The clamp on the urinary drainage bag is open requires the most immediate intervention by the nurse.
What is a urinary catheter?
A hollow tube that is partially flexible, collecting urine from the bladder, leading a drainage bag is known as urinary catheter. These catheters come in many types and sizes. They are often made of
RubberPlasticSiliconeCatheters are often necessary in cases where a person cannot empty their bladder. If the bladder is not emptied, urine can build up and this may lead to pressure on the kidneys. This pressure may just lead to kidney failure, which can even lead to permanent kidney damage.
Most catheters are usually necessary only for a short period of time, i.e., until the person regains the ability to urinate on their own. Those with a permanent injury or severe illness or older adults may need to make use of urinary catheters for a much longer period of time or even permanently.
So, therefore, the clamp on the urinary drainage bag is open requires the most immediate intervention by the nurse.
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a client asks the nurse how to identify rheumatoid nodules with rheumatoid arthritis. what characteristic will the nurse include?
Rheumatoid nodules are often nontender, moveable, and visible over bony prominences like the elbow or the base of the spine. The nodules have not become red.
Which of the following is a symptom of rheumatoid arthritis?More than one joint is stiff. Tenderness and edema in multiple joints. The symptoms are the same on both sides of the body (such as in both hands or both knees) Loss of weight. RA primarily affects the joints, often attacking multiple joints at once. The hands, wrists, and knees are the most typically affected joints by RA. The lining of the joint becomes inflamed in RA joints, causing joint tissue destruction. This tissue damage can result in persistent or long-term pain, unsteadiness (loss of balance), and deformity (misshapenness). RA can also affect other tissues and organs, including the lungs, heart, and eyes.
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a 44-year-old man has come to the clinic with an asthma exacerbation. he tells the nurse that his father and brother also suffer from asthma, as does his 15-year-old son. the nurse explains that this is an allergic response based on a genetic predisposition. the specific allergen initiated by this immunological mechanism is usually mediated by:
The specific allergen initiated by this immunological mechanism is usually mediated by Immunoglobulin E
What is asthma ?A long-term condition that makes breathing difficult due to the narrowing and swelling of the bronchial airways in the lungs. The signs of asthma include wheezing, coughing, chest tightness, shortness of breath, and rapid breathing.
Only mammals have been found to produce immunoglobulin E, a type of antibody. Plasma cells manufacture IgE. IgE monomers are made up of two heavy chains and two light chains, with the heavy chain having four constant domains that are similar to those found in Ig.
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the nurse is counseling a group of clients about the importance of early testing for the human immunodeficiency virus (hiv). which information will the nurse share?
Saliva, urine, and feces are not ways that HIV can transmit. Therefore, the nurse does not have to counsel the patient to refrain from kissing the baby.
What prevention method can the nurse teach the patient to completely remove the possibility of HIV transmission?You can employ techniques like abstinence (not having sex), never sharing needles, and consistently using condoms properly. Additionally, you may be able to benefit from HIV preventive treatments including pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP).
What circumstances warrant suggesting an HIV test for a client?People who have had multiple sexual partners or who are having intercourse with someone whose sexual history they are unaware of should undergo testing more frequently.
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which client is at highest risk for developing postsurgical complications? 18-year-old male trauma client 35-year-old c-section 55-year-old heart bypass 75-year-old pneumonia client
The occurrence of one or more problems in postsurgical complications was independently predicted by the patient's advanced age, heart disease, preoperative neurologic abnormalities, past wound infections, corticosteroid use, history of sepsis, and an American Society of Anesthesiologists classification of >2.
What are the top three postoperative issues with immobility?Pressure ulcers [1], deep vein thrombosis (DVT) [2], pneumonia [3], and urinary tract infection are just a few of the problems that are independently linked to immobility (UTI)
When do most postoperative problems happen?Although serious complications can arise at any time following surgery, the likelihood is highest in the first couple of days.
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a nurse is caring for a client with anorexia nervosa. which interventions would be appropriate for this client? select all that apply.
