Using the figure shown, indicate where on the abdomen the nurse should palpate to examine a client's liver for size and tenderness.
- A. Right upper quadrant
- B. Left upper quadrant
- C. Right lower quadrant
- D. Left lower quadrant
Correct Answer: A
Rationale: The liver is located primarily in the right upper quadrant of the abdomen.
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Of the following, which organ does food NOT pass through?
- A. pancreas
- B. stomach
- C. mouth
- D. small intestine
Correct Answer: A
Rationale: Food does not pass through the pancreas; it produces digestive enzymes that aid digestion.
A digestive enzyme, salivary amylase in the saliva begins digestion of-
- A. Starch
- B. Fiber
- C. Proteins
- D. Fats
Correct Answer: A
Rationale: Saliva contains the enzyme amylase that breaks some starches down into maltose and dextrin. Thus, digestion of food occurs within the mouth, even before the food reaches the stomach.
Which part(s) of the esophagus necessitate(s) input from the central nervous system to orchestrate peristalsis?
- A. The upper third
- B. The middle third
- C. The lower third
- D. The upper and middle portions
Correct Answer: A
Rationale: The upper third of the esophagus, with striated muscle, requires CNS input (via the vagus nerve) for primary peristalsis.
When suggesting menu options to a group of senior citizens, the nurse is careful to include which of the following choices that would enhance normal physiology and prevent the problem of constipation?
- A. Whole grains
- B. Highly spiced or flavored foods
- C. Limiting fluids
- D. Salads and fresh fruits
Correct Answer: A
Rationale: Whole grains increase fiber intake, promoting bowel regularity and preventing constipation.
Match: Bile
- A. breaks fat into smaller droplets
- B. digests carbohydrates
- C. absorbs vitamins
- D. neutralizes stomach acid
Correct Answer: A
Rationale: Bile emulsifies fats, breaking them into smaller droplets to facilitate digestion by lipases.