What is the best advice for a patient with an ostomy regarding skin care?

Correct Answer: B

Rationale: The correct answer is B: Use a mild soap and water to clean the skin around the stoma. This is because gentle cleansing helps prevent skin irritation and infection. Cleaning with harsh products can damage the skin. Choice A is incorrect because skin barrier products are essential for protecting the skin. Choice C is incorrect as alcohol wipes can be too harsh and drying for the skin. Choice D is incorrect because ostomy appliances typically do not need to be changed daily unless there are specific issues.

Correct Answer: A

Rationale: The majority of chemical digestion in the stomach occurs in the fundus and body regions. These areas contain gastric glands that secrete hydrochloric acid and pepsinogen, which break down proteins. The fundus and body also mix and churn food to create chyme. The cardia and pylorus do not play a significant role in chemical digestion. The cardia is the entry point of the stomach and mainly responsible for food entry, while the pylorus regulates the release of chyme into the small intestine. The body region alone does not have as many gastric glands compared to the fundus and is mainly involved in mixing and storing food.

Correct Answer: C

Rationale: The correct answer is C because the enteric nervous system is a complex network of neurons that controls digestion independently of the brain. It regulates gastrointestinal functions such as peristalsis, secretion of digestive enzymes, and blood flow. This system can operate autonomously but is also influenced by the central nervous system. Choices A, B, and D are incorrect because the enteric nervous system is not responsible for controlling voluntary movements, regulating hormone secretion, or controlling respiratory functions.

Correct Answer: B

Rationale: The correct answer is B: liver. The liver is responsible for the production of bile, which is a greenish-yellow fluid that aids in digestion by emulsifying fats. Bile is stored and concentrated in the gallbladder (not produced by it). The pancreas produces digestive enzymes, not bile. The small intestine is where bile is released to help with the digestion of fats, but it is not responsible for its production. Therefore, the liver is the correct answer as it is the primary organ involved in bile production.

Correct Answer: B

Rationale: The correct answer is B: stomach. The stomach is responsible for mechanical digestion through the churning and mixing of food with gastric juices, breaking it down into smaller particles. The mouth initiates digestion by chewing and mixing food with saliva, but it primarily focuses on chemical digestion through enzymes. The small intestine is where most of the chemical digestion and nutrient absorption occur, not mechanical digestion. The large intestine's main function is water absorption and the formation of feces, not mechanical digestion. Therefore, the stomach is the correct choice for mechanical digestion in the digestive system.