Nokea
The di- and tripeptides are transported in the enterocytes by peptide transporter 1 that requires:-
- A. Na+
- B. Ca++
- C. H+
- D. Cl-
Correct Answer: C
Rationale: The correct answer is C: H+. Peptide transporter 1 requires a proton gradient for the active transport of di- and tripeptides across the enterocytes. This proton gradient is maintained by the H+ ions. Na+ (Choice A), Ca++ (Choice B), and Cl- (Choice D) are not directly involved in the transport of di- and tripeptides by peptide transporter 1. Na+ is primarily involved in glucose and amino acid transport, Ca++ in bone formation and muscle contraction, and Cl- in maintaining osmotic balance. Therefore, the correct answer is H+ as it is crucial for the functioning of peptide transporter 1.
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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.
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.
Where does the majority of nutrient absorption occur in the digestive system?
- A. Mouth
- B. Stomach
- C. Small intestine
- D. Large intestine
Correct Answer: C
Rationale: The majority of nutrient absorption occurs in the small intestine. Here's the rationale:
1. The small intestine is where most digestion and absorption of nutrients occur due to its large surface area.
2. Villi and microvilli in the small intestine increase the absorption surface for nutrients like carbohydrates, proteins, and fats.
3. Specific enzymes and bile are secreted in the small intestine to aid in the breakdown and absorption of nutrients.
4. The large intestine primarily absorbs water and electrolytes, not nutrients.
In summary, the mouth is mainly for mechanical digestion, the stomach primarily digests food, and the large intestine absorbs water, making the small intestine the correct choice for nutrient absorption.
A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client?
- A. Prone
- B. Semi-Fowler's
- C. Supported Sims'
- D. Dorsal recumbent
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler's position. After a traditional cholecystectomy, placing the client in a Semi-Fowler's position (head of the bed elevated at 30-45 degrees) helps promote lung expansion, improve breathing, and reduce the risk of aspiration. This position also helps with comfort and aids in preventing complications such as respiratory issues and surgical site complications.
A: Prone position is incorrect as it involves lying on the stomach and is not appropriate for a client after cholecystectomy due to the risk of putting pressure on the abdomen and surgical site.
C: Supported Sims' position is incorrect as it is typically used for rectal examinations or enemas, not for post-cholecystectomy care.
D: Dorsal recumbent position is incorrect as it involves lying on the back with knees flexed, which may not provide optimal support and comfort for a client post-cholecystectomy.
The nurse is obtaining a history of a patient with hepatitis Which question is most appropriate for the nurse to ask?
- A. "If using drugs, do you share needles?"
- B. "Do you always practice safe sex?"
- C. "You traveled to Canada in the last month?"
- D. "Do you eat shellfish often?"
Correct Answer: D
Rationale: The correct answer is D because consuming contaminated shellfish can lead to Hepatitis A infection. It is important to ask about dietary habits to identify potential sources of infection. Choice A is incorrect as it assumes drug use, which may not be relevant to the patient. Choice B is more focused on sexual behavior rather than Hepatitis transmission. Choice C is irrelevant unless there was a known Hepatitis outbreak in Canada.