The breakdown of glycogen in which organ/tissue is required for the maintenance of blood glucose?

Correct Answer: C

Rationale: The correct answer is C: liver. The breakdown of glycogen in the liver is crucial for maintaining blood glucose levels through a process called glycogenolysis. The liver releases glucose into the bloodstream to prevent hypoglycemia and provide energy to the body. Skeletal muscle (A) stores glycogen for its own energy needs, not for blood glucose maintenance. The pancreas (B) regulates blood glucose through insulin and glucagon secretion but does not directly breakdown glycogen. Adipose tissue (D) stores fat and does not play a significant role in glycogen breakdown for blood glucose maintenance.

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.

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.

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.

Correct Answer: D

Rationale: The correct answer is D: Severe anorexia resulting from radiation therapy. This patient has the highest risk for poor nutritional balance due to the severe anorexia caused by the treatment. Radiation therapy often leads to loss of appetite, making it difficult for the patient to ingest adequate nutrients, resulting in malnutrition. A: Tuberculosis infection does not necessarily directly cause decreased ingestion, as appetite may vary among patients. B: Draining decubitus ulcers may lead to protein and fluid loss but not necessarily decreased ingestion. C: Malabsorption syndrome affects the absorption of nutrients but does not directly relate to decreased ingestion.