The nurse is providing anorexia nervosa treatment for her patient. Would the nurse add any nursing interventions to the plan of care? Reduce your attention to food and eating, Eat only for 30 minutes at a time.
What treatments are successful for those who have anorexia?Adults with anorexia nervosa did not respond to any particular type of therapy the best. Many anorexics do, however, experience recovery with therapy. The most well-known therapies for binge eating disorder and bulimia nervosa are CBT and IPT.
What guidance is suitable for someone who has anorexia nervosa?The best chance for your friend or relative to recover is to seek medical attention from a doctor, practice nurse, or a school or college nurse.
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to maintain skeletal, muscular, and cardiovascular health, a child should be physically active for at least minutes each day?
Children and teens between the ages of 6 and 17 should exercise for at least 60 minutes each day at a moderate level.
What relationship exists between cardiovascular health and skeletal muscle mass?Three recent studies show that regardless of fat mass, an increase in skeletal muscle mass could result in better cardiovascular health. The biggest cause of death and disability in the world is cardiovascular disease.
Why is the health of skeletal muscle important?Skeletal muscle serves as a major nutrient store and metabolic regulator in addition to its core functions of supporting posture, respiration, and locomotion. Consume heart-healthy foods.
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an infant has just been born with a myelomeningocele. the infant has been admitted to the neonatal intensive care unit. the nursing technician is preparing an open crib for this infant. the nurse should
The infant born with myelomeningocele needed to be Apply a sterile dressing moistened in a heat sterile for the nursing techniques.
Care need to be taken to guard the uncovered meninges withinside the spinal lesion till surgical closure may be performed. The toddler need to be nursed susceptible and now no longer dressed to save you harm to the lesion. Use an incubator or radiant warmer.
Immediately after transport the lesion need to be protected with a sterile dressinLeave dressing in vicinity over sac till the neurosurgeon examines the toddler. Thereafter, hold a saline soaked dressing overlaying the sac the usage of moist, sterile moist telfa (no betadine).
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which of the following statements regarding the secondary assessment is correct? question 24 options: a) if your general impression of a patient does not reveal any obvious life threats, you should proceed directly to the secondary assessment. b) the purpose of the secondary assessment is to systematically examine every patient from head to toe, regardless of the severity of his or her injury. c) you may not have time to perform a secondary assessment if you must continually manage life threats that were identified during the primary assessment. d) a focused secondary assessment would be the most appropriate approach for a patient who experienced significant trauma to multiple body systems.\
The statement that is correct regarding the secondary assessment is "you may not have time to perform a secondary assessment if you must continually manage life threats that were identified during the primary assessment". Hence, the correct answer is C.
What is secondary assessment?The secondary assessment can be defined as a quick and methodical examination of an injured pediatric client from head to toe in order to detect all injuries or of a dangerously ill patient whenever the origin of signs and symptoms is undetermined.
Just after the primary assessment, the secondary assessment will be used. This is where the physician goes through the process from head to toe to determine what happened. Inspection, bone and soft tissue palpation, specific testing, circulation, and neurological evaluation are all possible.
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true or false our patients have the right to know how we will use and disclose their protected health information
Patients have the right to obtain their medical records from hospitals, according to the law ministry.
What privacy rights do patients have?
The Privacy Rule, a Federal legislation, offers you control over your health information and establishes guidelines and restrictions on who may access and obtain it. Protected health information on people may be in any format, including oral, written, or electronic, and is subject to the Privacy Rule.
Patients have a right to anticipate that doctors and members of their staff will keep information about them private, unless disclosure is mandated by law or is in the public interest. Keeping patient information private is an important component of good medical practise.
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Mark enters a patient's room and finds the patient kneeling on the floor. The patient is chanting something that Mark does not understand. He realizes that the patient is praying and most likely a Muslim. What should he do?
