The lowest fasting plasma glucose level suggestive of a diagnosis of diabetes is:
- A. 90mg/dl
- B. 126mg/dl
- C. 115mg/dl
- D. 180mg/dl
Correct Answer: B
Rationale: A fasting plasma glucose level of 126mg/dl or higher is considered to be indicative of diabetes mellitus. This value represents the threshold for diagnosing diabetes based on fasting glucose levels according to the American Diabetes Association (ADA) criteria. Fasting glucose levels between 100-125mg/dl indicate impaired fasting glucose, which is a precursor to diabetes. Therefore, a fasting plasma glucose level of 126mg/dl is the lowest level at which a diagnosis of diabetes can be suggested.
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Granulocytic sarcoma masses are commonly seen in which type of the following malignancies?
- A. neuroblastoma
- B. rhabdomyosarcoma
- C. soft tissue sarcoma
- D. AML
Correct Answer: D
Rationale: Granulocytic sarcoma is most commonly associated with acute myeloid leukemia (AML).
which of the following blood tests results is the most indicative of an improvement in rheumatic fever child?
- A. WBCS 11,000
- B. decrease ESR
- C. elevated ASOT
- D. hemoglobin 10 gm/dl.
Correct Answer: B
Rationale: Erythrocyte Sedimentation Rate (ESR) is a non-specific marker for inflammation and can be elevated in conditions like rheumatic fever. A decrease in ESR suggests a reduction in the inflammatory response in the body, indicating an improvement in the condition. While the other parameters (WBC count, ASOT, and hemoglobin level) may be affected in rheumatic fever, a decrease in ESR is a more direct indicator of improvement in the inflammatory process associated with the disease.
A 9-year-old boy develops acute myelogenous leukemia (AML) one year after completion of therapy for soft tissue sarcoma at his right thigh. Which of the following chemotherapeutic agents is MOST likely the cause of secondary acute myelogenous leukemia AML in this boy?
- A. cyclophosphamide
- B. vincristine
- C. etoposide
- D. doxorubicin
Correct Answer: C
Rationale: Etoposide is known to be associated with secondary AML due to its potential to induce chromosomal abnormalities.
Which of the ff is the most important factor in the nursing management of a client with CFS?
- A. Teaching the client how to avoid aggravating the disease
- B. Informing the client about the drug therapy that will provide significant improvement
- C. Advising the client to alter the diet and environment
- D. Educating the client about the disease process and its limitations
Correct Answer: D
Rationale: Educating the client about the disease process and its limitations is the most important factor in the nursing management of a client with Chronic Fatigue Syndrome (CFS). Providing information about the disease, its symptoms, potential triggers, and the importance of self-care is crucial in empowering the client to manage their condition effectively. Understanding the limitations imposed by CFS can help the client make necessary adjustments in their lifestyle, activities, and energy management. Education also plays a key role in setting realistic expectations and preventing exacerbation of symptoms by avoiding overexertion or pushing beyond their limits. By understanding the disease process and its impact, the client can actively participate in their care and strive for better quality of life.
Mr. and Mrs. Robertson's son was diagnosed with idiopathic thrombocytopenic purpura. They should be aware that the drug to be avoided is:
- A. Acetaminophen
- B. Aspirin
- C. Codeine
- D. Morphine
Correct Answer: B
Rationale: Idiopathic thrombocytopenic purpura is a condition characterized by a low platelet count. Aspirin is a known blood thinner and can further decrease platelet function, potentially worsening thrombocytopenia. Therefore, Mr. and Mrs. Robertson's son should avoid taking aspirin to prevent any exacerbation of his condition.