In some clients, ingestion bypasses the mouth and delivers ...

[naturalchemist]

In some clients, ingestion bypasses the mouth and delivers nutrients directly into the stomach or small intestine. An example of this would be the client with:
 
  1. a Salem Sump feeding tube.
  2. total parenteral nutrition (TPN) via central venous catheter.
  3. partial parenteral nutrition (PPN) via intravenous catheter.
  4. an ileostomy.

Question 2

The nurse is caring for a client with liver damage. Which process by the liver might be impaired?
 
  1. Production of bile
  2. Storage of bile
  3. Secretion of insulin
  4. Secretion of somatostatin

[yasmin]

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.

[naturalchemist]

Excellent

[isabelt_18]

Thanks for the timely response, appreciate it