Chronic Disease Questions

Chronic Disease Questions Related

Review Chronic Disease Questions related questions and content

For a patient who is experiencing side effects of radiation therapy, which task would be the most appropriate to delegate to the nursing assistant?

  • A. Assist the patient to identify patterns of fatigue
  • B. Recommend participation in a walking program
  • C. Report the amount and type of food consumed from the tray
  • D. Check the skin for redness and irritation after the treatment
Correct Answer: C

Rationale: Radiation side effects like fatigue and anorexia benefit from team care. Reporting food consumed from the tray suits nursing assistants observing and relaying intake data supports nutrition monitoring without requiring clinical judgment. Identifying fatigue patterns demands analysis, a nurse's role to adjust care plans. Recommending exercise exceeds assistants' scope physicians or RNs initiate such advice. Checking skin for redness post-treatment needs assessment skills to detect burns or infection, RN territory. Food reporting leverages assistants' observational role, aiding nurses in tracking radiation's impact on appetite, ensuring basic needs are flagged efficiently in a collaborative approach.

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In the ACC/AHA 2017 Guideline for Hypertension, what is the cut off for hypertension diagnosis?

  • A. 120/70 mmHg
  • B. 130/80 mmHg
  • C. 135/85 mmHg
  • D. 140/90 mmHg
Correct Answer: B

Rationale: ACC/AHA 2017 130/80 tags hypertension, not old 140/90 or looser. Nurses gauge this chronic pressure shift.

A patient's most recent diagnostic imaging has revealed that his lung cancer has metastasized to his bones and liver. What is the most likely mechanism by which the patient's cancer cells spread?

  • A. Hematologic spread
  • B. Lymphatic circulation
  • C. Invasion
  • D. Angiogenesis
Correct Answer: B

Rationale: Lung cancer loves lymphatics its cells hitch rides via nodes, the most common metastasis route, hitting bones and liver downstream. Blood (hematologic) spread happens too, but lymph's king for lung primaries. Invasion's local creep, not distant jumps. Angiogenesis feeds tumors, not moves them. Nurses track this pattern, knowing lymph drainage from lungs seeds those far-off sites, a grim oncology reality shaping staging and prognosis.

A patient with metastatic cancer of the colon experiences severe vomiting after each administration of chemotherapy. Which action, if taken by the nurse, is appropriate?

  • A. Have the patient eat large meals when nausea is not present.
  • B. Offer dry crackers and carbonated fluids during chemotherapy.
  • C. Administer prescribed antiemetics 1 hour before the treatments.
  • D. Give the patient a glass of a citrus fruit beverage during treatments.
Correct Answer: C

Rationale: Chemo vomiting's a beast pre-dosing antiemetics (e.g., ondansetron) an hour before blocks the gut-brain puke loop, the gold standard. Big meals overload; crackers and soda or citrus during treatment spark nausea acidity and fizz don't help. Nurses in oncology time this right prevention trumps mopping up, keeping patients steady.

Which of these clients assigned to the nurse is most likely to need planning for long-term nursing management?

  • A. 22-year-old with appendicitis who has had an emergency appendectomy
  • B. 56-year-old with bilateral knee osteoarthritis who weighs 159 kg
  • C. 34-year-old with cholecystitis who has had a laparoscopic cholecystectomy
  • D. 62-year-old with acute sinusitis who will require antibiotic therapy for 5 days
Correct Answer: B

Rationale: Osteoarthritis at 159 kg screams chronic long-term PT, diet plans beat appendectomy, gallbladder, or sinus quickies. Nurses plot this, a marathon, not sprints.

In which of these do you see clue cells?

  • A. trichomonas vaginalis
  • B. bacterial vaginosis
  • C. candida
  • D. HSV 2
Correct Answer: B

Rationale: Clue cells BV's fishy flag, not trich's swim, candida's yeast, HSV's sores, or syphilis' chancre. Nurses scope this chronic hint.

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