Questions About Chronic Wasting Disease

Questions About Chronic Wasting Disease Related

Review Questions About Chronic Wasting Disease related questions and content

For a patient on the chemotherapeutic drug vincristine (Oncovin), which of the following side effects should be reported to the physician?

  • A. Fatigue
  • B. Nausea and vomiting
  • C. Paresthesia
  • D. Anorexia
Correct Answer: C

Rationale: Vincristine, a vinca alkaloid, disrupts nerve function, making paresthesia tingling or numbness a critical side effect signaling neurotoxicity, warranting physician review for dose adjustment or cessation. Fatigue, nausea, and anorexia, while common in chemotherapy, are manageable with nursing interventions rest, antiemetics, small meals unless severe. Paresthesia's specificity to vincristine's mechanism, targeting microtubules, elevates its urgency; unchecked, it risks permanent nerve damage, impacting mobility and quality of life. Reporting it ensures timely intervention, distinguishing it from routine effects, a key nursing responsibility in monitoring chemotherapy's narrow therapeutic window.

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The nurse is assessing a 14-year-old girl with a tumor. Which of the following findings would indicate Ewing sarcoma?

  • A. Child complains of dull bone pain just above the knee.
  • B. Palpation reveals non-tender swelling on the right ribs.
  • C. Parents report a mass on the abdomen that crosses the midline.
  • D. Palpation reveals asymptomatic mass on the upper back.
Correct Answer: B

Rationale: Ewing sarcoma is a rare bone cancer primarily affecting children and adolescents, typically arising in flat bones like the pelvis, chest wall (e.g., ribs), or vertebrae, and the diaphysis of long bones. A hallmark is a palpable, non-tender mass, making non-tender swelling on the ribs a strong indicator, as it aligns with the tumor's common chest wall location and lack of initial pain sensitivity. Dull bone pain above the knee suggests a long bone issue, possibly osteosarcoma, which favors the metaphysis, not Ewing's typical diaphysis site. An abdominal mass crossing the midline is more characteristic of Wilms tumor or neuroblastoma, not Ewing sarcoma. An asymptomatic upper back mass could suggest various tumors, but lacks specificity for Ewing's flat bone preference. Nurses must recognize this presentation to facilitate prompt imaging and biopsy, critical for early diagnosis and treatment planning in pediatric oncology.

Set in motion and continue the trajectory projection and scheme' is a goal of management in which of the following trajectory phases?

  • A. Pretrajectory
  • B. Onset
  • C. Comeback
  • D. Downward
Correct Answer: C

Rationale: Comeback phase kicks plans alive sustaining chronic care's path, not preventing, starting, or adapting decline. Nurses steer this, a rebound's drive.

Which of the following is NOT associated with obesity?

  • A. Non-Alcoholic Fatty Liver Disease
  • B. Obstructive Sleep Apnea
  • C. Increased mortality
  • D. Type 1 Diabetes Mellitus
Correct Answer: D

Rationale: Obesity piles on NAFLD, apnea, death risk, back ache; type 1's autoimmune, not fat-driven. Nurses link this chronic weight web, not islet crash.

The immediate nursing care to be provided to a patient presenting with a suspected ischaemic stroke include:

  • A. Position on left lateral side, insert nasogastric tube, conduct an ECG and insert an IV line
  • B. Primary/Secondary survey, give analgesia, 4th hourly neuro obs and vital signs, maintain oral intake
  • C. Primary/Secondary survey, 4th hourly neuro obs and vital signs, monitor BGL and maintain nil by mouth
  • D. 4th hourly neuro obs and vital signs, monitor BGL, insert an IV line and reduce intracranial pressure by positioning and reduced stimulation
Correct Answer: C

Rationale: Stroke hits fast surveys spot deficits, neuro obs track brain, vitals catch crashes, BGL rules out mimics, and nil by mouth preps for scans or clots, a tight first step. Lateral's for airways, not here; analgesia's late; IVs and ICP control follow. Nurses nail this, racing for tPA windows, a chronic precursor's acute kickoff.

Triglycerides are absorbed in the intestines after a meal. Question: After being absorbed by intestinal cells, triglycerides are transported in the blood circulation by which lipid particle?

  • A. Chylomicron particle
  • B. HDL particle
  • C. IDL particle
  • D. VLDL particle
Correct Answer: A

Rationale: Post-meal triglycerides ride chylomicrons gut to blood, not HDL, IDL, or VLDL's liver gig. Nurses track this, a chronic fat ferry.

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