A nurse is providing teaching about ileostomy care to a client. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: The correct answer is B because enteric-coated medications should not be taken by clients with ileostomies as they may not be fully absorbed. A: Correct, emptying pouch at 1/3 full is recommended. C: Correct, changing pouch weekly is important to prevent skin irritation. D: Correct, caution with high fiber foods to prevent blockages.

Correct Answer: D

Rationale: The correct answer is D: Yogurt. Yogurt contains probiotics that promote healthy gut bacteria, aiding in digestion and reducing gas. It is easily digestible and less likely to cause excessive gas compared to choices A, B, and C, which are known to produce more gas due to their high fiber content. Peas, cabbage, and broccoli can exacerbate flatus issues in individuals with a colostomy, while yogurt can help alleviate them.

Correct Answer: B

Rationale: The correct answer is B: vagus. The vagus nerve, or cranial nerve X, carries sensation from the digestive tract to the CNS. It is a major player in the parasympathetic nervous system, controlling many vital functions including digestion. The other options, gastric and spinal accessory, are not cranial nerves responsible for carrying sensations from the digestive tract. Choice D is incorrect as the vagus nerve specifically serves this function.

Correct Answer: A

Rationale: The correct answer is A: inferior. Dentin is located beneath the enamel in a tooth, making it inferior to the enamel. Enamel is the outermost layer of the tooth that covers the dentin. Therefore, the dentin is positioned below or inferior to the enamel. Choice B (anterior) refers to the front of a tooth, not its relationship to dentin. Choice C (superior) means above, which is not correct in this context. Choice D (posterior) refers to the back of a tooth, not its position relative to the enamel.

Correct Answer: C

Rationale: The correct answer is C: protein. Gastric secretions primarily consist of hydrochloric acid and pepsin, which break down proteins into smaller peptides. This process is essential for protein digestion in the stomach. Choices A, B, and D are incorrect because fats are primarily digested in the small intestine with the help of bile, starch is broken down by amylase in the mouth and small intestine, and nucleic acids are digested in the small intestine by nucleases. Therefore, protein is the major food digested by gastric secretions due to the presence of pepsin and hydrochloric acid in the stomach.