Nokea
The challenges faced in insulin therapy includes the following EXCEPT:
- A. Needle phobia
- B. Competence - Diabetes numeracy
- C. Dexterity
- D. All burden
Correct Answer: D
Rationale: Insulin hurdles fear, math, shaky hands, life jolts; all burden' isn't a thing, just a mash-up. Nurses tackle these chronic snags, not vague catch-alls.
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How many times more likely is a patient with diabetes to die from a cardiovascular condition compared with a patient without diabetes?
- A. 2-4x
- B. 8-10x
- C. 20-25x
- D. 40-50x
Correct Answer: A
Rationale: Diabetes doubles, quadruples CV death vessels rot, not wild leaps. Nurses brace for this, a chronic heart toll.
Which of the following basic principles do NOT belong to motivational interviewing?
- A. To confront irrationality
- B. To avoid discussion
- C. To help resolve ambivalence
- D. To be empathic
Correct Answer: A
Rationale: MI skips confrontation empathy, ambivalence aid, no fights, discussion flows. Nurses dodge this, a chronic soft touch.
A 60 year old lady presents with a skin tear to her left shin on her coffee table. She is unsure of her previous immunization status. How should this be managed?
- A. ADT only
- B. ADT plus immunoglobulin
- C. Immunoglobulin only
- D. Neither
Correct Answer: A
Rationale: Skin tear, unknown shots ADT boosts, no Ig needed for clean cuts, antibiotics if dirty. Nurses jab this chronic tetanus shield solo.
The following are common abnormal laboratory markers in patients with NAFLD except:
- A. Elevated uric acid
- B. Elevated triglycerides
- C. Elevated hct
- D. Elevated GGT
Correct Answer: C
Rationale: NAFLD's lab quirks high triglycerides, GGT, glucose tie to fat and insulin woes; uric acid tags along in gouty pals. Elevated hematocrit? Not here, more polycythemia's game. Clinicians spot this odd-out, focusing chronic liver's true markers.
A nurse is caring for a client who was received in the emergency department with a heart rate of 220 beats per minute. The client's cardiac monitor displays supraventricular tachycardia (SVT). Which of the following interventions should the nurse anticipate?
- A. Apply compression stockings
- B. Perform Valsalva maneuver
- C. Draw labs
- D. Check blood glucose
Correct Answer: B
Rationale: SVT's 220 bpm blitz needs breaking Valsalva maneuver, bearing down, jolts the vagus nerve, slowing rate, a first-line trick. Stockings aid veins, not rhythm. Labs or glucose inform, don't fix. Nurses anticipate this, calming tachycardia, a quick, non-invasive hit in this racing heart emergency.