Chronic Illness Nursing Questions

Chronic Illness Nursing Questions Related

Review Chronic Illness Nursing Questions related questions and content

A client is receiving interleukins along with chemotherapy. What assessment by the nurse takes priority?

  • A. Blood pressure
  • B. Lung assessment
  • C. Oral mucous membranes
  • D. Skin integrity
Correct Answer: A

Rationale: Interleukins, a type of biologic response modifier used with chemotherapy, can cause capillary leak syndrome, where fluid shifts from blood vessels into tissues, leading to hypotension and edema. This makes blood pressure the priority assessment, as a drop could indicate intravascular depletion, risking shock or organ failure if undetected. Lung assessment is relevant for potential pulmonary edema, but hypotension precedes respiratory distress in this context. Oral mucous membranes and skin integrity matter for chemotherapy's broader effects (e.g., mucositis, rashes), but these are less urgent than hemodynamic stability. Monitoring blood pressure first ensures early detection of a life-threatening complication, aligning with nursing's focus on airway, breathing, and circulation principles, critical in managing interleukin therapy's systemic impact.

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Damage control resuscitation:

  • A. Is not indicated unless it is clear the patient's physiology has been deranged by severe injury.
  • B. Is not indicated unless the patient is in the hospital.
  • C. Is likely to involve restriction of fluid administration in a hypotensive, bleeding patient.
  • D. Is likely is be assessed for adequacy by palpation of the radial pulse in patients with a head injury.
Correct Answer: C

Rationale: Damage control resuscitation (DCR) mitigates trauma's lethal triad (hypothermia, acidosis, coagulopathy). It's indicated preemptively in severe bleeding, not just post-derangement, to prevent physiologic collapse. It begins pre-hospital (e.g., paramedics), not only in-hospital, using blood products early. Fluid restriction in hypotensive bleeding limits dilutional coagulopathy, favoring permissive hypotension until haemostasis crucial in uncontrolled haemorrhage. Radial pulse palpation gauges perfusion broadly, but head injury patients need cerebral perfusion pressure prioritization, not DCR adequacy. ABC remains foundational. Fluid restriction's role balancing shock correction with bleeding exacerbation defines DCR's shift from crystalloid overload, improving survival in exsanguinating trauma.

When assigning staff to patients who are receiving chemotherapy, what is the major consideration about chemotherapeutic drugs?

  • A. During preparation, drugs may be absorbed through the skin or inhaled
  • B. Many chemotherapeutics are vesicants
  • C. Chemotherapeutics are frequently given through central venous access devices
  • D. Oral and venous routes are the most common
Correct Answer: A

Rationale: Chemotherapy's potency demands safety focus preparation risks skin absorption or inhalation, exposing staff to toxins, necessitating specialized training and protective gear. Vesicants, causing tissue damage if extravasated, are a concern, but preparation hazards affect all drugs, broader in scope. Central venous access is common but a procedural detail, not the primary staffing issue. Route prevalence is logistical, not safety-centric. Prioritizing exposure risk ensures staff handling mixing, drawing minimizes occupational harm, a legal and ethical imperative, shaping assignments to trained personnel, critical in chemotherapy's high-stakes delivery.

Which stage of liver damage is irreversible?

  • A. Cirrhosis
  • B. Fibrosis
  • C. Inflammation
  • D. Steatosis
Correct Answer: A

Rationale: Cirrhosis scars for keeps fibrosis might bend, inflammation fades, steatosis lifts, but end-stage knots stay. Nurses mark this, a chronic liver lock.

The client is diagnosed with laryngeal cancer and is scheduled for a laryngectomy next week. Which intervention would be priority for the clinic nurse?

  • A. Assess the client's ability to swallow
  • B. Refer the client to a speech therapist
  • C. Order the client's preoperative lab work
  • D. Discuss the client's operative unit
Correct Answer: B

Rationale: Laryngectomy severs voice referring to a speech therapist pre-op sets up post-surgical communication, a priority as clients lose speech, facing isolation without aids like electrolarynx training. Swallowing matters, but airway and cancer trump function now. Labs are routine, delegated often; unit talk's secondary. Nurses push this referral, easing the mute transition, a proactive step in laryngeal cancer's life-altering prep, ensuring clients adapt to this voiceless future from day one.

Which statement is not true?

  • A. negative thick and thin smears does not adequately rule out malaria
  • B. falciparum malaria will always show up on thick and thin smears where the others may not
  • C. chloroquine is the drug of choice to treat falciparum
  • D. vivax and ovale are more likely to reactivate at a later stage
Correct Answer: C

Rationale: Chloroquine flops for falciparum resistance rules, not smears' miss, relapse, or anemia truths. Nurses dodge this chronic treatment trap.

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