Nokea
In infective endocarditis
- A. oslers nodes are tender
- B. Janeway lesions are tender
- C. Right ventricular MI is more likely to be acute than subacute
- D. A+C
Correct Answer: A
Rationale: Endocarditis Osler's nodes hurt, Janeway's don't, right heart's acute in IVDU. Nurses feel this chronic pain clue.
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A nurse is caring for a client diagnosed with polycythemia vera. Which of the following should the nurse include in the client and family education?
- A. Resume normal activity
- B. Wear support hose while awake
- C. Decrease fluid intake to no more than 1 liter per day
- D. Diet high in vitamin K intake
Correct Answer: B
Rationale: Polycythemia vera thickens blood, slowing venous return support hose boost circulation, cutting clot risk, a practical teaching point for clients and families. Normal activity's fine but misses prevention. Less fluid thickens blood further, dangerous here; high vitamin K aids clotting, counterproductive. Nurses push hose use, easing symptoms like swelling, a key strategy in managing this hyperviscous state.
The signs and symptoms of heart failure do not include:
- A. Dyspnoea
- B. Orthopnoea
- C. Urinary frequency
- D. Fatigue
Correct Answer: C
Rationale: Heart failure floods breathless, flat-lie gasps, swelling, wiped out. Peeing often? Kidneys, not heart others scream pump fail. Nurses clock these, a chronic wet mess minus bladder.
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.
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.
A patient with cancer has a nursing diagnosis of imbalanced nutrition: less than body requirements related to altered taste sensation. Which nursing action would address the cause of the patient problem?
- A. Add protein powder to foods such as casseroles.
- B. Tell the patient to eat foods that are high in nutrition.
- C. Avoid giving the patient foods that are strongly disliked.
- D. Add spices to enhance the flavor of foods that are served.
Correct Answer: C
Rationale: Chemo twists taste bitter, metallic, off killing appetite. Skipping disliked foods sidesteps the cause, boosting intake over forcing nutrition or masking with protein or spices , which might flop. Nurses in oncology nail this tailoring to taste quirks beats generic fixes, tackling the root of this nutrition dip.