A nurse is reviewing the provider's prescriptions for a client experiencing a paralytic ileus following an appendectomy. Which of the following actions should the nurse expect to take?

Correct Answer: C

Rationale: The correct answer is C: Insert nasogastric tube. In a paralytic ileus, the intestines are unable to contract and move contents, leading to bowel obstruction. Inserting a nasogastric tube helps decompress the intestines by removing gas and fluid, relieving discomfort and preventing further complications. Administering an antacid (A) is not indicated for paralytic ileus. Providing a bulk-forming agent (B) may exacerbate the obstruction. Applying a truss (D) is used for hernias, not for paralytic ileus.

Correct Answer: D

Rationale: The correct answer is D: Alcohol abuse and smoking. Both alcohol abuse and smoking are well-established risk factors for peptic ulcers. Alcohol can irritate and damage the stomach lining, while smoking can increase stomach acid production and weaken the stomach lining. These factors can contribute to the development of peptic ulcers. Choice A (A sedentary lifestyle and smoking) is incorrect because while smoking is a risk factor, a sedentary lifestyle is not directly linked to the development of peptic ulcers. Choice B (A history of hemorrhoids and smoking) is incorrect because hemorrhoids are not a known risk factor for peptic ulcers. Choice C (Alcohol abuse and a history of acute renal failure) is incorrect because acute renal failure is not typically associated with an increased risk of peptic ulcers, unlike alcohol abuse.

Correct Answer: C

Rationale: The correct answer is C (2 layers). The greater omentum consists of a double layer of peritoneum, which is a serous membrane composed of simple squamous epithelium. Therefore, when a pin is placed through the greater omentum, it would pass through two layers of simple squamous epithelium. Choice A (0) is incorrect because there are indeed layers of epithelium in the greater omentum. Choice B (1) is incorrect because there are two layers of epithelium. Choice D (3) is incorrect as there are only two layers to pass through.

Correct Answer: A

Rationale: The correct answer is A: compound tubuloadnar or tubuloalveolar glands. Salivary glands are compound glands with both tubular and alveolar structures, allowing for both secretion and storage of saliva. The tubuloadnar or tubuloalveolar structure allows for efficient production and release of saliva. Incorrect choices: B: Compound alveolar or acinar glands - Alveolar and acinar glands do not have the tubular structure required for efficient saliva production. C: Compound tubular glands - Tubular glands lack the alveolar structure needed for storage and release of saliva. D: Simple branched alveolar or acinar glands - Simple glands do not have the complexity needed for optimal saliva production and release.

Correct Answer: D

Rationale: The correct answer is D because intrinsic factor is produced by parietal cells in the gastric glands of the pyloric region. Intrinsic factor forms a complex with Vitamin B12, which is essential for its absorption in the ileum. This mechanism is crucial for preventing Vitamin B12 deficiency. Choice A is incorrect because hydrochloric acid is produced by parietal cells but does not bond with Vitamin B12 for absorption. Choice B is incorrect as mucus is not involved in Vitamin B12 absorption. Choice C is incorrect as pepsinogen is not responsible for facilitating Vitamin B12 absorption.