Nokea
The nursing considerations that should be applied when assisting diabetics in management of their condition does not include:
- A. BGL monitoring, medications and compliance with treatment and medication
- B. Recognition and early intervention of potential complications
- C. Skin and foot care, including pressure area care when hospitalised
- D. Minimising exercise to prevent fatigue and foot ulcers
Correct Answer: D
Rationale: Diabetes nursing BGLs, meds, complication spots, skin/foot TLC all key. No exercise? Flops movement cuts sugar, boosts health, not ulcers. Nurses nix this, a chronic active push.
You may also like to solve these questions
A 54-year-old has a diagnosis of breast cancer and is tearfully discussing her diagnosis with the nurse. The patient states, 'They tell me my cancer is malignant, while my coworker's breast tumor was benign. I just don't understand at all.' When preparing a response to this patient, the nurse should be cognizant of what characteristic that distinguishes malignant cells from benign cells of the same tissue type?
- A. Slow rate of mitosis of cancer cells
- B. Different proteins in the cell membrane
- C. Differing size of the cells
- D. Different molecular structure in the cells
Correct Answer: B
Rationale: Malignant breast cancer cells flaunt tumor-specific antigens (e.g., CEA) on their membranes, unlike benign ones from the same tissue think of it as a wanted' sign for the immune system. Mitosis isn't slow it's fast in malignant cells. Size varies, not the defining split. Molecular structure shifts, but membrane proteins are the standout marker. Nurses use this to explain why her cancer's a threat those antigens tag it as invasive, a core oncology lesson for scared patients piecing it together.
A 4 week old baby is due for her second Hepatitis B vaccine dose. However, you note that the baby is mildly jaundiced. What would be the most appropriate step to take next?
- A. Screen for the Hepatitis B virus and only proceed with immunisation if the results are negative
- B. Immunisation is not required as the baby may already have hepatitis
- C. Give the hepatitis B vaccine and arrange for investigation for the jaundice
- D. Proceed with the vaccination but also give the Hepatitis B immunoglobulin at another site
Correct Answer: C
Rationale: Mild jaundice at 4 weeks likely physiologic or breast milk, not hep B vaccine's safe, so jab and probe cause. Screening delays, skipping's wrong, deferring's cautious overkill, immunoglobulin's for exposure. Nurses roll this, a chronic vax-plus-check play.
Which does not require post exposure prophylaxis for rabies?
- A. scratch
- B. bite on face
- C. bite on extremity
- D. skin contact with blood, urine or faeces
Correct Answer: D
Rationale: Rabies PEP bites, scratches, bat splashes trigger; blood, pee, poop on skin don't. Nurses skip this chronic non-risk.
You are caring for a patient with esophageal cancer. Which task could be delegated to the nursing assistant?
- A. Assist the patient with oral hygiene
- B. Observe the patient's response to feedings
- C. Facilitate expression of grief or anxiety
- D. Initiate daily weights
Correct Answer: A
Rationale: Delegating tasks in nursing hinges on scope of practice. Assisting with oral hygiene is a basic care activity nursing assistants are trained to perform, supporting hygiene needs in esophageal cancer patients who may struggle with swallowing. Observing responses to feedings requires clinical judgment to assess tolerance or complications, a nurse's responsibility. Facilitating emotional expression involves therapeutic communication skills beyond an assistant's training, critical for addressing cancer-related distress. Initiating daily weights implies deciding when to start, requiring understanding of fluid status assistants can weigh patients but not initiate the process independently. Oral hygiene delegation optimizes care efficiency, aligns with assistants' capabilities, and frees nurses for higher-level assessments, ensuring safe, effective management of this patient's complex needs.
Which of the following is NOT associated with obesity?
- A. Non-Alcoholic Fatty Liver Disease
- B. Obstructive Sleep Apnea
- C. Increased mortality
- D. Type 1 Diabetes Mellitus
Correct Answer: D
Rationale: Obesity piles on NAFLD, apnea, death risk, back ache; type 1's autoimmune, not fat-driven. Nurses link this chronic weight web, not islet crash.