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A patient with Hodgkin's lymphoma who is undergoing external radiation therapy tells the nurse, 'I am so tired I can hardly get out of bed in the morning.' Which intervention should the nurse add to the plan of care?
- A. Minimize activity until the treatment is completed.
- B. Establish time to take a short walk almost every day.
- C. Consult with a psychiatrist for treatment of depression.
- D. Arrange for delivery of a hospital bed to the patient's home.
Correct Answer: B
Rationale: Radiation fatigue's brutal Hodgkin's therapy saps energy, but short walks fight deconditioning without overtaxing. Resting fully risks weakness; depression isn't assumed fatigue's treatment-driven. A bed doesn't fix it. Nurses in oncology balance this activity preserves function, key for lymphoma patients slogging through radiation's grind.
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A nurse is caring for a client who recently underwent a heart transplant. Which of the following postoperative nursing interventions is the priority?
- A. Maintain strict bedrest
- B. Advance diet as tolerated
- C. Educate the client on medication
- D. Ensure strict adherence to aseptic techniques
Correct Answer: D
Rationale: Heart transplant's success hinges on dodging infection immunosuppression skyrockets risk, making aseptic technique the priority to shield the graft. Bedrest aids early recovery but isn't top. Diet advances slowly, education's vital long-term, but infection's immediate threat trumps. Nurses enforce sterility dressings, lines safeguarding this fragile post-op phase, a life-or-death focus in transplant care.
The spinothalamic and dorsal column sensation are examined as part of a neurological examination. One of the items belonging to dorsal column sensation is the sense of vibration, which is examined by means of a tuning fork. Question: What is the required frequency of this tuning fork?
- A. 512 Hz
- B. 256 Hz
- C. 128 Hz
- D. 64 Hz
Correct Answer: C
Rationale: Vibration check 128 Hz hums right, dorsal column's sweet spot, not higher or lower. Nurses tune this, a chronic nerve test.
How do you decrease the severity and duration of pertussis infection?
- A. you don't
- B. erythromycin
- C. benzyl penicillin
- D. ampicillin
Correct Answer: A
Rationale: Pertussis antibiotics clip spread, not whooping's course; erythro, pen, cipro miss. Nurses know this chronic cough rides out.
The blood glucose level rises after meals. This glucose is stored in various organs under the influence of insulin. Question: During the postprandial period, most glucose is stored in which tissue?
- A. Intestinal tissue
- B. Liver tissue
- C. Muscle tissue
- D. Fat tissue
Correct Answer: C
Rationale: Post-meal glucose floods muscle insulin shoves it there, 60% of the haul, a chronic storehouse. Liver grabs next, fat lags, intestines pass nurses track this, a bulk uptake king.
All of the following are potential factors leading to weight gain EXCEPT:
- A. Disrupted circadian rhythm
- B. Use of anti-histamines and sulphonylureas
- C. Changes in gut microbiota
- D. Controlled food portions that are of low energy density
Correct Answer: D
Rationale: Weight gain factors include disrupted circadian rhythm (metabolic dysregulation), antihistamines/sulphonylureas (appetite increase, insulin secretion), and gut microbiota shifts (altered energy harvest). Controlled food portions of low energy density (e.g., vegetables) reduce calorie intake, aiding weight loss, not gain, per obesity research. This exception highlights dietary control's role in managing chronic conditions like diabetes or obesity, guiding physicians in patient counseling for sustainable weight regulation.