Answer:
Mark should try to be respectful and not interrupt the patient while they are praying. If the patient is comfortable doing so, he could ask them if they would like him to wait until they're finished before continuing the conversation. He could also ask if there is anything he can do to help make the patient more comfortable. Additionally, he could show respect for the patient's religious beliefs by asking if there is anything else he can do to help them during the prayer.
Explanation:
The patient's right to worship should be respected. It is not in order if Mark interrupts the patient while in prayers. Interrupting the patient while praying can be termed as a violation of his fundamental right to worship.
question: a patient is on a 30% air entrainment mask running at 5 l/min. what is the total flow that the patient is receiving from this device?
An air-to-O2ratio of roughly 8:1 results from this. Add the two ratio components together (8 + 1 = 9) and multiply by the total flow rate (9 5 = 45 L/min) to get the overall flow.
How can total flow be calculated?A venturi mask's entire gas flow should be measured. A ratio is used to represent the amounts of air and oxygen mixed in a venturi to produce a particular oxygen concentration (air:oxgen or a:o). (a x L/min) + (o x L/min) is the formula to calculate the total gas flow from the device.
35% Venturi mask is how many liters?BLUE = 2-4L/min = 24% oxygen. BLACK = 4-6L/min = 28% O2. 8–10 L/min = 35% O2 for yellow. 40% O2 at 10–12 L/min in the red.
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the nurse works in an urban hospital and cares for a diverse population of clients. which action(s) by the nurse demonstrates the delivery of culturally sensitive care to clients? select all that apply.
The actions that show culturally sensitive care are:
Asking the client questions about healthcare beliefs related to the client's cultureAllowing the client to keep a religious necklace on until going into the operating roomIntegrating the client's cultural practices when assisting with the creation of the plan of careCulturally sensitive care is the type of care given that meets both the social and cultural needs of a diverse patient population. In it, the healthcare providers have the ability to be appropriately responsive to people that share a common and distinctive culture and background.
Besides the actions in the answer above, things such as speaking in terms that are easy to follow and understand by the patient is a way to be culturally sensitive.
The question above is not complete. The completed one is most likely as follows:
The nurse works in an urban hospital and cares for a diverse population of clients. Which action(s) by the nurse demonstrates the delivery of culturally sensitive care to clients? Select all that apply.
indicating that the cultural groups should adapt to the Anglo-American culturemaintaining direct eye contact during conversations with all cultural groupsasking the client questions regarding healthcare beliefs related to the client's cultureallowing the client to keep a religious necklace on until going into the operating roomintegrating the client's cultural practices when assisting with the creation of the plan of careLearn more about culturally sensitive care at https://brainly.com/question/25828530
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what medication for the treatment of opioid use disorder does not currently have evidence showing that it reduces transmission of hiv and hcv?
The use of naltrexone, methadone, and buprenorphine for opioid therapy.
What is the most effective method of addiction treatment?Behavioral therapy is arguably the most common type of addiction treatment that is frequently used in drug rehab. A general behavioral treatment strategy has led to the development of several effective techniques.
What stage of the recovery from addiction is first?Detoxification usually happens first in a therapeutic schedule. It involves stopping withdrawal symptoms and getting rid of the substance from the body. According to the Substance Abuse and Mental Health Services Administration, a treatment center will use medicine to lessen withdrawal symptoms in 80% of cases (SAMHSA).
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the nurse notes that an older adult client with diabetes is prescribed rosiglitazone. which assessment should the nurse complete before providing this medication to the client?
Type 2 diabetes mellitus is managed and treated with the aid of the drug rosiglitazone. Prior to giving the patient these medications, it is important to always check their coagulant level and have a full blood count (CBC).
What medication should people with type 2 diabetes take first?The first drug typically administered for type 2 diabetes is metformin (Fortamet, Glumetza, etc.). It primarily works by reducing the amount of glucose produced by the liver and increasing your body's sensitivity to insulin so that it is utilised more efficiently by your body.
