A patient comes to the hospital complaining of vomiting and diarrhoea. The doctor suggested that the patient take glucose and electrolyte solution orally. Which one of following membrane proteins is likely to be involved in rehydrating the patient?

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Questions on Gastrointestinal Tract Questions

Question 1 of 5

A patient comes to the hospital complaining of vomiting and diarrhoea. The doctor suggested that the patient take glucose and electrolyte solution orally. Which one of following membrane proteins is likely to be involved in rehydrating the patient?

Correct Answer: B

Rationale: The correct answer is B: Sodium glucose transporter protein 1 (SGLT1). SGLT1 is responsible for the active transport of glucose and sodium across the intestinal membrane. When a patient is experiencing vomiting and diarrhea, they are losing fluids and electrolytes. By taking a glucose and electrolyte solution orally, the SGLT1 protein helps in the reabsorption of glucose and sodium to facilitate rehydration. Incorrect choices: A: Cystic fibrosis transmembrane regulator (CFTR) is associated with cystic fibrosis and does not play a direct role in rehydration. C: Insulin receptor protein (IRP) is involved in glucose uptake regulation in response to insulin, not rehydration. D: Sucrase-isomaltase protein (SIP) is involved in the breakdown of sugars in the small intestine, not rehydration.

Question 2 of 5

Care for which of these clients is most appropriate to assign to the LPN/LVN, under the supervision of an RN?

Correct Answer: D

Rationale: The correct answer is D because the LPN/LVN can provide care for a client with intractable nausea and vomiting related to chemotherapy under the supervision of an RN. The LPN/LVN can administer prescribed antiemetic medications, monitor the client's response, assess for dehydration, and provide comfort measures. This task falls within the scope of practice for an LPN/LVN and does not require the advanced assessment and intervention skills of an RN. Choice A is incorrect because a client undergoing a glossectomy for oral cancer requires complex post-operative care that is beyond the scope of practice for an LPN/LVN. Choice B is incorrect because post-operative care for an obese client following a vertical banded gastroplasty involves monitoring for complications such as leaks or infections, which require the expertise of an RN. Choice C is incorrect because a client with anorexia nervosa with muscle weakness and decreased urine output may have underlying medical issues that require an RN's assessment and intervention skills

Question 3 of 5

Which of the following tests is contraindicated for pregnant women?

Correct Answer: C

Rationale: The correct answer is C: Radionuclide imaging. This test involves exposing the patient to radiation, which can be harmful to the developing fetus. Pregnant women should avoid unnecessary exposure to radiation to prevent potential harm to the baby. A: Barium enema and B: Barium swallow involve the use of contrast material that is generally considered safe during pregnancy as it does not expose the fetus to radiation. D: Gallbladder series test, such as ultrasound or MRI, are also safe for pregnant women as they do not involve radiation exposure.

Question 4 of 5

A 55-year-old female client comes to the clinic for a physical examination. Which of the following screening tests would the nurse recommend the client have beginning at the age of 50 and every 10 years after?

Correct Answer: A

Rationale: The correct answer is A: Colonoscopy. Beginning at age 50, it is recommended every 10 years to screen for colorectal cancer. This screening test is essential for early detection and prevention of colon cancer. Colonoscopy allows for direct visualization of the colon and removal of any precancerous polyps. Choice B: Ultrasound of the kidney is not a recommended screening test for a 55-year-old female. Kidney ultrasound is typically used for evaluating specific kidney conditions, not as a routine screening test. Choice C: Mammogram is typically recommended for breast cancer screening in women starting at age 40, not every 10 years after age 50. Choice D: Pap smear is used for cervical cancer screening, typically starting at age 21 and continuing every 3-5 years, not every 10 years after age 50.

Question 5 of 5

The nurse is teaching a client about sexual modifications for clients with an ostomy. Which of the following strategies would the nurse suggest when anticipating sexual activity?

Correct Answer: B

Rationale: The correct answer is B because limiting foods that activate the bowel can help reduce the chances of embarrassing situations during sexual activity. Certain foods can cause gas or increase stool output, which may affect the client's confidence and comfort. Leaving the stoma open to air and covering with a towel (choice A) is not recommended during sexual activity as it may lead to odor and potential leakage. Bathing and applying a fresh pouch after sex (choice C) is important for hygiene but does not directly address preparation for sexual activity. Consulting with an ostomy support group (choice D) is beneficial for emotional support but does not specifically address strategies for anticipating sexual activity.

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