Questions About Chronic Diseases

Questions About Chronic Diseases Related

Review Questions About Chronic Diseases related questions and content

A female client is being treated for a deep-vein thrombus she developed post-operatively about one week ago and was treated with unfractionated heparin. Today she presents to the clinic with petechiae on bilateral hands and feet. Laboratory results show a platelet count of 42,000/mm³. The nurse is concerned about a drug reaction and anticipates the client has which of the following?

  • A. Heparin-induced thrombocytopenia (HIT)
  • B. Hemophilia A (classic hemophilia)
  • C. Thrombotic thrombocytopenic purpura (TTP)
  • D. Sickle cell crisis
Correct Answer: A

Rationale: Heparin can backfire petechiae and a platelet plunge to 42,000/mm³ post-DVT treatment scream HIT, an immune reaction trashing platelets, risking clots. Hemophilia's genetic, not drug-tied. TTP adds fever, neuro signs absent here. Sickle crisis pains, not bleeds like this. Nurses suspect HIT, anticipating heparin cessation and alternatives, a twist in this anticoagulation tale.

You may also like to solve these questions

The emergency management of the patient with acute asthma does not include:

  • A. Performing a rapid physical examination
  • B. Performing spirometry or peak flow on arrival
  • C. Giving oxygen and short acting bronchodilator
  • D. Close monitoring to determine efficacy of treatment and improvement or deterioration
Correct Answer: B

Rationale: Acute asthma's rush exam, O2, bronchodilators, tight watch saves breath fast. Spirometry's a no too tough mid-wheeze, delays care. Nurses skip it, a chronic flare's urgent dodge.

Erysipelas

  • A. responds to erythromycin
  • B. is caused strep pneumoniae
  • C. results from microorganism exotoxin production
  • D. typically occurs on the neck
Correct Answer: A

Rationale: Erysipelas erythro clears strep pyogenes, not pneumo, toxins, neck-only, or TEN's peel. Nurses dose this chronic red edge.

Inhaled medications, such as bronchodilators and glucocorticoids are the main medication treatment methods for COPD. What is the biggest reason for ineffective outcomes?

  • A. Patient compliance with dose prescription
  • B. Incorrect use of the device
  • C. Incorrect prescribing
  • D. Reduced drug inhalation due to respiratory disease
Correct Answer: B

Rationale: COPD inhalers flop most when puffed wrong technique, not timing, trumps compliance, bad scripts, or weak lungs. Spacers, shaky hands nurses fix this, a chronic breath's weak link.

Which is not a common cause of respiratory symptoms in HIV/AIDS patients?

  • A. community acquired bacterial pneumonia
  • B. non hodgkins lymphoma
  • C. Pulmonary Embolus
  • D. CMV
Correct Answer: C

Rationale: Pulmonary embolus isn't HIV's lung usual clots tie to beds, not AIDS' immune dive. Pneumonia, lymphoma, CMV, PCP thrive in CD4's fall; emboli don't care. Nurses chase opportunists first, a chronic breath thief lineup skipping this oddball.

A nurse provides care on a bone marrow transplant unit and is preparing a female patient for a hematopoietic stem cell transplantation (HSCT) the following day. What information should the nurse emphasize to the patient's family and friends?

  • A. Your family should likely gather at the bedside in case there's a negative outcome
  • B. Make sure she doesn't eat any food in the 24 hours before the procedure
  • C. Wear a hospital gown when you go into the patient's room
  • D. Do not visit if you've had a recent infection
Correct Answer: D

Rationale: HSCT wipes out immunity, leaving patients prone to sepsis recent infections in visitors could bring pathogens (e.g., flu, strep) into her sterile bubble. Telling family to skip visits if sick is priority, trumping gown-wearing (useful but secondary) or fasting (not typically 24 hours). Gathering for a bad outcome's overly grim HSCT's risky but not a death sentence pre-procedure. Nurses stress this to shield the patient during the 2-4 week engraftment window, when neutropenia peaks, making infection control the linchpin of pre-transplant education in oncology.

Copyright © 2025 Nokea. All rights reserved.