Answer to Question 1
Correct Answer: 1
Rationale 1: A Salem Sump tube delivers food to the stomach, bypassing the mouth.
Rationale 2: TPN bypasses the entire alimentary canal.
Rationale 3: PPN bypasses the entire alimentary canal.
Rationale 4: A client with an ileostomy can eat by mouth without diversion.
Global Rationale: In some patients, ingestion bypasses the mouth and delivers nutrients directly into the stomach or small intestine via a feeding tube. TPN and PPN bypass the entire alimentary canal. A client with an ileostomy can eat by mouth without diversion.
Answer to Question 2
Correct Answer: 1
Rationale 1: The liver makes bile.
Rationale 2: Bile is stored in the gallbladder until needed for lipid digestion.
Rationale 3: Insulin is secreted by the beta cells of the pancreas.
Rationale 4: Somatostatin is not secreted by the liver.
Global Rationale: The liver makes bile, which is stored in the gallbladder until it is needed for lipid digestion. The liver is not involved in the secretion of somatostatin or insulin.