A client is to have a colostomy formed in the descending colon just below the splenic flexure. The nurse expects that the stoma will be positioned in which anatomic location?
- A. Right upper quadrant
- B. Right lower quadrant
- C. Left upper quadrant
- D. Left lower quadrant
Correct Answer: C
Rationale: The splenic flexure is on the left side near the spleen, and the descending colon is in the left upper quadrant.
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Which of the following is synthesized and stored in the liver cells?
- A. Galactose
- B. Lactose
- C. Glycogen
- D. Arabinose
Correct Answer: C
Rationale: Glycogen is synthesized and stored in the liver for energy reserve.
Endothelial cells of liver sinusoids, the following is true except:
- A. Lie on a discontinuous basal lamina
- B. Separated from hepatocytes by space of Disse
- C. The underlying space of Disse contain red blood cells
- D. The fenestra on its surface are collected at areas called sieve plates
Correct Answer: C
Rationale: The space of Disse contains plasma and microvilli, not red blood cells, which remain in the sinusoidal lumen.
A patient who has undergone gastrectomy (removal of the stomach) may suffer from:
- A. cirrhosis
- B. pernicious anemia
- C. gastric ulcer
- D. inability to digest fats
Correct Answer: B
Rationale: Gastrectomy can lead to pernicious anemia due to reduced intrinsic factor production, necessary for vitamin B12 absorption.
Fats are absorbed in
- A. Lacteals in stomach
- B. Lacteals in colon
- C. Lacteals in jejunum
- D. Blood capillaries in duodenum
Correct Answer: C
Rationale: Fats are absorbed into lacteals in the jejunum of the small intestine.
Four bags made of partially permeable membrane are placed in tubes as shown in the diagram. bag made of partially permable membrane starch solution water reducing sugar solution water starch solution and saliva water tube 1 tube 2 tube 3 tube 4 saliva water After 20 minutes at 35 oC a sample of water from each tube, outside the bag, is boiled with Benedict's solution. What are the results?
- A. tube 1: blue, tube 2: red, tube 3: blue, tube 4: red
- B. tube 1: blue, tube 2: blue, tube 3: red, tube 4: red
- C. tube 1: red, tube 2: blue, tube 3: blue, tube 4: red
- D. tube 1: red, tube 2: red, tube 3: blue, tube 4: blue
Correct Answer: A
Rationale: Only reducing sugars can pass through the membrane, turning Benedict's solution red, while starch cannot.