Nokea
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.
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Which antibiotic is not recommended as first line therapy for the associated bug?
- A. legionella - erythromycin
- B. chlamydia psittaci - doxycycline
- C. chlamydia pneumoniae - doxycycline
- D. mycoplasma pneumoniae - roxithromycin
Correct Answer: C
Rationale: Chlamydia pneumoniae doxycycline's gold, not erythromycin, roxi, or others mispaired. Nurses tweak this chronic lung fix.
Which of the following is not complication associated with NAFLD?
- A. Ischemic heart disease
- B. Cerebrovascular accident
- C. Colon cancer
- D. All of the above
Correct Answer: D
Rationale: NAFLD heart, stroke, colon, liver cancer all link; no outlier. Nurses track this chronic risk chain.
The nurse is assessing a 3-year-old child whose mother complains that he is listless and has been having trouble swallowing. Which of the following findings would suggest the child has a brain tumor?
- A. Observation reveals nystagmus and head tilt
- B. Vital signs show blood pressure measures 120/80
- C. Examination shows temperature of 38.5°C and headache
- D. Observation reveals a cough and labored breathing
Correct Answer: A
Rationale: Brain tumors in young children often cause neurological signs from mass effect or increased intracranial pressure (ICP). Nystagmus (involuntary eye movement) and head tilt suggest cerebellar or brainstem involvement, common in pediatric brain tumors like medulloblastoma, disrupting coordination and posture key findings in a listless child with swallowing issues (possibly cranial nerve dysfunction). Blood pressure of 120/80 is elevated but lacks widened pulse pressure typical of ICP; it's non-specific without context. Fever and headache might indicate meningitis, not a tumor, unless paired with focal signs. Cough and labored breathing point to respiratory issues, not neurological ones. Nurses noting nystagmus and tilt prompt urgent imaging, critical in pediatric oncology for diagnosing brain tumors early and preventing further deterioration.
In order to delay the progression of CKD, the single most important intervention is:
- A. Prescription of an ACE or ARB
- B. Reducing dietary sodium
- C. Increasing physical activity
- D. Achieving good blood pressure control
Correct Answer: D
Rationale: CKD's brake BP control tops ACEs, salt cuts, or workouts, slashing glomeruli strain, a chronic slowdown king. Nurses prioritize this, a pressure-driven win.
The nurse Questions which order for a client with thrombocytopenia?
- A. Apply ice to areas of trauma
- B. Administer intramuscular (IM) medication
- C. Test all urine and stool for the presence of occult blood
- D. Avoid enemas
Correct Answer: B
Rationale: Thrombocytopenia's bleed risk IM shots pierce muscle, risking hematomas, a questionable order nurses flag, as low platelets can't clot it. Ice curbs swelling, occult blood tests track bleeds, enemas avoid rectal tears all fit. Nurses challenge IM, pushing IV routes, a safety catch in this platelet-poor state.