HD is a 21 yo M who has cystic fibrosis. His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling. The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration. In addition, a bone mineral density scan reveals osteopenia. He reports
good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected. He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off.". Because HD is not growing as expected, the registered dietitian may also recommend which of the following as part of his/her overall nutrition plan?
a. EN
b. PN
c. po supplement
d. LCT oil
c
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c. Yes, because trans fat intake is within the recommended range. d. No, because the energy from trans fat is lower than the recommended percentage. e. Yes, because the percentage of energy from total fat is within the recommended range.