Nokea
Characteristics of acute pain do not include:
- A. Recent onset
- B. Attributable to specific injury or disease
- C. Lasts from a few minutes to less than 6 months
- D. Unable to be relieved by analgesia
Correct Answer: D
Rationale: Acute pain fresh, tied to harm, short-lived yields to pills, not stubborn. Nurses spot this, a chronic pain foil.
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A patient with a large stomach tumor attached to the liver is scheduled for a debulking procedure. Which information should the nurse teach the patient about the outcome of this procedure?
- A. Pain will be relieved by cutting sensory nerves in the stomach.
- B. Relief of pressure in the stomach will promote better nutrition.
- C. Decreasing the tumor size will improve the effects of other therapy.
- D. Tumor growth will be controlled by the removal of malignant tissue.
Correct Answer: C
Rationale: Debulking shrinks a stomach tumor stuck to the liver, boosting chemo and radiation's punch smaller targets respond better. Pain relief isn't the goal nerves aren't cut. Pressure relief might help eating, but it's secondary. Growth control fails it's not curative; tumor regrows. Nurses in oncology pitch this: it's a team play, enhancing other treatments' odds, vital for patients facing inoperable masses.
Which of the following conditions/abnormalities is always present in people who are diagnosed with metabolic syndrome?
- A. Type 2 diabetes mellitus
- B. Disturbed renal function
- C. Hypertension
- D. Insulin resistance
Correct Answer: D
Rationale: Metabolic syndrome's core insulin resistance ties the knot, not always diabetes, kidney flops, or high BP. A chronic root nurses peg this constant.
The nurse teaches a patient with cancer of the liver about high-protein, high-calorie diet choices. Which snack choice by the patient indicates that the teaching has been effective?
- A. Lime sherbet
- B. Blueberry yogurt
- C. Fresh strawberries
- D. Cream cheese bagel
Correct Answer: B
Rationale: Liver cancer tanks metabolism yogurt's protein and fat (high biologic value) fuel repair and calories, beating sherbet's sugar , strawberries' low heft , and cream cheese's protein-light bagel . Nurses in oncology push this dense nutrition fights cachexia, a liver patient's foe, showing teaching stuck.
The nurse is assessing a client with severe anemia. Which clinical manifestation does the nurse expect to see in this client?
- A. Bradycardia
- B. Pale, cool skin
- C. Hypertension
- D. Warm, flushed skin
Correct Answer: B
Rationale: Severe anemia starves oxygen pale, cool skin reflects shunted flow and low hemoglobin, a classic find as body compensates. Bradycardia's rare; tachycardia revs to pump more. Hypertension doesn't fit BP may drop. Warm, flushed skin suits overload, not anemia. Nurses expect pallor, tying it to blood's oxygen flop, a sign guiding transfusion or iron.
Nursing considerations that should be applied in the management of people with type 2 diabetes mellitus include:
- A. Blood glucose level monitoring before and after meals.
- B. Preventing the consumption of all high carbohydrate foods.
- C. Skin, foot, and pressure area care when hospitalised.
- D. Minimising exercise to prevent fatigue and foot ulcers.
Correct Answer: C
Rationale: Nursing care for type 2 diabetes balances monitoring, prevention, and education. Blood glucose monitoring pre/post-meals informs insulin adjustments but isn't universally required frequency varies. Banning all high-carb foods is unrealistic; moderation via glycemic index guides diet, not prohibition. Skin, foot, and pressure area care is critical in hospital peripheral neuropathy and poor healing (e.g., Bob's case) risk ulcers and infections, needing daily inspection and protection, per standards in chronic care texts. Minimizing exercise contradicts management; activity improves insulin sensitivity and glucose uptake ulcer risk is mitigated with proper footwear, not inactivity. Foot care addresses diabetes' microvascular damage (neuropathy, angiopathy), preventing amputation, a leading morbidity, making it a priority intervention in acute settings.