Nokea
The nurse is caring for a 55-year-old male who presented to this primary physician's office for his yearly check-up. Upon the physical assessment, the provider noted enlarged lymph nodes in the groin and neck region. The provider Questioned Joe regarding the possible causes of the finding. Which of the following diagnosis are consistent with this finding?
- A. Leukemia
- B. Lymphoma
- C. Sickle cell anemia
- D. Polycythemia vera
Correct Answer: B
Rationale: Lymphoma swells nodes neck and groin lumps fit this cancer's lymphoid sprawl, a diagnosis matching this check-up find. Leukemia bones out, sickle cell pains, polycythemia thickens none node-centric. Nurses tie this to lymphoma, anticipating biopsy, a nodal tale in this cancer hunt.
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Cytomegalovirus causes:
- A. infantile bronchiolitis
- B. retinitis
- C. chronic
- D. neonatal encephalitis
Correct Answer: B
Rationale: CMV retinitis blinds HIV, not bronchiolitis, vague chronic, brain hits, or Kaposi's herpes 8. Nurses eye this chronic sight thief.
NASH contributes to the risk of cardiovascular disease via which mechanism in the liver?
- A. Reduced production of VLDL
- B. Reduced production of glucose
- C. Increased production of CRP
- D. Increased production of HDL
Correct Answer: C
Rationale: NASH ups heart risk CRP, inflammation's flag, flares from liver, not VLDL drop, glucose dip, or HDL boost. Nurses spot this, a chronic CV spark.
Strategies to overcome barriers and challenges faced in insulin therapy include the following EXCEPT:
- A. Close supervision for the patient's first jab
- B. Threaten patient into adherence with insulin therapy
- C. Engage patient from the start
- D. Offer the least painful options currently available in the market
Correct Answer: B
Rationale: Insulin wins guide first shots, engage early, ease pain, set sharp goals; threats flop, breed resentment. Nurses coach this chronic game, not bully.
The nurse is caring for a patient diagnosed with stage I colon cancer. When assessing the need for psychologic support, which question by the nurse will provide the most information?
- A. How long ago were you diagnosed with this cancer?'
- B. Do you have any concerns about body image changes?'
- C. Can you tell me what has been helpful to you in the past when coping with stressful events?'
- D. Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?'
Correct Answer: C
Rationale: Stage I colon cancer's early psych support hinges on coping history . Past wins reveal strengths, more than timing , body image (B less hit here), or textbook stages . Nurses in oncology dig this how they've handled stress before predicts now, guiding tailored help.
Mdm Koh, a 55-year-old housewife with hypertensive nephropathy was recently started on allopurinol 50 mg per day with prophylactic colchicine 500 mg OM 3 weeks ago in your clinic. She is on Lasix 20 mg OM, nifedipine LA 30 mg OM, aspirin 100 mg OM and renalvite 1 tab OM. She came down with flu like symptoms 4 days ago and developed rashes after being given Amoxil by another General Physician. Today, she returns to your clinic. What should be the next step?
- A. Stop Amoxil and continue the chronic medications
- B. Prescribe paracetamol for pain relief and switch to clarithromycin 500 mg BD instead
- C. Continue medications and check for Dengue serology
- D. Stop all medications and refer for possible SJS
Correct Answer: D
Rationale: Rash post-Amoxil, allopurinol new SJS looms, stop all, refer fast; not just Amoxil, clarithro, dengue, or colchicine tweaks. Nurses flag this chronic skin scare.