Chronic Illness Nursing Questions

Chronic Illness Nursing Questions Related

Review Chronic Illness Nursing Questions related questions and content

The Lee Revised Cardiac Risk Index:

  • A. Has been validated to predict the risk of mortality after major non-cardiac surgery.
  • B. Is a complex algorithm.
  • C. Provides a simple additive score incorporating six risk factors.
  • D. Discriminates well between patients at moderate and severe risk of adverse cardiac outcome.
Correct Answer: C

Rationale: The Lee Revised Cardiac Risk Index (RCRI) predicts cardiac complications (e.g., myocardial infarction) after non-cardiac surgery. It's validated for morbidity, not mortality specifically, though it correlates with outcomes. It's not a complex algorithm but a straightforward tool: six factors (high-risk surgery, ischemic heart disease, heart failure, stroke/TIA, diabetes on insulin, renal insufficiency) are scored additively (0-6). This simplicity aids clinical use, providing risk percentages (e.g., 0.4% for 0 points, 11% for ≥3). It discriminates moderate-to-high risk well but less so at extremes. Age >70 isn't an automatic point; risk factors are specific. Its strength lies in its evidence-based, user-friendly design for perioperative cardiac risk stratification.

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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.

Following chemotherapy, a patient is being closely monitored for tumor lysis syndrome. Which laboratory value requires particular attention?

  • A. Platelet count
  • B. Electrolytes
  • C. Hemoglobin
  • D. Hematocrit
Correct Answer: B

Rationale: Tumor lysis syndrome, a post-chemotherapy emergency, floods blood with cell breakdown products potassium, phosphate, uric acid disrupting electrolytes, risking renal failure or cardiac arrest. Monitoring electrolytes is critical to catch hyperkalemia or hyperphosphatemia, guiding urgent correction like dialysis. Platelets drop with chemotherapy but aren't TLS-specific. Hemoglobin and hematocrit track anemia, not lysis effects. Electrolytes' volatility in TLS demands focus abnormalities signal escalating danger, a nurse's lifeline to intervene, ensuring rapid response to this metabolic storm in cancer treatment's wake.

Which of the following is not associated with non-alcoholic fatty liver disease?

  • A. Diabetes mellitus
  • B. Lung cancer
  • C. Pre-diabetes mellitus
  • D. Hyperuricemia
Correct Answer: B

Rationale: NAFLD diabetes, pre-sugar, uric, colon tie; lung cancer's out. Nurses link this chronic fat net.

When assigning staff to patients who are receiving chemotherapy, what is the major consideration about chemotherapeutic drugs?

  • A. During preparation, drugs may be absorbed through the skin or inhaled
  • B. Many chemotherapeutics are vesicants
  • C. Chemotherapeutics are frequently given through central venous access devices
  • D. Oral and venous routes are the most common
Correct Answer: A

Rationale: Chemotherapy's potency demands safety focus preparation risks skin absorption or inhalation, exposing staff to toxins, necessitating specialized training and protective gear. Vesicants, causing tissue damage if extravasated, are a concern, but preparation hazards affect all drugs, broader in scope. Central venous access is common but a procedural detail, not the primary staffing issue. Route prevalence is logistical, not safety-centric. Prioritizing exposure risk ensures staff handling mixing, drawing minimizes occupational harm, a legal and ethical imperative, shaping assignments to trained personnel, critical in chemotherapy's high-stakes delivery.

Insulin is an anabolic hormone. Question: A catabolic state induced by insulin deficiency has an effect on which metabolism?

  • A. Protein metabolism
  • B. Glucose metabolism
  • C. Fat metabolism
  • D. A+B+C
Correct Answer: D

Rationale: Insulin gone, catabolism rages proteins break, glucose spikes, fats burn all unravel. No picking one; it's a full-body crash nurses see this in type 1's ketosis, a chronic fuel flip.

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