Nokea
The best way to prevent chronic complications of Diabetes is to:
- A. Take medications as prescribed and remove sugar from the diet completely
- B. Check feet daily for cuts, long toe nails and infections between the toes
- C. Maintain a BGL that is as close to normal as possible
- D. Undertake daily exercise to burn up the excess glucose in the system
Correct Answer: C
Rationale: Diabetes' chronic woes tight BGL control trumps meds-no-sugar, foot checks, or exercise alone, cutting nerve, eye, kidney hits. Nurses push this, a sugar-steered win.
You may also like to solve these questions
Regarding HIV/AIDS
- A. Shingles, seborrhoeic dermatitis and recurrent HSV infections are typical of early infection
- B. A CD4 count of 1.0 x 10^9/L is associated with late stage AIDS
- C. Pre and post test counselling for HIV serology is now no longer mandatory
- D. Pneumococcus is a more likely pathogen than TB in AIDS patients with pneumonia
Correct Answer: D
Rationale: HIV early skin woes, CD4's units flop, counseling holds, TB trumps pneumococcus, toxo hits brain. Nurses chase this chronic lung truth.
During hourly rounding the nurse enters a room where the client is unresponsive without pulse. What is the nurse's priority action?
- A. Begin ventilation at 1 breath every 6-8 seconds
- B. Start chest compressions at a rate of 100-120 compressions per minute
- C. Wait for the emergency response team for direction
- D. Call the family
Correct Answer: B
Rationale: No pulse, no response cardiac arrest kicks in chest compressions, 100-120/min, pumping life per ACLS, trumping breaths first in lone-rescuer mode. Waiting or calling delays; ventilation follows. Nurses hammer compressions, buying brain time, a priority slam in this code blue crash.
The most frequent aerobic organism isolated in human bites is
- A. Pasteurella multocida
- B. Eikenella corrodens
- C. Haemophilus aphrophilus
- D. Streptococcus viridans
Correct Answer: D
Rationale: Human bites Strep viridans, mouth's norm, tops aerobes, not Pasteurella's dog, Eikenella's anaerobe, or rare Haemophilus, Capno. Nurses bite this chronicå£è…” champ.
Mr Tan aged 50 years old has a blood pressure of 160/100 mmHg taken on waking up and 140/90 mmHg at night. He also has a UAE of 200 mg/24 hours. He has type 2 diabetes. Which of the following actions will be most likely reduce the UAE to normal?
- A. Get the patient to lose 10% of his body weight
- B. Prescribe a SGLT2 e.g. empagliflozin
- C. Control the blood pressure to 130/80 mmHg
- D. Get the patient to exercise 150 minutes a week
Correct Answer: C
Rationale: UAE 200, diabetes BP to 130/80 slashes albumin; weight, SGLT2, exercise, nifedipine help less direct. Nurses hit this chronic kidney key.
The nurse is teaching the parents of a 15-year-old who is being treated for acute myelogenous leukemia about the side effects of chemotherapy. For which of the following symptoms should the parents seek medical care immediately?
- A. Earache, stiff neck or sore throat
- B. Blisters, ulcers or a rash appear
- C. A temperature of 101.5 degrees Fahrenheit
- D. Difficulty or pain when swallowing
Correct Answer: C
Rationale: Chemotherapy for acute myelogenous leukemia suppresses the immune system by reducing white blood cell production, leaving the child highly susceptible to infections. A fever of 101.5°F is a critical sign in this context, as it may indicate an infection that, without a functioning immune response, could rapidly progress to sepsis a life-threatening condition. Parents must seek immediate medical care to evaluate and treat the underlying cause, often requiring emergency department intervention. While earache, stiff neck, or sore throat could suggest infection, they are less urgent without fever and may not necessitate immediate action unless severe. Blisters, ulcers, or rashes might reflect chemotherapy side effects like mucositis or drug reactions, manageable with outpatient care unless infected. Difficulty swallowing could stem from mucositis or infection, but fever trumps it in urgency due to its systemic implications. Educating parents to prioritize fever ensures timely intervention, aligning with oncology nursing's focus on preventing complications in immunocompromised pediatric patients.