A person that complains that they have problems with gas, ...

[notis]

A person that complains that they have problems with gas, bloating, and diarrhea if they eat breakfast cereal with milk but not if they eat pancakes or waffles, may have
 
  a. milk allergy.
  b. gluten intolerance.
  c. irritable bowel syndrome.
  d. lactose intolerance.

Question 2

A high school athlete tells the nurse that a high-protein diet is necessary for strong muscles. The nurse will want to point out to the athlete that:
 
  1. A high protein diet will lead to weight loss so should be avoided.
   2. The additional protein will provide extra energy.
   3. It is not worth the extra expense.
   4. Strong muscles are developed with exercise, not extra protein.

[cpetit11]

Answer to Question 1

D
These symptoms are likely to be caused by lactose intolerance. Patients with lactose intolerance cannot digest lactose, the sugar in milk, so it ferments in the intestines causing gas, bloating, and diarrhea. Milk allergy may also cause diarrhea, but would probably also cause skin rash and/or asthma. Gluten intolerance would not be affected by milk intake. Irritable bowel syndrome would probably not produce symptoms after eating foods with milk but not after eating foods without milk.

Answer to Question 2

4
Rationale: Strong muscles are developed with repetitive use of the muscles as part of a training program. A very high-protein diet may lead to weight loss, but that is only in combination with reduced carbohydrate intake. Protein is not used for energy by the body as long as there is adequate carbohydrate and fat consumption. The nurse should deal with the client's statement, not be judgmental about expense.