Chronic Illness Questions

Chronic Illness Questions Related

Review Chronic Illness Questions related questions and content

Chronic obstructive pulmonary disease (COPD) is associated with:

  • A. Skeletal muscle dysfunction.
  • B. Mean pulmonary arterial pressure of ≥ 25 mm Hg.
  • C. Significant reversibility in airflow limitation with bronchodilator therapy.
  • D. Depression.
Correct Answer: A

Rationale: COPD is a progressive lung disease characterized by airflow limitation that is not fully reversible. Skeletal muscle dysfunction is a well-documented extrapulmonary manifestation due to systemic inflammation, oxidative stress, and reduced physical activity, leading to muscle wasting and weakness. Elevated mean pulmonary arterial pressure (≥ 25 mm Hg) defines pulmonary hypertension, which can occur secondary to COPD but is not a universal feature. Significant reversibility in airflow limitation is more typical of asthma, not COPD, where bronchodilator response is limited. The FEV₁/FVC ratio in COPD is typically <0.7, not >0.7, making that option incorrect. Depression is common in COPD patients due to chronic illness and reduced quality of life, but it's not a defining feature. Among these, skeletal muscle dysfunction is most consistently associated with COPD pathophysiology, reflecting its systemic impact beyond the lungs.

You may also like to solve these questions

Which of the following diseases has the highest proportion of chronic illness deaths in Canada?

  • A. Cancer
  • B. Diabetes
  • C. Cardiovascular disease
  • D. Chronic respiratory disease
Correct Answer: C

Rationale: Cardiovascular disease tops Canada's chronic death chart 37% globally in 2012 outpacing cancer's 27%, respiratory's 8%, and diabetes' 4%. Heart attacks and strokes dominate, fueled by aging and lifestyle, a stat nurses lean on for prevention focus. Cancer's big, breathing woes and sugar issues trail, but heart's the killer king, a chronic burden demanding vigilance.

A patient with leukemia is considering whether to have hematopoietic stem cell transplantation (HSCT). The nurse will include which information in the patient's teaching plan?

  • A. Donor bone marrow is transplanted through a sternal or hip incision.
  • B. Hospitalization is required for several weeks after the stem cell transplant.
  • C. The transplant procedure takes place in a sterile operating room to minimize the risk for infection.
  • D. Transplant of the donated cells can be very painful because of the nerves in the tissue lining the bone.
Correct Answer: B

Rationale: HSCT for leukemia means 2-4 weeks in hospital engraftment's slow, and infection risk's sky-high in isolation. No incision it's IV. No OR it's bedside. Pain's minimal no bone nerves hit. Nurses in oncology stress this long haul, sterile stay, not surgical drama, prepping patients for the real grind.

You are monitoring your client who is at risk for spinal cord compression related to tumor growth. Which client statement is most likely to suggest early manifestation?

  • A. Last night my back really hurt, and I had trouble sleeping
  • B. My leg has been giving out when I try to stand
  • C. My bowels are just not moving like they usually do
  • D. When I try to pass my urine, I have difficulty starting the stream
Correct Answer: A

Rationale: Spinal cord compression from tumors strikes early with back pain reported in 95% of cases as vertebral pressure or nerve irritation flares, a red flag needing urgent imaging to prevent paralysis. Leg weakness signals motor loss, a later sign as compression worsens. Bowel or bladder issues like constipation or hesitancy mark advanced nerve involvement, not initial hints. Nurses prioritize this pain statement, recognizing its prevalence and timing, prompting swift action like steroids or surgery to halt progression, critical in cancer clients where spinal integrity dictates mobility and survival.

The nurse is admitting an oncology patient to the unit prior to surgery. The nurse reads in the electronic health record that the patient has just finished radiation therapy. With knowledge of the consequent health risks, the nurse should prioritize assessments related to what health problem?

  • A. Cognitive deficits
  • B. Impaired wound healing
  • C. Cardiac tamponade
  • D. Tumor lysis syndrome
Correct Answer: B

Rationale: Radiation pre-surgery zaps tissue impaired wound healing's the big risk, as it fries skin and vessels, slowing repair post-op. Cognitive deficits need brain radiation, not specified. Tamponade's rare, tied to chest radiation and fluid buildup. TLS hits post-chemo, not pre-surgery. Nurses in oncology lock onto skin checks and infection signs, knowing radiation's legacy can tank surgical outcomes if ignored.

A nurse is caring for a client diagnosed with atherosclerosis. Which of the following is considered a risk factor for the development of this disorder?

  • A. Diet high in vitamin K
  • B. Low HDL-C/High LDL-C
  • C. High HDL-C/Low LDL-C
  • D. Vegan diet
Correct Answer: B

Rationale: Atherosclerosis loves lipids low HDL (good cholesterol) and high LDL (bad cholesterol) pile plaque, a prime risk factor driving vessel narrowing. Vitamin K aids clotting, not plaque. High HDL/low LDL protects. Vegan diets cut fats, lowering risk. Nurses flag lipid imbalance, pushing statins or diet shifts, a cholesterol-fueled root of this vascular scourge.

Copyright © 2025 Nokea. All rights reserved.