Chronic Disease Discussion Questions

Chronic Disease Discussion Questions Related

Review Chronic Disease Discussion Questions related questions and content

A nurse is creating a plan of care for an oncology patient and one of the identified nursing diagnoses is risk for infection related to myelosuppression. What intervention addresses the leading cause of infection-related death in oncology patients?

  • A. Encourage several small meals daily
  • B. Provide skin care to maintain skin integrity
  • C. Assist the patient with hygiene, as needed
  • D. Assess the integrity of the patient's oral mucosa regularly
Correct Answer: B

Rationale: Myelosuppression from chemo or cancer slashes white cells, making infection a top killer sepsis often starts at breached barriers like skin. Maintaining skin integrity via cleansing and protection stops bugs (e.g., Staph) from sneaking in, directly tackling this risk. Small meals fight malnutrition, a secondary factor, not the leading death driver. Hygiene helps, but it's broad, not specific to the prime entry point. Oral mucosa checks catch stomatitis, another risk, but skin's the bigger battlefield in oncology stats. Nurses prioritize this, knowing intact skin's the first defense against fatal infections in these fragile patients.

You may also like to solve these questions

Which of these does not need treatment of the sexual partner?

  • A. trichomonas vaginalis
  • B. bacterial vaginosis
  • C. candida
  • D. chlamydia
Correct Answer: B

Rationale: BV vaginal flora shift, not partner-fed; trich, chlamydia, gonorrhea, candida swap. Nurses skip this chronic duo fix.

A client with a history of prostate cancer is in the clinic and reports new onset of severe low back pain. What action by the nurse is most appropriate?

  • A. Assess the client's gait and balance.
  • B. Ask the client about the ease of urine flow.
  • C. Document the report completely.
  • D. Inquire about the client's job risks.
Correct Answer: A

Rationale: Prostate cancer commonly metastasizes to bones, especially the spine, causing spinal cord compression a medical emergency that can lead to paralysis if untreated. New, severe low back pain in this context suggests possible metastasis, making gait and balance assessment the most appropriate action to check for neurological deficits (e.g., weakness, unsteady gait) indicating compression. This prioritizes client safety, as falls or worsening paralysis could result without intervention. Asking about urine flow relates to prostate obstruction, less urgent here given the pain's prominence. Documentation is essential but passive without assessment. Job risks might contribute to back pain but are secondary to cancer history. Assessing gait and balance first ensures rapid escalation if needed, reflecting oncology nursing's focus on detecting metastatic complications early.

What is the cut-off of blood pressure for the diagnosis of hypertension that is recommended by MOH Clinical Practice Guideline?

  • A. 120/70 mmHg
  • B. 125/75 mmHg
  • C. 130/70 mmHg
  • D. 140/90 mmHg
Correct Answer: D

Rationale: MOH guidelines hold hypertension at 140/90 mmHg, a conventional cutoff balancing sensitivity and specificity for diagnosis in primary care, aligning with global norms like WHO. Lower thresholds 120/70, 125/75, 130/70, 135/80 catch prehypertension or align with newer AHA standards, but MOH sticks to 140/90 for actionable clarity, triggering treatment to curb stroke or heart risks. This higher bar avoids overdiagnosis in resource-stretched settings, ensuring focus on clear disease, a practical call for managing chronic vascular load.

Which of the following is not complication associated with NAFLD?

  • A. Ischemic heart disease
  • B. Cerebrovascular accident
  • C. Colon cancer
  • D. All of the above
Correct Answer: D

Rationale: NAFLD heart, stroke, colon, liver cancer all link; no outlier. Nurses track this chronic risk chain.

Which statement about carcinogenesis is accurate?

  • A. An initiated cell will always become clinical cancer.
  • B. Cancer becomes a health problem once it is 1 cm in size.
  • C. Normal hormones and proteins do not promote cancer growth.
  • D. Tumor cells need to develop their own blood supply.
Correct Answer: D

Rationale: Carcinogenesis is the multi-step process by which normal cells transform into cancer cells, involving initiation, promotion, and progression. A key aspect of this process is angiogenesis, where tumor cells induce the formation of new blood vessels to supply nutrients and oxygen, enabling their growth beyond a minimal size. This is a critical step, as without a blood supply, tumors cannot sustain themselves or expand significantly. The statement that an initiated cell always becomes cancer is inaccurate because initiation alone is not sufficient; it requires promoters to progress. Similarly, the idea that cancer only becomes a problem at 1 cm oversimplifies the issue tumors can pose health risks earlier depending on location and type, though 1 cm is a detectable size. Normal hormones and proteins, like estrogen or growth factors, can indeed act as promoters in carcinogenesis, contradicting that option. Thus, the need for a tumor to develop its own blood supply is the most accurate statement, reflecting a fundamental biological requirement for cancer progression, which nurses must recognize when caring for oncology patients.

Copyright © 2025 Nokea. All rights reserved.