For what purposes is rosiglitazone maleate used?The symptoms of Type 2 Diabetes Mellitus are treated with the prescription drug Avandia. You can take Avandia by itself or in combination with other drugs. Avandia is a member of the class of medications known as anti-diabetics, or thiazolidinediones.
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a nurse assesses a client who is in cardiogenic shock. what statement best indicates the nurse's understanding of cardiogenic shock?
reduction in cardiac output and signs of tissue hypoxia when there is enough intravascular volume.
Which clinical sign is frequently observed in individuals who are in cardiogenic shock?Patients with cardiogenic shock can have the most typical clinical signs of shock, including hypotension, altered mental status, oliguria, or cold, clammy skin.
Which medical condition is the nurse most likely to suspect as the root of the cardiogenic shock?Cardiogenic shock is a potentially fatal disorder wherein your heart suddenly is unable to supply your body with enough blood.
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Which of the following studies is linked most directly to the establishment of the National Research Act in 1974 and ultimately to the Belmont Report and Federal regulations for human subject protection
The Public Health Service Tuskegee Study of Untreated Syphilis in the Negro Male
The study which is linked to the establishment of National Research Act in 1974 is : The Public Health Service Tuskegee Study of Untreated Syphilis in the Negro Male.
What is syphilis and what are the measures taken for it by the government?The most common way that syphilis is transmitted is through sexual interaction. Usually on the lips, rectum, or genitalia, the disease begins as a painless sore. Skin or mucous membrane contact with these lesions can spread syphilis from one individual to another.
Penicillin, an antibiotic drug that can eradicate the syphilis-causing bacterium, is the preferred treatment at all stages. If you have a penicillin allergy, your doctor might advise switching to a different antibiotic or suggesting penicillin desensitization.
Between 1932 and 1972, the US Public Health Service (USPHS) Syphilis Study at Tuskegee tracked the course of untreated syphilis through its natural history. Even after therapy was readily available, researchers did not provide it to study participants or obtain their informed consent.
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a client has an order for a clear liquid diet. the nurse is assisting the client to complete a menu. which item would be appropriate for the client to order? select all that apply.
White grape juice and other fruit juices without pulp, such as apple juice. beverages with a fruit flavor, like lemonade or fruit punch.
What foods are permitted on a clear liquid diet?A diet consisting exclusively of transparent liquids or meals that become liquid at body temperature is known as a clear liquid diet. As examples, consider clear broth, coffee, tea, clear fruit juices (apple, cranberry, grape), gelatin, popsicles, and commercially produced clear liquid supplements.
A full liquid diet consists of which of the following foods?All of the foods and beverages permitted on the clear liquid diet, including popsicles, clear juice without pulp, plain gelatin, ice chips, water, sweetened tea or coffee (without creamer), clear broths, carbonated beverages, flavored water, and water, as well as thin hot cereal, are permitted on the full liquid diet.
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In right-handed individuals, which of the following abilities is predominantly a function of the right hemisphere of the brain?
A. Speech
B. Writing
C. Spatial reasoning
D. Reading comprehension
E. Language comprehension
Spatial reasoning abilities are mostly a function of the right hemisphere of the brain in right-handed people.
Explain the function of the brain's right hemisphere.Image processing, spatial reasoning, and movement in the left side of the body are all handled by the right side of the brain. Nerve fibers connect the left and right sides of the brain. The two sides of a healthy brain communicate with one another. It helps young children understand the concept of more versus less. Some cognitive tasks are controlled by the right hemisphere of the brain, including attention, processing of visual forms and patterns, emotions, language ambiguity, and implicit meanings. Children under the age of three are mostly directed by the right brain.
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a major difference in the diagnosis of chronic disease between younger adults and older adults is that:
Older adults were just as receptive to daily pressures as younger persons were among those reporting four or more chronic illnesses.
Which chronic illness affects older people most frequently?The most prevalent chronic condition affecting older persons is hypertension, which significantly contributes to atherosclerosis (23). Even at advanced ages, isolated systolic hypertension is linked to death, especially in older persons.
