Nokea
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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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.
Which enzyme helps break down fats in the digestive process?
- A. lipase
- B. pepsin
- C. papain
- D. amylase
Correct Answer: A
Rationale: Lipase is the enzyme responsible for breaking down fats into fatty acids and glycerol during digestion.
When a person eats some egg white, protein and water enter the stomach. Which substances are found leaving the stomach and leaving the small intestine?
- A. leaving the stomach: amino acids and water, leaving the small intestine: amino acids and water
- B. leaving the stomach: fatty acids, glycerol, and water, leaving the small intestine: fatty acids, glycerol, and water
- C. leaving the stomach: protein and water, leaving the small intestine: fatty acids and glycerol
- D. leaving the stomach: protein, amino acids, and water, leaving the small intestine: water
Correct Answer: A
Rationale: Proteins are partially digested in the stomach and converted to amino acids in the small intestine.
The nurse is caring for a client who is returning from the operating room following a cholecystectomy, or removal of the gallbladder. The nurse knows that the function of the gallbladder is to:
- A. Manufacture bile
- B. Concentrate bile
- C. Remove toxins from the blood
- D. Make albumin
Correct Answer: B
Rationale: The gallbladder concentrates and stores bile produced by the liver.
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.