Nokea
The family of an older adult client is concerned about the client's lack of appetite. The nurse counsels the family initially, recalling that:
- A. The client should be evaluated by the primary care provider
- B. The client is depressed and needs antidepressant medication
- C. Loss of appetite is often associated with substance abuse
- D. Loss of taste buds is a common finding in the elderly
Correct Answer: D
Rationale: Age-related loss of taste buds can reduce appetite in older adults.
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Having reduced amounts of Anti Diuretic hormone does what:
- A. Decrease urine production making it dark in colour
- B. Makes us lose water by increased sweating
- C. Increase urine production making it insipid
- D. Causes water retention in tissues
Correct Answer: C
Rationale: Reduced ADH increases urine output, making it dilute (insipid) due to less water reabsorption.
In case of atrophic gastritis, deficiency in vitamin B12 result from damage of:
- A. Chief cells
- B. Enterocytes
- C. Parietal cells
- D. Stem cells
Correct Answer: C
Rationale: Parietal cells secrete intrinsic factor, necessary for vitamin B12 absorption; their damage in atrophic gastritis leads to B12 deficiency.
If a patient is experiencing an intensified sympathetic response, listening to the bowel sounds during auscultation would most likely reveal:
- A. An increase in both the rate and intensity of the bowel sounds
- B. An increase in the rate of bowel sounds accompanied by a decrease in intensity
- C. A decrease in both the rate and intensity of the bowel sounds
- D. Bowel sounds with a normal rate and intensity
Correct Answer: C
Rationale: Sympathetic activation inhibits GI motility (fight-or-flight response), reducing bowel sound rate and intensity.
The small intestine is held to the posterior abdominal wall by the:
- A. mesentery
- B. falciform ligament
- C. greater omentum
- D. lesser omentum
Correct Answer: A
Rationale: The mesentery supports and anchors the small intestine to the posterior abdominal wall.
Enzyme maltase in human gut acts on food at a pH of -
- A. More than 7 to change starch into maltose.
- B. Less than 7 to change starch into maltose.
- C. More than 7 to change maltose into glucose.
- D. Less than 7 to change maltose into glucose.
Correct Answer: C
Rationale: Maltase works in the small intestine (pH > 7) to convert maltose into glucose.