Nokea
Saliva is needed for:
- A. Digestion of sucrose
- B. Digestion of phospholipids
- C. Ability to speak
- D. Breaking food down into small pieces
Correct Answer: A
Rationale: Saliva contains an enzyme called amylase, which helps break down sucrose (a type of sugar) into glucose and fructose for digestion. Therefore, the correct answer is A. Saliva does not play a significant role in the digestion of phospholipids (B), speaking ability (C), or breaking food down into small pieces (D).
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The small intestine:
- A. Is shorter than the large intestine
- B. Its internal surface area is smaller than the large intestine
- C. It absorbs less water than the large intestine
- D. It contains bacteria as found in the large intestine
Correct Answer: B
Rationale: The correct answer is B because the small intestine has a larger internal surface area compared to the large intestine due to its extensive folding and villi. This increased surface area enhances nutrient absorption efficiency. Choice A is incorrect as the small intestine is longer than the large intestine. Choice C is incorrect as the small intestine absorbs more water than the large intestine. Choice D is incorrect as the small intestine typically does not contain the same amount of bacteria as the large intestine, which is known for its significant bacterial population.
Which assessment action will help the nurse determine if an obese patient has metabolic syndrome?
- A. Take the patient's apical pulse.
- B. Check the patient's blood pressure.
- C. Ask the patient about dietary intake.
- D. Dipstick the patient's urine for protein.
Correct Answer: B
Rationale: The correct answer is B: Check the patient's blood pressure. Monitoring blood pressure is crucial in determining if an obese patient has metabolic syndrome, as high blood pressure is one of the key criteria for diagnosing metabolic syndrome. Elevated blood pressure is a common feature of metabolic syndrome and is linked to other risk factors such as obesity, insulin resistance, and dyslipidemia. By checking the patient's blood pressure, the nurse can assess if the patient meets the criteria for metabolic syndrome.
Choice A (Take the patient's apical pulse) is not directly related to diagnosing metabolic syndrome. Choice C (Ask the patient about dietary intake) may provide important information but does not specifically help in diagnosing metabolic syndrome. Choice D (Dipstick the patient's urine for protein) is not a relevant assessment for determining metabolic syndrome.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse notices that the solution bag is almost empty and there is not another bag of TPN to administer. Which of the following IV solutions should the nurse administer until the next bag of TPN solution is available?
- A. 10% dextrose in water (D10W)
- B. 0.45% sodium chloride (0.45% NaCl)
- C. Lactated Ringer's solution
- D. 5% dextrose in lactated Ringer's solution (D5LR)
Correct Answer: A
Rationale: The correct answer is A: 10% dextrose in water (D10W). When a TPN bag is almost empty, abruptly stopping it can lead to hypoglycemia. Administering D10W provides a temporary source of glucose to prevent this. D10W is a hypertonic solution that delivers a high concentration of dextrose for energy. Option B (0.45% NaCl) is hypotonic and lacks the necessary glucose content. Option C (Lactated Ringer's solution) does not contain glucose, and option D (D5LR) contains lactate, which may not be suitable for all patients. Administering D10W is the most appropriate choice to prevent hypoglycemia until the next bag of TPN is available.
Where does the majority of chemical digestion in the stomach occur?
- A. fundus and body
- B. cardia and fundus
- C. body and pylorus
- D. body
Correct Answer: A
Rationale: The majority of chemical digestion in the stomach occurs in the fundus and body regions. These areas contain gastric glands that secrete hydrochloric acid and pepsinogen, which break down proteins. The fundus and body also mix and churn food to create chyme. The cardia and pylorus do not play a significant role in chemical digestion. The cardia is the entry point of the stomach and mainly responsible for food entry, while the pylorus regulates the release of chyme into the small intestine. The body region alone does not have as many gastric glands compared to the fundus and is mainly involved in mixing and storing food.
Which of the following carbohydrates can be transported across the absorptive cells of the intestinal surface?
- A. starch, sucrose, lactose
- B. glycogen, maltose
- C. glucose, fructose, galactose
- D. amylase, maltose, lactose
Correct Answer: C
Rationale: The correct answer is C because glucose, fructose, and galactose are all monosaccharides, which are the simplest form of carbohydrates and can be directly absorbed by the intestinal cells through specific transport proteins. This process occurs through facilitated diffusion or active transport mechanisms. In contrast, choices A and B consist of disaccharides or polysaccharides, which need to be broken down into monosaccharides before absorption can occur. Choice D includes enzymes and disaccharides, which are not directly absorbed but rather involved in the digestion process. Thus, only choice C aligns with the mechanism of carbohydrate absorption in the intestines.