Nokea
Priority Decision: Before selecting a weight reduction plan with an obese patient
- A. what is most important for the nurse to first assess?
- B. The patient's motivation to lose weight
- C. The length of time that the patient has been obese
- D. Whether financial considerations will affect the patient's choices
Correct Answer: D
Rationale: Assessing anthropometric measures helps to understand the severity of obesity and provide baseline data for weight loss goals.
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Diseases that reduce pancreatic enzyme secretions do NOT usually decrease the digestion and absorption of:
- A. Animal proteins
- B. Plant proteins
- C. Plant lipids
- D. Sucrose
Correct Answer: D
Rationale: The correct answer is D: Sucrose. Diseases that reduce pancreatic enzyme secretions typically do not affect the digestion and absorption of sucrose because sucrose is primarily broken down in the small intestine by sucrase, an enzyme produced by the intestinal lining, not the pancreas. Animal proteins (choice A) and plant proteins (choice B) require pancreatic enzymes like trypsin and chymotrypsin for digestion; plant lipids (choice C) require pancreatic lipase for digestion. Therefore, choices A, B, and C would be affected by reduced pancreatic enzyme secretions, unlike sucrose.
Patients with gastric ulcer typically exhibit the following symptoms:
- A. Epigastric pain worse after eating and weight loss.
- B. Epigastric pain worse before meals, pain awakening patient from sleep, and melena.
- C. Decreased bowel sounds, rigid abdomen, rebound tenderness, and fever.
- D. Boring epigastric pain radiating to back and left shoulder, bluish-gray discoloration of periumbilical area, and ascites.
Correct Answer: B
Rationale: Gastric ulcers typically present with epigastric pain that worsens before meals, pain that can wake the patient at night, and melena due to gastrointestinal bleeding.
The patient has been newly diagnosed with Wilson's disease and D-penicillamine, a chelating agent, has been prescribe What assessment finding should the nurse expect?
- A. Pruritus
- B. Acute kidney injury
- C. Corneal Fleischer rings
- D. Elevated serum iron levels
Correct Answer: C
Rationale: Corneal Fleischer rings are a characteristic finding in Wilson's disease, caused by copper deposits in the cornea.
For an organ lying within a body cavity, the tissue which is farthest away from the inner core or lumen of the organ is called the:
- A. Muscularis externa
- B. Serosa
- C. Mucosa
- D. Myenteric Plexus
Correct Answer: B
Rationale: The correct answer is B: Serosa. The serosa is the outermost layer of an organ lying within a body cavity. It is composed of connective tissue covered by a layer of mesothelium. This layer is farthest away from the inner core or lumen of the organ. The muscularis externa (choice A) is the layer of muscle tissue located just beneath the serosa. The mucosa (choice C) is the innermost layer of the organ, lining the lumen. The myenteric plexus (choice D) is a network of nerve fibers located between the circular and longitudinal layers of the muscularis externa, playing a role in regulating gastrointestinal motility.
The nurse is talking with a patient who has been experiencing nausea and vomiting. The patient indicates an interest in using alternative therapies for the condition. Which product may aid in nausea management?
- A. Ginger
- B. Ginseng
- C. Chamomile
- D. Soy
Correct Answer: A
Rationale: Step-by-step rationale:
1. Ginger has been shown to help alleviate nausea and vomiting due to its anti-inflammatory properties.
2. Ginger can help relax the stomach muscles and aid in digestion, reducing symptoms of nausea.
3. Studies have supported the use of ginger for managing nausea in various conditions.
4. Overall, ginger is a safe and effective option for nausea management.
Summary of incorrect choices:
- Ginseng: Ginseng is not commonly used for nausea relief and lacks sufficient evidence to support its effectiveness.
- Chamomile: While chamomile is known for its calming effects, it is not specifically indicated for nausea management.
- Soy: Soy is not typically used to alleviate nausea and vomiting symptoms.