Nokea
Using MyPlate as a guide, what changes could the nurse suggest to bring the man's diet more in line with nutrition recommendations?
- A. Increase fruits and vegetables
- B. Decrease protein intake
- C. Increase fat intake
- D. Increase calorie intake
Correct Answer: A
Rationale: The correct answer is A: Increase fruits and vegetables. MyPlate recommends filling half of your plate with fruits and vegetables. By suggesting this change, the nurse can help the man consume more essential nutrients, fiber, and antioxidants. This will improve his overall diet quality. Decreasing protein intake (B) may lead to inadequate protein consumption, which is essential for muscle health. Increasing fat intake (C) may lead to excess calorie intake and weight gain. Increasing calorie intake (D) may not be necessary and could lead to weight gain if not balanced with physical activity.
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Which of the following statements about the stomach is FALSE?
- A. there are no enzymes secreted in the stomach to digest carbohydrate
- B. pepsin (from pepsinogen) is released to digest proteins
- C. amino acids are absorbed through the stomach wall and go directly to the liver
- D. the appetite regulatory peptide, ghrelin, is released by the stomach
Correct Answer: C
Rationale: The correct answer is C because amino acids are not absorbed through the stomach wall; they are absorbed in the small intestine. In the stomach, gastric juices break down proteins into peptides. Option A is incorrect because the stomach secretes pepsin to digest proteins. Option B is also incorrect as pepsinogen is converted to pepsin for protein digestion. Option D is incorrect since ghrelin, the appetite hormone, is indeed released by the stomach.
Which of these processes occurs in the mouth?
- A. ingestion
- B. mechanical digestion
- C. chemical digestion
- D. all of the above
Correct Answer: D
Rationale: In the mouth, ingestion occurs when food is taken in. Mechanical digestion occurs through chewing and mixing food with saliva. Chemical digestion begins with enzymes in saliva breaking down carbohydrates. Therefore, all processes (ingestion, mechanical digestion, and chemical digestion) occur in the mouth. Other choices are incorrect because they do not encompass all the processes that happen in the mouth.
A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?
- A. Epigastric discomfort
- B. Dyspepsia
- C. Constipation
- D. Hematemesis
Correct Answer: D
Rationale: The correct answer is D, Hematemesis. This is the priority finding because it indicates upper gastrointestinal bleeding, which can be life-threatening. The nurse should address this immediately to prevent further complications. Epigastric discomfort (A) and dyspepsia (B) are common symptoms of peptic ulcer disease but do not indicate active bleeding. Constipation (C) is not directly related to peptic ulcer disease and does not pose an immediate threat to the client's health.
A client with an ileostomy wants to know why to avoid fibrous vegetables. What should be the nurse's response?
- A. They cause gas formation.
- B. They cause stomal obstruction.
- C. They are difficult to digest.
- D. They increase the risk of diarrhea.
Correct Answer: B
Rationale: The correct answer is B because fibrous vegetables can potentially cause stomal obstruction in clients with an ileostomy due to their indigestible nature, leading to blockages in the stoma. This can result in severe complications and require medical intervention. Gas formation (choice A) is a common issue with high-fiber foods but is not specific to fibrous vegetables. Fibrous vegetables are not necessarily difficult to digest (choice C) for most individuals, although they may be harder for those with reduced gut function. While fibrous vegetables may contribute to loose stools, they do not directly increase the risk of diarrhea (choice D) in the same way they can cause stomal obstruction.
Mumps is inflammation of the ______ salivary gland caused by a virus.
- A. buccal
- B. sublingual
- C. submandibular
- D. parotid
Correct Answer: D
Rationale: The correct answer is D: parotid. Mumps is inflammation of the parotid salivary gland. The parotid gland is the largest salivary gland located near the ear. It is commonly affected by the mumps virus, causing swelling and pain.
Rationale:
1. The parotid gland is the main salivary gland affected by the mumps virus.
2. The other choices, buccal, sublingual, and submandibular glands, are not typically associated with mumps.
3. Understanding the anatomical location and function of the salivary glands helps in identifying the correct answer.