Nokea
A general practitioner (GP) advises an overweight patient to go to the gym to work out. Question: This advice is an example of which type of prevention?
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Quaternary prevention
Correct Answer: A
Rationale: Gym nudge for overweight primary, stops diabetes before it starts, not screening or late fixes. Nurses push this, a chronic preemptive strike.
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A client is admitted with superior vena cava syndrome. What action by the nurse is most appropriate?
- A. Administer a dose of allopurinol (Aloprim).
- B. Assess the client's serum potassium level.
- C. Gently inquire about advance directives.
- D. Prepare the client for emergency surgery.
Correct Answer: C
Rationale: Superior vena cava syndrome (SVCS) occurs when cancer (often lung or lymphoma) obstructs the superior vena cava, impairing venous return from the head and upper body. It's often a late-stage manifestation with a poor prognosis, though treatable with radiation or stenting. After stabilizing the client (e.g., with oxygen, positioning), gently inquiring about advance directives is most appropriate, as it opens a compassionate discussion about goals of care amid a potentially terminal condition. Allopurinol and potassium levels relate to tumor lysis syndrome, not SVCS. Surgery is rare for SVCS, with non-invasive options preferred. This action respects the client's autonomy and prepares for realistic outcomes, aligning with oncology nursing's holistic approach to end-of-life care in advanced disease.
Glycaemic profiles of people with diabetes varies with all EXCEPT:
- A. Diet
- B. Exercise
- C. Stress
- D. Monitoring of blood glucose
Correct Answer: C
Rationale: Sugar swings food, sweat, drugs, checks shift it; dress' is a typo for stress, but stress fits, not fabric. Nurses track this chronic dance, not wardrobe.
The best way to prevent chronic complications of Diabetes is to:
- A. Take medications as prescribed and remove sugar from the diet completely
- B. Check feet daily for cuts, long toe nails and infections between the toes
- C. Maintain a BGL that is as close to normal as possible
- D. Undertake daily exercise to burn up the excess glucose in the system
Correct Answer: C
Rationale: Diabetes' chronic woes tight BGL control trumps meds-no-sugar, foot checks, or exercise alone, cutting nerve, eye, kidney hits. Nurses push this, a sugar-steered win.
The nurse assesses a patient who is receiving interleukin-2. Which finding should the nurse report immediately to the health care provider?
- A. Generalized muscle aches
- B. Crackles heard at the lung bases
- C. Complaints of nausea and anorexia
- D. Oral temperature of 100.6°F (38.1°C)
Correct Answer: B
Rationale: IL-2 can spark capillary leak crackles at lung bases signal pulmonary edema, an emergency needing fast action over aches , nausea , or low fever , all common. Nurses in oncology flag this fluid in lungs kills quick, demanding stat calls.
Which percentage of the burden of sickness in the Netherlands can approximately be avoided?
- A. 30%
- B. 40%
- C. 50%
- D. 60%
Correct Answer: B
Rationale: Dutch sickness 40% dodgeable, lifestyle tweaks cut chronic loads, not half or more. Nurses bank this, a prevention slice.