Chronic Illness Nursing Questions

Chronic Illness Nursing Questions Related

Review Chronic Illness Nursing Questions related questions and content

The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should monitor for which adverse effect?

  • A. Nausea
  • B. Alopecia
  • C. Hematuria
  • D. Xerostomia
Correct Answer: C

Rationale: Intravesical chemo (e.g., BCG for bladder cancer) targets the bladder lining directly hematuria (blood in urine) is the biggie to watch, signaling irritation or tumor breakdown. It's local, not systemic, so nausea and alopecia whole-body effects from IV chemo don't fit. Xerostomia (dry mouth) might tag along with systemic agents hitting salivary glands, not this route. Nurses track hematuria here because it's the bladder's cry for help, a common, expected reaction to drugs bathing the mucosa. In oncology, knowing delivery matters intravesical skips the bloodstream, keeping side effects bladder-focused, critical for patient comfort and spotting complications early.

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Which of the following characteristics is true related to chronic illness?

  • A. Abrupt onset
  • B. Usually single cause
  • C. Short latency period
  • D. Noninfectious origin
Correct Answer: D

Rationale: Chronic illness creeps noninfectious, multi-risk, long-brewing, lingering a nurse's map apart from acute's quick, single, catchy hits. It's a slow burn, not a spark, a health system staple.

All of the following are broad categories of dietary approaches EXCEPT:

  • A. Energy-focused
  • B. Macronutrient-focused
  • C. Reward-focused
  • D. Dietary timing-focused
Correct Answer: C

Rationale: Diets calories, macros, patterns, timing rule; reward's brain, not plate. Nurses map this chronic food frame, skipping psyche.

Damage control resuscitation:

  • A. Is not indicated unless it is clear the patient's physiology has been deranged by severe injury.
  • B. Is not indicated unless the patient is in the hospital.
  • C. Is likely to involve restriction of fluid administration in a hypotensive, bleeding patient.
  • D. Is likely is be assessed for adequacy by palpation of the radial pulse in patients with a head injury.
Correct Answer: C

Rationale: Damage control resuscitation (DCR) mitigates trauma's lethal triad (hypothermia, acidosis, coagulopathy). It's indicated preemptively in severe bleeding, not just post-derangement, to prevent physiologic collapse. It begins pre-hospital (e.g., paramedics), not only in-hospital, using blood products early. Fluid restriction in hypotensive bleeding limits dilutional coagulopathy, favoring permissive hypotension until haemostasis crucial in uncontrolled haemorrhage. Radial pulse palpation gauges perfusion broadly, but head injury patients need cerebral perfusion pressure prioritization, not DCR adequacy. ABC remains foundational. Fluid restriction's role balancing shock correction with bleeding exacerbation defines DCR's shift from crystalloid overload, improving survival in exsanguinating trauma.

Which of the following is FALSE regarding patient education for insulin therapy?

  • A. It improves the patients experience and adherence to insulin therapy
  • B. It requires time and preparation
  • C. It can only be done by diabetes nurse educators
  • D. Different topics and focus can be covered at different stages of insulin therapy
Correct Answer: C

Rationale: Insulin education boosts adherence and takes prep varied topics hit stages, and checking understanding's key. But pinning it to diabetes nurse educators alone flops; GPs, pharmacists, even peers can teach, widening reach. Team effort trumps solo specialty, ensuring chronic care's flexible, not bottlenecked, a practical truth in diabetes' long haul.

Which of the following statements applies best to the effect of fear appeals?

  • A. Fear appeals motivate people to adopt healthier behaviour
  • B. Fear appeals lead to avoidance and denial
  • C. Fear appeals help to show the negative consequences of unhealthy behaviour
  • D. Fear appeals make people avoid unhealthy behaviour
Correct Answer: B

Rationale: Fear appeals backfire denial trumps motivation, showing cons or dodging acts. Nurses see this, a chronic scare flop.

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