Nokea
Which of the following vitamins is not stored in the liver?
- A. C
- B. D
- C. B12
- D. A
Correct Answer: A
Rationale: The correct answer is A: Vitamin C. Vitamin C is water-soluble and not stored in the liver. It gets absorbed in the intestines and any excess is excreted in the urine. Vitamin D (choice B) is fat-soluble and stored in the liver. Vitamin B12 (choice C) is also stored in the liver. Vitamin A (choice D) is fat-soluble and stored in the liver as well. Thus, the correct answer is A as it is the only water-soluble vitamin among the options.
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A nurse is caring for a client who reports having chronic constipation. Which of the following herbal supplements should the nurse recommend?
- A. Ginseng
- B. Coenzyme Q-10
- C. Cranberry juice
- D. Flaxseed
Correct Answer: D
Rationale: The correct answer is D: Flaxseed. Flaxseed is rich in fiber, which helps promote bowel regularity and relieve constipation. The insoluble fiber in flaxseed adds bulk to stool, making it easier to pass. Ginseng (A) is not typically used for constipation. Coenzyme Q-10 (B) is not known to alleviate constipation. Cranberry juice (C) is more commonly used for urinary tract health, not constipation. Flaxseed is the best choice due to its high fiber content and effectiveness in promoting regular bowel movements.
To treat a cirrhotic patient with hepatic encephalopathy, lactulose (Cephulac), rifaximin (Xifaxan), and a proton pump inhibitor are ordere The patient's family wants to know why the laxative is ordere What is the best explanation the nurse can give to the patient's family?
- A. It reduces portal venous pressure.
- B. It eliminates blood from the GI tract.
- C. It traps ammonia and eliminates it in the feces.
- D. It decreases bacteria to decrease ammonia formation.
Correct Answer: C
Rationale: The correct answer is C: "It traps ammonia and eliminates it in the feces." In hepatic encephalopathy, excessive ammonia levels lead to neurological symptoms. Lactulose works by acidifying the colon, converting ammonia to ammonium, trapping it, and promoting its excretion in feces. This reduces ammonia absorption, alleviating encephalopathy.
Explanation of other choices:
A: Incorrect. Lactulose does not directly reduce portal venous pressure.
B: Incorrect. Lactulose does not eliminate blood from the GI tract.
D: Incorrect. Lactulose does not directly decrease bacteria to reduce ammonia formation.
In summary, the nurse should explain to the patient's family that lactulose helps by trapping ammonia in the GI tract and facilitating its removal in the feces, thus reducing ammonia levels in the body and improving hepatic encephalopathy symptoms.
Saliva is needed for:
- A. Digestion of sucrose
- B. Digestion of phospholipids
- C. Ability to speak
- D. Breaking food down into small pieces
Correct Answer: A
Rationale: Saliva contains an enzyme called amylase, which helps break down sucrose (a type of sugar) into glucose and fructose for digestion. Therefore, the correct answer is A. Saliva does not play a significant role in the digestion of phospholipids (B), speaking ability (C), or breaking food down into small pieces (D).
The absorption of fructose by intestinal mucosa is
- A. co- transport mechanism
- B. simple diffusion
- C. facilitated transport
- D. active transport
Correct Answer: C
Rationale: The correct answer is C: facilitated transport. Fructose is absorbed through facilitated diffusion using specific carrier proteins in the intestinal mucosa. This process does not require energy input and allows fructose to move down its concentration gradient. Unlike active transport (requiring energy) and co-transport mechanisms (involving multiple substances), fructose absorption occurs through facilitated transport by specific carrier proteins. Simple diffusion is not the main mechanism for fructose absorption due to its hydrophilic nature. Thus, facilitated transport best describes how fructose is absorbed by the intestinal mucosa.
Which of these processes occurs throughout most of the alimentary canal?
- A. ingestion
- B. propulsion
- C. segmentation
- D. absorption
Correct Answer: B
Rationale: The correct answer is B: propulsion. Propulsion is the process of moving food along the alimentary canal through peristalsis, which is the contraction and relaxation of muscles in the digestive tract. This process occurs throughout most of the alimentary canal, including the esophagus, stomach, small intestine, and large intestine. Ingestion (choice A) occurs at the beginning of the digestive process when food enters the mouth. Segmentation (choice C) is a mixing movement that occurs mainly in the small intestine to aid in digestion. Absorption (choice D) takes place primarily in the small intestine, where nutrients are absorbed into the bloodstream. Therefore, propulsion is the correct answer as it is the continuous movement of food along the digestive tract.