Nokea
Which of these enzymes is responsible for digesting proteins?
- A. amylase
- B. lipase
- C. trypsin
- D. sucrase
Correct Answer: C
Rationale: The correct answer is C: trypsin. Trypsin is responsible for digesting proteins as it specifically breaks down proteins into smaller peptides. Amylase (A) digests carbohydrates, lipase (B) breaks down fats, and sucrase (D) digests sucrose, a type of sugar. Trypsin is produced by the pancreas and plays a crucial role in protein digestion in the small intestine. Its specificity for proteins makes it the correct enzyme for this function.
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A nurse is preparing an intervention plan for a client who is receiving tube feedings after an oral surgery. Which of the following measures can prevent improper infusion and assist in preventing vomiting?
- A. Consulting the physician and dietitian
- B. Administering the feedings at room temperature
- C. Changing the tube feeding container and tubing
- D. Checking the tube placement and gastric residual prior to feedings
Correct Answer: D
Rationale: The correct answer is D: Checking the tube placement and gastric residual prior to feedings. This is crucial to ensure proper placement of the tube and to assess if there is any undigested food in the stomach, which can lead to vomiting if fed through the tube. By checking these factors before administering feedings, the nurse can prevent complications.
A: Consulting the physician and dietitian is important but does not directly prevent improper infusion or vomiting.
B: Administering feedings at room temperature is a good practice but does not directly prevent vomiting.
C: Changing the tube feeding container and tubing may be necessary for hygiene but does not directly prevent improper infusion or vomiting.
In summary, checking the tube placement and gastric residual is essential in preventing vomiting and ensuring proper feeding, making it the correct choice.
Which of the following statements correctly describes GABA (gamma-amino butyric acid)?
- A. GABA is released at the presynaptic terminal to inhibit dopamine release
- B. GABA is released by GABA neurons and blocks propagation of the dopamine-triggered signal in the post synapse
- C. heroin and morphine stimulate GABA release
- D. all of the above are true
Correct Answer: B
Rationale: Rationale: Choice B is correct because GABA is indeed released by GABA neurons and acts to inhibit the propagation of signals triggered by dopamine in the post-synaptic neuron. GABA functions as an inhibitory neurotransmitter in the central nervous system. Choices A and C are incorrect. Choice A is inaccurate because GABA inhibits the release of dopamine, not the other way around. Choice C is incorrect as heroin and morphine act on opioid receptors, not GABA receptors. Choice D is incorrect because not all statements are true.
Which of the following is a major site of nutrient absorption?
- A. duodenum
- B. jejunum
- C. ileum
- D. colon
Correct Answer: B
Rationale: The correct answer is B: jejunum. The jejunum is a major site of nutrient absorption in the small intestine due to its extensive surface area and presence of villi and microvilli that facilitate absorption of nutrients like carbohydrates, proteins, and fats. The duodenum primarily functions in digestion, the ileum mainly absorbs vitamin B12 and bile salts, and the colon absorbs water and electrolytes. Therefore, the jejunum is the correct choice for being a major site of nutrient absorption.
In which part of the alimentary canal does most digestion occur?
- A. stomach
- B. proximal small intestine
- C. distal small intestine
- D. ascending colon
Correct Answer: B
Rationale: The correct answer is B: proximal small intestine. Most digestion occurs in the proximal small intestine because it is where the majority of enzymes are secreted to break down food. This section also has a large surface area for absorption of nutrients. The stomach primarily breaks down food with acids, while the distal small intestine and ascending colon focus on absorption of nutrients and water, respectively.
A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions?
- A. I will lie on my left side to sleep at night.'
- B. I will lie on my right side to sleep at night.'
- C. I will sleep on my back with my head flat.'
- D. I will sleep on my stomach with my head flat.'
Correct Answer: A
Rationale: The correct answer is A: "I will lie on my left side to sleep at night." This position helps prevent acid from flowing back into the esophagus due to the angle of the stomach in relation to the esophagus. Lying on the right side can worsen reflux. Sleeping on the back with the head flat can also worsen symptoms as gravity can allow acid to flow back up. Sleeping on the stomach with the head flat is not recommended as it can put pressure on the stomach, leading to increased reflux.