Chronic Illness Nursing Questions

Chronic Illness Nursing Questions Related

Review Chronic Illness Nursing Questions related questions and content

A nurse reviews the arterial blood gas (ABG) values of a client admitted with end-stage kidney disease; pH 7.26; PaCO2 37 mm Hg; PaO2 94 mm Hg and HCO3 15 mEq/L. What do these values indicate?

  • A. Metabolic acidosis
  • B. Metabolic alkalosis
  • C. Respiratory acidosis
  • D. Respiratory alkalosis
Correct Answer: A

Rationale: End-stage kidney disease hampers acid excretion pH 7.26 (below 7.35) and HCO3 15 mEq/L (below 22) confirm metabolic acidosis, as kidneys fail to buffer, dropping bicarbonate. PaCO2 37 mm Hg (normal) rules out respiratory issues lungs aren't compensating yet. PaO2 94 mm Hg shows oxygenation's fine. Alkalosis options contradict low pH; respiratory acidosis needs high CO2. Nurses recognize this acid-base shift, anticipating bicarbonate or dialysis, a key intervention in renal failure's metabolic chaos.

You may also like to solve these questions

A nurse is caring for a 19-year-old male recently diagnosed with leukemia. Which of the following nursing interventions is appropriate for the care of this client?

  • A. Fluid restriction
  • B. Low residual diet
  • C. Therapeutic phlebotomy
  • D. Strict hand hygiene to prevent infection
Correct Answer: D

Rationale: Leukemia's marrow mess drops immunity strict hand hygiene shields this 19-year-old from infections, a top intervention as neutrophils crash. Fluid restriction fits overload, not here. Low residual diets aid bowels, irrelevant. Phlebotomy's for polycythemia. Nurses scrub up, guarding this young client, a germ-free must in leukemia's fragile fight.

Patients with poorly controlled type 2 diabetes often have increased fasting triglyceride levels. Question: Which explanation for these increased fasting triglyceride levels is most likely?

  • A. The triglyceride production of adipose tissue is not sufficiently inhibited by insulin
  • B. Increased VLDL production leads to increased levels of free fatty acids
  • C. The VLDL production by the liver is not sufficiently inhibited by insulin
  • D. The LDL uptake by adipose tissue is not sufficiently stimulated by insulin
Correct Answer: C

Rationale: Type 2's triglyceride rise liver VLDL pumps unchecked, insulin flops, not fat tissue or LDL games. Nurses target this, a chronic liver lipid leak.

Essential education for patients with regards to insulin therapy includes the following except:

  • A. Hypoglycaemia management
  • B. Sickday management
  • C. Prescribing insulin
  • D. Safe driving
Correct Answer: C

Rationale: Insulin education patients learn hypo fixes, sick day tweaks, driving rules, needle skills; prescribing's the doc's job, not their load. Nurses drill this chronic self-care kit, skipping the script-writing bit for pros.

A patient diagnosed with moderate COPD would have a FEV1 of which percentage of their predicted range?

  • A. 40%
  • B. <80%
  • C. 60-79%
  • D. 40-59%
Correct Answer: D

Rationale: Moderate COPD's FEV1 lands 40-59% predicted airflow's pinched, not trashed, fitting GOLD staging, a middle ground of huff and puff. Over 40's too broad; under 80's loose; 60-79's mild. Nurses clock this, tuning chronic care's pace.

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.

Copyright © 2025 Nokea. All rights reserved.