What are the two most prevalent chronic illnesses affecting elderly people?Chronic Conditions
Chronic diseases include heart disease, cancer, chronic lower respiratory illnesses, stroke, Alzheimer's disease, and diabetes are the main killers of older Americans in the U.S.
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a client has been assessed for aldosteronism and has recently begun treatment. what are priority areas for assessment that the nurse should frequently address? select all that apply.
Urine output and Blood pressure are priority areas for assessment that the nurse should frequently address. According to research, 5% to 10% of individuals with hypertension also have primary hyper aldosteronism.
According to experts, up to 25% of individuals with medication-resistant high blood pressure may also have hyper aldosteronism. Aldosterone and renin levels in your blood will likely be measured during a screening test if your doctor suspects primary aldosteronism. Your kidneys release renin, which aids in blood pressure regulation. You can have primary aldosteronism if your renin level is very low and your aldosterone level is high.
Some of the tests your doctor recommends, including this screening test, may be impacted by certain blood pressure drugs, including spironolactone and eplerenone. It could be necessary for you to temporarily cease taking your prescription.
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the nurse asks you to collect a midstream specimen. which is correct? no special measures are needed. the perineal area is cleaned before collecting the specimen. the first voiding is discarded. the person voids twice.
The initial voiding is discarded when the nurse instructs you to collect a midstream specimen.
When taking a midstream sample, have the subject begin to urinate before stopping. As soon as the person starts to urinate again, a sterile specimen container is set up to catch the pee. The nurse should advise the patient to begin urinating before passing the container into the stream to collect a midstream sample while advising them on how to do so.
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the acute care nurse is preparing to care for an 86-year-old client who just returned to the unit after surgery to repair a fractured hip. the client has severe dementia. which pain management strategy would be most appropriate for this client?
The acute care nurse is preparing to care for an 86-year-old client who just returned to the unit after surgery to repair a fractured hip. the client has severe dementia.The pain management have to be , positioned by the nurse so that the injured leg is being pulled in.
pain management have to give unit for post-anesthesia care. After receiving anesthesia for a procedure or surgery, a patient is transported to the PACU to recover and awaken. In the PACU, a critical care facility, where pain management is also started and fluids are given, the patient's vital signs are regularly checked.The following tasks may be carried out by a PACU nurse: Following up with the medical team as needed to update them on the postoperative patients' level of consciousness and anesthesia recovery. Medications should be administered as prescribed in order to manage pain, nausea, and other post-operative anesthesia side effects.
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a client with multiple sclerosis is experiencing muscle weakness, spasticity, and an ataxic gait. on the basis of this information, the nurse should include which client problem in the plan of care?
The nurse should include the client problem as Interruption in physical mobility.
A restriction in the body's or one or more extremities' independent and deliberate physical movement is referred to as restricted physical mobility.
In addition to many others, diseases like muscular dystrophy, COPD, cerebral palsy, and cystic fibrosis can cause major mobility problems. Of course, not all illnesses have visible symptoms, and a person's incapacity to move may also be influenced by medical therapy.
The dominant hypotheses to date combine peripheral neuropathy, triceps surae muscular weakness, and abnormal postural motions. Similar symptoms can also be caused by diabetes, spinal root or spinal cord lesions, and trauma to or damage to the motor cortex of the brain.
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a client who is receiving chemotherapy for breast cancer develops myelosuppression. which instruction would the nurse plan to include in the client's discharge teaching plan? select all that apply.
(1) Avoid people who have recently received attenuated vaccines. (2) Avoid activities that may cause bleeding. (3) Wash hands frequently. (5) Avoid crowded places, such as shopping malls. instruction would the nurse plan to include in the client's discharge teaching plan
Every year, everyone over the age of 18 should receive a seasonal flu vaccines. A Td (tetanus, diphtheria) or Tdap booster dose every ten years is recommended for adults who did not receive the Tdap vaccines as an adolescent in order to protect against whooping cough. When someone bleeds, blood is lost. For example, when you get a cut or wound, it can be external, or outside the body. Injuries to internal organs are an example of when something is internal, or inside the body. Depending on where the internal bleeding is occurring in the body, certain signs and symptoms may indicate concealed internal bleeding.
