Which is the only area that can digest a double sugar?
- A. jejunum
- B. stomach
- C. duodenum
- D. pancreas
Correct Answer: C
Rationale: The correct answer is C: duodenum. The duodenum is the first part of the small intestine where digestion of double sugars, like disaccharides, occurs. Enzymes such as sucrase, lactase, and maltase are secreted in the duodenum to break down double sugars into simple sugars for absorption. The other choices are incorrect because the stomach primarily digests proteins, the jejunum is mainly involved in nutrient absorption, and the pancreas secretes enzymes into the duodenum but does not directly digest double sugars.
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The nurse caring for an 80-year-old woman who is undergoing the extensive bowel preparation for a colonoscopy. The nurse should most closely monitor the patient for which potential complication?
- A. Diarrhea
- B. Metabolic acidosis
- C. Fatigue
- D. Dyspnea
Correct Answer: B
Rationale: The correct answer is B: Metabolic acidosis. During bowel preparation for a colonoscopy, the patient may experience electrolyte imbalances due to fluid loss from diarrhea and bowel cleansing agents. This can lead to metabolic acidosis, characterized by low pH and bicarbonate levels in the blood. The nurse should monitor for signs such as confusion, weakness, and rapid breathing. Diarrhea (A) is a common side effect of bowel preparation but is not the most critical complication to monitor. Fatigue (C) and dyspnea (D) are not directly related to the electrolyte imbalances that can lead to metabolic acidosis in this scenario.
A patient asks the nurse about taking phentermine and topiramate (Qsymia) for weight loss. To avoid side effects
- A. it is important for the nurse to determine whether the patient has a history of
- B. glaucoma.
- C. hypertension.
- D. valvular heart disease.
Correct Answer: A
Rationale: The correct answer is A because it is essential to determine if the patient has a history of certain conditions before prescribing Qsymia. This medication can worsen glaucoma (not just a history of it) making option B incorrect. Option C is incorrect because Qsymia can actually help manage hypertension. Option D is incorrect because while valvular heart disease can be a concern, it is not the primary factor to consider before prescribing this medication.
Which of the following is not part of the large intestines?
- A. Transverse colon
- B. Appendix
- C. Cecum
- D. Duodenum
Correct Answer: D
Rationale: The correct answer is D: Duodenum. The duodenum is the first part of the small intestine, not the large intestine. The transverse colon, appendix, and cecum are all parts of the large intestine. The duodenum plays a crucial role in the digestion process, receiving partially digested food from the stomach and further breaking it down with the help of enzymes from the pancreas and bile from the liver. It is important to differentiate between the small and large intestines to understand their distinct functions within the digestive system.
Mucosal necrosis is an essential part of:
- A. blind loop syndrome
- B. pseudomembranous enterocolitis
- C. both
- D. neither
Correct Answer: B
Rationale: The correct answer is B: pseudomembranous enterocolitis. Mucosal necrosis is a key characteristic of pseudomembranous enterocolitis, a condition caused by Clostridium difficile infection. The bacteria release toxins that lead to inflammation and damage to the mucosal lining of the intestines, resulting in mucosal necrosis. Blind loop syndrome (choice A) does not specifically involve mucosal necrosis, while pseudomembranous enterocolitis (choice B) does. Choice C is incorrect because only pseudomembranous enterocolitis involves mucosal necrosis. Choice D is incorrect as pseudomembranous enterocolitis does involve mucosal necrosis.
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.