Author Question: In some clients, ingestion bypasses the mouth and delivers nutrients directly into the stomach or ... (Read 21 times)

naturalchemist · **on:** Jul 23, 2018

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 · **Reply #1 on:** Jul 23, 2018

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.