Nokea
The followings are risk factors associated with non-alcoholic fatty liver disease (NAFLD) except:
- A. Elevated uric acid
- B. Elevated blood pressure
- C. Diabetes mellitus
- D. Elevated LDL-cholesterol
Correct Answer: A
Rationale: NAFLD ties to metabolic mess hypertension, diabetes, high LDL, and triglycerides fuel fat's liver pile-up, all in. Uric acid links to gout, not NAFLD's core, despite metabolic overlap. Clinicians eye this quartet, not urate, in chronic liver fat's risk map, a key split.
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You are monitoring your client who is at risk for spinal cord compression related to tumor growth. Which client statement is most likely to suggest early manifestation?
- A. Last night my back really hurt, and I had trouble sleeping
- B. My leg has been giving out when I try to stand
- C. My bowels are just not moving like they usually do
- D. When I try to pass my urine, I have difficulty starting the stream
Correct Answer: A
Rationale: Spinal cord compression from tumors strikes early with back pain reported in 95% of cases as vertebral pressure or nerve irritation flares, a red flag needing urgent imaging to prevent paralysis. Leg weakness signals motor loss, a later sign as compression worsens. Bowel or bladder issues like constipation or hesitancy mark advanced nerve involvement, not initial hints. Nurses prioritize this pain statement, recognizing its prevalence and timing, prompting swift action like steroids or surgery to halt progression, critical in cancer clients where spinal integrity dictates mobility and survival.
Question: Which statement applies to glucose measurement in a central laboratory? Statement 1: Glucose values are normally determined in venous blood. Statement 2: Glucose values are given in plasma values. Which answer is correct?
- A. Both statements are correct
- B. Both statements are incorrect
- C. Statement 1 is correct; statement 2 is incorrect
- D. Statement 1 is incorrect; statement 2 is correct
Correct Answer: A
Rationale: Lab glucose venous blood, plasma read, both true, a chronic standard nurses trust.
A 20 day old neonate born at term is exposed to a child with chicken pox, what intervention should take place?
- A. Give ZIG to all such neonates
- B. Give ZIG depending on mothers serology
- C. Give aciclovir to all
- D. Give aciclovir depending on mothers serology
Correct Answer: B
Rationale: Neonate, 20 days ZIG if mom's seronegative, not blanket or aciclovir guess. Nurses tie this chronic shield to history.
The nurse is admitting an oncology patient to the unit prior to surgery. The nurse reads in the electronic health record that the patient has just finished radiation therapy. With knowledge of the consequent health risks, the nurse should prioritize assessments related to what health problem?
- A. Cognitive deficits
- B. Impaired wound healing
- C. Cardiac tamponade
- D. Tumor lysis syndrome
Correct Answer: B
Rationale: Radiation pre-surgery zaps tissue impaired wound healing's the big risk, as it fries skin and vessels, slowing repair post-op. Cognitive deficits need brain radiation, not specified. Tamponade's rare, tied to chest radiation and fluid buildup. TLS hits post-chemo, not pre-surgery. Nurses in oncology lock onto skin checks and infection signs, knowing radiation's legacy can tank surgical outcomes if ignored.
The nurse is caring for a patient who has just been given a 6-month prognosis following a diagnosis of extensive stage small-cell lung cancer. The patient states that he would like to die at home, but the team believes that the patient's care needs are unable to be met in a home environment. What might you suggest as an alternative?
- A. Discuss a referral for rehabilitation hospital
- B. Panel the patient for a personal care home
- C. Discuss a referral for acute care
- D. Discuss a referral for hospice care
Correct Answer: D
Rationale: Extensive small-cell lung cancer with a 6-month clock screams end-stage hospice fits, offering comfort-focused care in settings like home (with support), hospitals, or community sites. It matches his wish to avoid aggressive fixes, unlike rehab (for recovery) or acute care (for crises). Personal care homes lack the palliative punch needed here. Hospice blends patient and family needs, easing symptoms like pain or dyspnea, a cornerstone in oncology for terminal cases where quality trumps quantity.