Nokea
Rehabilitation is an ongoing process which is individual for each patient. Which of the following concepts are not part of the goals of the rehabilitation process for the patient?
- A. Adaptation
- B. Reconstruction of self-identity
- C. Ongoing dependency
- D. Developing a sense of a new normal
Correct Answer: C
Rationale: Rehab rebuilds adapt, re-ID, new normal aims up, not down. Dependency's the foe, not goal. Nurses push this, a chronic comeback.
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Which of the following laboratory abnormalities is NOT associated with fatty liver?
- A. Elevated uric acid
- B. Elevated LDL-cholesterol
- C. Elevated fasting glucose
- D. Elevated creatinine kinase
Correct Answer: D
Rationale: Fatty liver (NAFLD) links to metabolic syndrome elevated uric acid, LDL-cholesterol, fasting glucose, and triglycerides reflect insulin resistance and dyslipidemia. Elevated creatinine kinase (CK) indicates muscle damage (e.g., myopathy), not a typical NAFLD feature, though liver enzymes (ALT/AST) rise. CK's absence from NAFLD profiles guides physicians in differential diagnosis during chronic liver disease assessment.
Diabetes is associated with pathophysiological mechanisms that contribute to the development of cardiovascular events. Question: What is the approximate percentage of diabetes patients who also have hypertension?
- A. 25%
- B. 50%
- C. 75%
- D. 100%
Correct Answer: C
Rationale: Diabetes and hypertension 75% overlap, sugar and pressure tag-team hearts. Nurses watch this, a chronic duo hit.
The following are major causes of death among patients with NAFLD over the long term, except:
- A. Pancreatic cancer
- B. Acute myocardial infarct
- C. Road traffic accident
- D. Colon cancer
Correct Answer: C
Rationale: NAFLD's long haul kills via heart attacks, pancreatic, colon, or breast cancers metabolic and inflammation's toll. Road accidents? Random, not tied to fat liver's chronic grind. Clinicians watch these big hitters, not crash stats, in NAFLD's mortal map.
In assigning patients with alterations related to gastrointestinal (GI) cancer, which would be the most appropriate nursing care tasks to assign to the LPN/LVN, under supervision of the team leader RN?
- A. A patient with severe anemia secondary to GI bleeding
- B. A patient who needs enemas and antibiotics to control GI bacteria
- C. A patient who needs pre-op teaching for bowel resection surgery
- D. A patient who needs central line insertion for chemotherapy
Correct Answer: B
Rationale: LPN/LVNs operate under RN supervision, handling tasks within their scope like administering enemas and antibiotics to control GI bacteria in a cancer patient, a straightforward, protocol-driven intervention to reduce infection risk before procedures. Severe anemia from GI bleeding demands RN assessment for transfusion or instability, beyond LPN scope. Pre-op teaching for bowel resection requires detailed education and evaluation, an RN duty to ensure comprehension. Central line insertion for chemotherapy involves advanced skills and risk management, reserved for RNs or specialized staff. Enemas and antibiotics fit LPN/LVN training, optimizing team efficiency while keeping complex care with RNs, aligning with safe delegation principles in GI cancer management.
A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient?
- A. A fluid bolus as ordered
- B. Fluid restrictions as ordered
- C. Urinalysis as ordered
- D. Sodium-restricted diet as ordered
Correct Answer: B
Rationale: SIADH, common in lung cancer, overproduces ADH, retaining water and diluting sodium hyponatremia causes weight gain, weakness, nausea. Fluid restriction, the initial fix, curbs water intake, raising sodium levels naturally, tackling the root imbalance. A fluid bolus worsens dilution, risking seizures. Urinalysis checks concentration, not a treatment. Sodium restriction deepens hyponatremia, counterproductive. Anticipating fluid limits aligns with SIADH's pathophysiology nurses expect this order to stabilize the patient, monitoring for symptom relief or escalation, a frontline step in managing this paraneoplastic crisis.