Nokea
A patient with metastatic cancer of the colon experiences severe vomiting after each administration of chemotherapy. Which action, if taken by the nurse, is appropriate?
- A. Have the patient eat large meals when nausea is not present.
- B. Offer dry crackers and carbonated fluids during chemotherapy.
- C. Administer prescribed antiemetics 1 hour before the treatments.
- D. Give the patient a glass of a citrus fruit beverage during treatments.
Correct Answer: C
Rationale: Chemo vomiting's a beast pre-dosing antiemetics (e.g., ondansetron) an hour before blocks the gut-brain puke loop, the gold standard. Big meals overload; crackers and soda or citrus during treatment spark nausea acidity and fizz don't help. Nurses in oncology time this right prevention trumps mopping up, keeping patients steady.
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Cholesterol contributes to the pathogenesis and progression of NASH via which mechanism?
- A. Reduction of steatosis
- B. Increase of steatosis
- C. Increase of inflammation
- D. Increase of the feeling of satiety
Correct Answer: C
Rationale: Cholesterol stokes NASH inflammation rises, not steatosis alone or satiety shifts. A chronic fire feeder nurses link this to liver woes.
Which of the following are the characteristics of masked hypertension?
- A. High home BP more than three days in a week
- B. Normal office BP and high home BP
- C. High office BP and normal home BP
- D. Normal office BP and normal home BP
Correct Answer: B
Rationale: Masked hypertension hides normal office readings (<140/90) clash with high home BP (>135/85), dodging detection, yet hiking cardiovascular risk. High home BP alone lacks context; high office with normal home is white-coat hypertension. Normal both ways is healthy; high both is overt hypertension. This sneaky pattern demands home monitoring to unmask, as office calm misses real-world spikes, pushing clinicians to dig deeper for treatment, a silent chronic threat exposed by dual settings.
The most frequent aerobic organism isolated in human bites is
- A. Pasteurella multocida
- B. Eikenella corrodens
- C. Haemophilus aphrophilus
- D. Streptococcus viridans
Correct Answer: D
Rationale: Human bites Strep viridans, mouth's norm, tops aerobes, not Pasteurella's dog, Eikenella's anaerobe, or rare Haemophilus, Capno. Nurses bite this chronicå£è…” champ.
The client is admitted for heart failure and has edema, neck vein distension, and ascites. What is the most accurate way to monitor fluid gain or loss in this client?
- A. Auscultate the lungs for crackles or wheezing
- B. Weigh the client daily at the same time with the same scale
- C. Check for pitting edema in the dependent body parts
- D. Assess skin turgor and the condition of mucus membranes
Correct Answer: B
Rationale: Heart failure's fluid dance edema, JVD, ascites needs precise tracking. Daily weights, same time, same scale, catch 1 kg shifts (1 L fluid), the gold standard for gain or loss, outpacing lung sounds' subjectivity. Edema checks or turgor gauge trends, less exact. Nurses weigh in, ensuring diuretic tweaks hit the mark, a reliable ruler in this swollen saga.
Which animal is least associated with rabies?
- A. dogs
- B. skunks
- C. foxes
- D. rats
Correct Answer: D
Rationale: Rabies dogs, skunks, foxes, bats bite big; rats rarely tag along. Nurses eye this chronic zoonotic crew.