetite, illness, increased requirements, or eating difficulty. It should complement, not automatically replace, suitable meals, and its composition and amount should be chosen after assessing the patient’s needs.

Correct answer: A. Medical condition and expert advice

Explanation: Fluid restriction is not a routine rule for every patient. It may be prescribed in selected heart, kidney, liver, or other conditions according to fluid balance, urine output, swelling, laboratory findings, medicines, and disease severity. The exact amount must be ordered and monitored by the healthcare team.

Correct answer: A. To check tolerance and safe improvement

Explanation: A severely malnourished patient may have reduced digestive and metabolic adaptation. Increasing nutrition too rapidly can cause intolerance and, in high-risk cases, refeeding syndrome involving dangerous shifts in phosphate, potassium, magnesium, fluids, and glucose. Gradual rehabilitation with clinical and biochemical monitoring allows safe adjustment and recovery.

Correct answer: A. Some foods may affect medicine effect or tolerance

Explanation: Food can sometimes alter medicine absorption, metabolism, effectiveness, or side effects, while some medicines can change appetite or nutrient status. Examples include timing requirements and interactions with particular foods or supplements. Therefore the patient should disclose diet and medicines and follow professional instructions rather than assuming food always replaces or never affects medication.

Correct answer: A. Metabolic stress may increase

Explanation: A severely malnourished patient may develop refeeding syndrome when nutrition is restarted too rapidly. Sudden carbohydrate intake can shift phosphate, potassium, and magnesium into cells and cause fluid, cardiac, respiratory, or neurological complications. Feeding should therefore increase gradually with medical monitoring and correction of deficiencies.