Chronic Illness Nursing Questions

Chronic Illness Nursing Questions Related

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A public health nurse has formed an interdisciplinary team that is developing an educational program entitled 'Cancer: The Risks and What You Can Do About Them.' Participants will receive information, but the major focus will be screening for relevant cancers. This program is an example of what type of health promotion activity?

  • A. Disease prophylaxis
  • B. Risk reduction
  • C. Secondary prevention
  • D. Tertiary prevention
Correct Answer: C

Rationale: Screening's the game here secondary prevention spots cancer early in symptom-free folks, like mammograms or colonoscopies, boosting survival odds. Prophylaxis (primary) stops it cold think vaccines or sunscreen. Risk reduction's broader, overlapping primary efforts (e.g., quit smoking). Tertiary's post-diagnosis care, minimizing damage. This program's focus on early catch aligns with secondary's core, a public health win in oncology to shift outcomes before symptoms scream.

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The client is diagnosed with laryngeal cancer and is scheduled for a laryngectomy next week. Which intervention would be priority for the clinic nurse?

  • A. Assess the client's ability to swallow
  • B. Refer the client to a speech therapist
  • C. Order the client's preoperative lab work
  • D. Discuss the client's operative unit
Correct Answer: B

Rationale: Laryngectomy severs voice referring to a speech therapist pre-op sets up post-surgical communication, a priority as clients lose speech, facing isolation without aids like electrolarynx training. Swallowing matters, but airway and cancer trump function now. Labs are routine, delegated often; unit talk's secondary. Nurses push this referral, easing the mute transition, a proactive step in laryngeal cancer's life-altering prep, ensuring clients adapt to this voiceless future from day one.

A client is receiving interleukins along with chemotherapy. What assessment by the nurse takes priority?

  • A. Blood pressure
  • B. Lung assessment
  • C. Oral mucous membranes
  • D. Skin integrity
Correct Answer: A

Rationale: Interleukins, a type of biologic response modifier used with chemotherapy, can cause capillary leak syndrome, where fluid shifts from blood vessels into tissues, leading to hypotension and edema. This makes blood pressure the priority assessment, as a drop could indicate intravascular depletion, risking shock or organ failure if undetected. Lung assessment is relevant for potential pulmonary edema, but hypotension precedes respiratory distress in this context. Oral mucous membranes and skin integrity matter for chemotherapy's broader effects (e.g., mucositis, rashes), but these are less urgent than hemodynamic stability. Monitoring blood pressure first ensures early detection of a life-threatening complication, aligning with nursing's focus on airway, breathing, and circulation principles, critical in managing interleukin therapy's systemic impact.

Which of the following statements applies best to the effect of fear appeals?

  • A. Fear appeals motivate people to adopt healthier behaviour
  • B. Fear appeals lead to avoidance and denial
  • C. Fear appeals help to show the negative consequences of unhealthy behaviour
  • D. Fear appeals make people avoid unhealthy behaviour
Correct Answer: B

Rationale: Fear appeals backfire denial trumps motivation, showing cons or dodging acts. Nurses see this, a chronic scare flop.

Which statement is not true?

  • A. negative thick and thin smears does not adequately rule out malaria
  • B. falciparum malaria will always show up on thick and thin smears where the others may not
  • C. chloroquine is the drug of choice to treat falciparum
  • D. vivax and ovale are more likely to reactivate at a later stage
Correct Answer: C

Rationale: Chloroquine flops for falciparum resistance rules, not smears' miss, relapse, or anemia truths. Nurses dodge this chronic treatment trap.

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.

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