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an older adult client comes to the health center reporting difficulty sleeping. which statement by the client would the nurse need to address?\
A senior citizen client who has trouble sleeping visits the clinic. a reduction in the amount of time spent in deep sleep.
What makes deep sleep less frequent?Your desire to sleep might be weakened by napping or oversleeping. You might be less able to fall asleep naturally, which would reduce the amount of deep sleep you get. medicine use and substance abuse. Deep sleep can be impacted by benzodiazepines, narcotic painkillers, and caffeine.
What occurs during the period of profound sleep?It is more difficult to rouse someone who is in stage 3 sleep, sometimes referred to as deep slumber. As the body relaxes even more during N3 sleep, muscle tone, pulse, and breathing rate all drop. The delta wave pattern in the brain's activity during this time can be recognized.
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'what do you need to consider in the assessment process for a client who is being treated for a dual diagnosis?''
A combined diagnostic and treatment strategy is required for dual diagnoses in both specialty alcohol and other substance services and mental health services.
Dual diagnosis describes the co-occurrence of problematic drug and alcohol use and one or more recognised mental health issues.
Services for alcohol, other drugs, and mental health ought to be able to cater to the needs of those who have a dual diagnosis.
This entails addressing a person's requirements in light of their presenting disease, utilising a risk framework, and being aware of the preferences of both the consumer and the caregiver/family. Staff members should receive suitable education and learning opportunities as well as training on dual diagnosis.
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after neck surgery, the client asks the nurse why the head of the bed is up so high. which reason would the nurse give?
To lessen edema at the surgery site, the bed's head is raised quite high.
What posture would a client recovering from general anesthesia be placed in by the nurse?Legs can be stretched or slightly bent in the supine position, and arms can be raised or lowered. It offers general comfort to people recovering from surgery of any kind. most typical usage position The positions utilized for a general examination or physical assessment are supine or dorsal recumbent.
Which nurse evaluation is most important for a patient who may have myasthenia gravis?The most sensitive test for myasthenia gravis, single fiber electromyography (EMG), finds decreased nerve-to-muscle communication.
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Damage to which part of the brain can inhibit transfer of information from the short term memory to the long term memory?.
a nurse is planning care for a client who is experiencing pain and is unable to sleep. the nurse understands which statements are true regarding the relationship between sleep, rest, and pain? select all that apply.
Feeling anxiety about losing independence and pain can have psychological or affective reactions that are related to emotions and feelings of discomfort. Psychological reactions to suffering include a lack of self-control and fear of dependency.
It's time to consult a doctor if discomfort is keeping you from obtaining a decent night's rest. Medication, physical therapy, & talk therapy are just a few of the therapies accessible. Consider keeping a sleep journal to record your sleeping patterns.
There is a link between pain and sleeplessness. When the nerves are intensely stimulated, pain often results. The brain is stimulated as a result, and you are forced to stay awake. In other words, pain makes the brain stay awake, which makes it harder to fall asleep.
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a nurse explains to her client that food is moved along the gastrointestinal (gi) tract with intermittent contractions that mix the food and move it along. these movements are found in which organ?
Food is moved through the digestive system by muscular contractions called peristalsis, the small intestine, where waves of smooth muscle transport balls of ingested food to the gastrointestinal tract of stomach.
Peristalsis is the physiological mechanism through which food passes through your gastrointestinal tract. Your gastrointestinal tract's big, hollow organs are covered in a layer of muscle that allows the walls to move. The small intestine motion mixes the contents of each organ as it pushes food and fluids through your gastrointestinal tract. The esophagus, stomach, and intestines move when food travels through the small intestine , yet a person is often unaware of these motions.
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