Chronic Disease Discussion Questions

Chronic Disease Discussion Questions Related

Review Chronic Disease Discussion Questions related questions and content

What is the cut-off of blood pressure for the diagnosis of hypertension that is recommended by MOH Clinical Practice Guideline?

  • A. 120/70 mmHg
  • B. 125/75 mmHg
  • C. 130/70 mmHg
  • D. 140/90 mmHg
Correct Answer: D

Rationale: MOH guidelines hold hypertension at 140/90 mmHg, a conventional cutoff balancing sensitivity and specificity for diagnosis in primary care, aligning with global norms like WHO. Lower thresholds 120/70, 125/75, 130/70, 135/80 catch prehypertension or align with newer AHA standards, but MOH sticks to 140/90 for actionable clarity, triggering treatment to curb stroke or heart risks. This higher bar avoids overdiagnosis in resource-stretched settings, ensuring focus on clear disease, a practical call for managing chronic vascular load.

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Which of these does not need treatment of the sexual partner?

  • A. trichomonas vaginalis
  • B. bacterial vaginosis
  • C. candida
  • D. chlamydia
Correct Answer: B

Rationale: BV vaginal flora shift, not partner-fed; trich, chlamydia, gonorrhea, candida swap. Nurses skip this chronic duo fix.

The nurse assesses a patient with non-Hodgkin's lymphoma who is receiving an infusion of rituximab (Rituxan). Which assessment finding would require the most rapid action by the nurse?

  • A. Shortness of breath
  • B. Shivering and chills
  • C. Muscle aches and pains
  • D. Temperature of 100.2°F (37.9°C)
Correct Answer: A

Rationale: Rituximab, a monoclonal antibody, can trigger anaphylaxis shortness of breath yells airway trouble, needing stat infusion halt over chills , aches , or mild fever . Nurses in oncology jump breathing trumps flu-like norms, a life-or-death call.

A patient with a diagnosis of gastric cancer has been unable to tolerate oral food and fluid intake and her tumor location precludes the use of enteral feeding. What intervention should the nurse identify as best meeting this patient's nutritional needs?

  • A. Administration of parenteral feeds via a peripheral IV
  • B. TPN administered via a peripherally inserted central catheter
  • C. Insertion of an NG tube for administration of feeds
  • D. Maintaining NPO status and IV hydration until treatment completion
Correct Answer: B

Rationale: Gastric cancer blocking oral and enteral routes needs TPN via a PICC delivering calories and protein centrally, bypassing the gut. Peripheral IV can't handle TPN's osmolarity veins fry. NG's out with tumor placement. NPO with just fluids starves her long-term. Nurses in oncology peg TPN as the lifeline, keeping strength up when cancer chokes other options.

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.

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.

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