Author Question: The nursing instructor teaches the student nurses about intrinsic factor. The instructor evaluates ... (Read 107 times)

arivle123 · **on:** Jul 23, 2018

The nursing instructor teaches the student nurses about intrinsic factor. The instructor evaluates that learning has occurred when the students make which response?

1. Intrinsic factor is secreted by the chief cells of the stomach.
2. Intrinsic factor is necessary for absorption of vitamin B6.
3. Intrinsic factor aids in the secretion of mucus to protect the stomach.
4. Intrinsic factor is necessary for absorption of vitamin B12.

Question 2

A client diagnosed with COPD says, I don't see why I need to stop smoking. The damage to my lungs is already done. How should the nurse respond to this statement?

1. If you stop smoking now your COPD may not get worse as fast.
2. If you stop smoking, your lungs will get better pretty quickly.
3. Your symptoms might not be as bad if you aren't smoking.
4. You are probably correct, but you should at least try.
5. If I were you, I would enjoy what time I have left.

parker125 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1:
Chief cells secrete pepsinogen and rennin, not intrinsic factor.
Rationale 2: Intrinsic factor is necessary for the absorption of vitamin B12, not B6.
Rationale 3: Intrinsic factor does not aid in the secretion of mucus in the stomach.
Rationale 4: Parietal cells secrete intrinsic factor, which is essential for the absorption of vitamin B12.

Answer to Question 2

Correct Answer: 1,3
Rationale 1: Smoking cessation has been shown to slow the progression of COPD.
Rationale 2: Depending upon the extent of damage, the client's lungs may not get better at all, but may just stop getting worse.
Rationale 3: Smoking cessation has been shown to result in fewer respiratory symptoms.
Rationale 4: It is not therapeutic to tell the client that he is correct with this statement.
Rationale 5: The nurse should encourage the client to stop smoking.