Nokea
An older adult client asks the nurse why laxatives are frequently required to have a bowel movement. The nurse bases the response to this question on knowledge that:
- A. Older adults frequently abuse laxatives
- B. Laxatives are very often contraindicated in the older population
- C. Enemas are preferred over laxatives to evacuate the bowel
- D. Decreased bowel peristalsis is common in older adults
Correct Answer: D
Rationale: Aging often reduces peristalsis, slowing bowel movements and increasing the need for laxatives.
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Homeostasis is best described as:
- A. The process by which we change our external environment so that we are comfortable
- B. A process that uses hormones to adjust our bodily functions
- C. A process by which nerves and hormones operate together to keep the internal environment stable no matter what the external conditions
- D. A process by which the nerves make us respond to danger
Correct Answer: C
Rationale: Homeostasis maintains internal stability using nerves and hormones despite external changes.
Which juice secreted by the organs in the alimentary canal plays an important role in the digestion of fats?
- A. Pancreatic juice
- B. Saliva
- C. Bile juice
- D. Hydrochloric acid
Correct Answer: C
Rationale: Bile juice, secreted by the liver, plays an important role in the digestion of fats by emulsifying them. It does not contain enzymes but helps break down fat molecules into smaller droplets for further digestion.
Esophagus, all true except:
- A. Muscular tube that conveys the ingested food from the pharynx to the stomach
- B. Esophagus shows longitudinal folds that help in its expansion during swallowing.
- C. Its muscularis mucosa is formed entirely of smooth muscles.
- D. Its mucosa have no glands in the entire length.
Correct Answer: D
Rationale: The esophageal mucosa contains mucous glands in the submucosa, especially in the upper and lower regions, not none along its length.
Out of four layers of alimentary canal, which one forms villi, (finger-like projection)?
- A. Serosa
- B. Mucosa
- C. Submucosa
- D. Muscularis
Correct Answer: B
Rationale: The mucosa layer forms villi, increasing the surface area for absorption in the small intestine.
Sweating during exercise will cause loss of water to the body. It is important to replace the water or could set in:
- A. leukemia
- B. dehydration
- C. heart disease
- D. diabetes
Correct Answer: B
Rationale: Dehydration occurs when water loss exceeds intake, a common risk during exercise.