Questions About Chronic Wasting Disease

Questions About Chronic Wasting Disease Related

Review Questions About Chronic Wasting Disease related questions and content

A 10-year-old boy is being prepared for a bone marrow transplant. The nurse can determine that the child understands this treatment when he says:

  • A. I'll be much better after this blood goes to my bones.
  • B. I won't feel too good until my body makes healthy cells.
  • C. This will help all of the medicine they give me to work better.
  • D. You won't have to wear a mask and gown after my transplant.
Correct Answer: B

Rationale: A bone marrow transplant (BMT) replaces diseased marrow (e.g., in leukemia) with healthy stem cells, but recovery is slow new, functional blood cells take weeks to months to regenerate, during which the child may feel unwell due to immunosuppression and engraftment challenges. The statement I won't feel too good until my body makes healthy cells' shows the boy grasps this delay, reflecting realistic understanding critical for coping and consent in pediatric care. Feeling better immediately after infusion is inaccurate initial post-BMT phases often worsen symptoms. Enhancing medicine efficacy isn't the goal; BMT is the therapy. Masks and gowns persist post-transplant due to infection risk until immunity recovers. The nurse's validation of this insight ensures the child is prepared, aligning with oncology's focus on patient education and emotional support during complex treatments.

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The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take?

  • A. Infuse the medication over a short period of time.
  • B. Stop the infusion if swelling is observed at the site.
  • C. Administer the chemotherapy through a small-bore catheter.
  • D. Hold the medication unless a central venous line is available.
Correct Answer: B

Rationale: Vesicants (e.g., vincristine) burn tissue if they leak swelling at the site yells extravasation; stopping the IV stat limits necrosis. Fast infusion ups vein stress; small-bore risks rupture running IVs dilute it. Central lines are gold but not mandatory. Nurses in oncology prioritize this catching leaks early saves skin, a critical save in chemo land.

Appropriate statements concerning intrathecal drug delivery systems include:

  • A. In a patient with progressive cancer-related pain, a low-grade pelvic infection is an absolute contraindication for implanting either an intrathecal catheter or a pump, even under antibiotic cover.
  • B. Intrathecally administered opioids circulate to the central neuraxis, including the brainstem, where they are likely to cause drowsiness and respiratory depression.
  • C. In difficult cases, ziconotide can be administered with either an opioid or clonidine, or both.
  • D. As a mixture of opioid and clonidine is expected to distribute throughout the cerebrospinal fluid, the level of the catheter in the intrathecal space is unlikely to be important.
Correct Answer: B

Rationale: Intrathecal drug delivery systems (IDDS) manage severe pain with nuances. A low-grade pelvic infection isn't an absolute contraindication; implantation may proceed with antibiotics if benefits outweigh risks (e.g., cancer palliation). Intrathecal opioids do reach the brainstem via cerebrospinal fluid, causing drowsiness and respiratory depression, though less than systemic routes due to lower doses still a key risk requiring monitoring. Ziconotide combines with opioids or clonidine for synergy in refractory pain, per clinical practice. Catheter tip position matters; drug distribution isn't uniform higher placement enhances rostral spread, affecting efficacy and side effects. MRI compatibility exists with most modern pumps. The brainstem effect of opioids underscores IDDS's potency and danger, necessitating careful titration and patient selection.

Many people with obesity have a lower insulin-stimulated glucose uptake compared with people without increased body weight. It is assumed that several factors play a role in the development of insulin resistance. Question: Which of the following factors is LEAST likely to play a role in the development of insulin resistance?

  • A. Reduced insulin levels
  • B. Increased adipokine levels
  • C. Increased triglyceride levels
  • D. Low-grade continuous inflammation
Correct Answer: A

Rationale: Insulin resistance brews from fat's adipokines, triglycerides, inflammation not low insulin, that's type 1's game. Obesity's chronic jam needs excess, not lack nurses flag this misfit.

Pulmonary rehabilitation is one of the most effective interventions in the management of COPD. The primary goals of this program are to:

  • A. Ensure the patient eats appropriately, takes their medication as prescribed and exercises every day
  • B. Involve the patient in the multidisciplinary team and knows how to manage their condition
  • C. Reduce symptoms, improved QOL, increase physical and emotional participation in everyday life
  • D. Prevent deterioration, avoid hospitalisation and support the carers
Correct Answer: C

Rationale: Pulmonary rehab reclaims COPD life less wheeze, better QOL, more daily grit, physical and emotional. Diet-meds-exercise is narrow; team play's a means; prevention's a perk, not core. Nurses drive this, a chronic lift.

In which ethnic group are people over 35 years advised to have their blood glucose levels checked because of the risk of type 2 diabetes?

  • A. Creoles
  • B. Hindu
  • C. Moroccans
  • D. Turks
Correct Answer: B

Rationale: Hindus over 35 South Asian risk rockets type 2, outpacing others' odds. Nurses screen this, a chronic ethnic flag.

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