Chronic Illness Questions

Chronic Illness Questions Related

Review Chronic Illness Questions related questions and content

A client hospitalized for chemotherapy has a hemoglobin of $6.1 mg/dL. What medication should the nurse prepare to administer?

  • A. Epoetin alfa (Epogen)
  • B. Filgrastim (Neupogen)
  • C. Mesna (Mesnex)
  • D. Oprelvekin (Neumega)
Correct Answer: A

Rationale: A hemoglobin of 6.1 mg/dL (normal 12-16 g/dL for women, 13-18 g/dL for men) indicates severe anemia, often from chemotherapy suppressing bone marrow red cell production. The nurse should prepare epoetin alfa (Epogen), a synthetic erythropoietin that stimulates red blood cell production, addressing anemia directly. Filgrastim (Neupogen) boosts white cells for neutropenia, not hemoglobin. Mesna (Mesnex) protects the bladder from chemotherapy toxicity, irrelevant here. Oprelvekin (Neumega) increases platelets, not red cells. Administering epoetin alfa corrects the anemia, improving oxygen delivery and reducing symptoms like fatigue and dyspnea, a critical intervention in oncology to support the client's recovery and quality of life during treatment.

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Triglycerides in VLDL particles can be passed on to HDL particles. Question: Which enzyme mediates this process?

  • A. Cholesteryl ester transfer protein (CETP)
  • B. Hepatic lipase (HL)
  • C. Hormone sensitive lipase (HSL)
  • D. Lipoprotein lipase (LPL)
Correct Answer: A

Rationale: CETP swaps triglycerides VLDL to HDL, not lipase cutters. Nurses know this, a chronic lipid shuffle.

Which is not true of secondary syphilis?

  • A. it occurs 3-6 weeks after the primary stage
  • B. it involves nonspecific symptoms eg, headache malaise
  • C. there is lymphadenopathy
  • D. there is a rash, which is pink plaques
Correct Answer: D

Rationale: Secondary syphilis rash spreads, not just pink plaques; timing, malaise, nodes, tests fit. Nurses map this chronic bloom.

What is the result of bariatric surgery as a therapy for morbid obesity?

  • A. Reduced insulin sensitivity
  • B. Increased insulin sensitivity
  • C. Reduced lipolysis
  • D. Increased lipolysis
Correct Answer: B

Rationale: Bariatric fix insulin sensitivity jumps, fat shrinks, glucose flows, not lipolysis shifts. Nurses cheer this, a chronic reset win.

A nurse is caring for a client diagnosed with atherosclerosis. Which of the following is considered a risk factor for the development of this disorder?

  • A. Diet high in vitamin K
  • B. Low HDL-C/High LDL-C
  • C. High HDL-C/Low LDL-C
  • D. Vegan diet
Correct Answer: B

Rationale: Atherosclerosis loves lipids low HDL (good cholesterol) and high LDL (bad cholesterol) pile plaque, a prime risk factor driving vessel narrowing. Vitamin K aids clotting, not plaque. High HDL/low LDL protects. Vegan diets cut fats, lowering risk. Nurses flag lipid imbalance, pushing statins or diet shifts, a cholesterol-fueled root of this vascular scourge.

Glibenclamide belongs to the class

  • A. Sulphonylureas
  • B. Thiazolidinediones
  • C. Benzoic acid derivatives
  • D. Biguanides
Correct Answer: A

Rationale: Glibenclamide's a sulphonylurea pumps insulin from beta cells, a classic diabetes fix. Thiazolidinediones tweak sensitivity, benzoic acids like repaglinide hit fast, biguanides like metformin curb liver glucose. It's a chronic pancreas prod, not a sensitivity or liver play nurses and pharmacists peg it for type 2's insulin lag, a distinct class with a clear job.

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