Nokea
What is the result of bariatric surgery as a therapy for morbid obesity?
- A. Reduced insulin sensitivity
- B. Increased insulin sensitivity
- C. Reduced lipolysis
- D. Increased lipolysis
Correct Answer: B
Rationale: Bariatric fix insulin sensitivity jumps, fat shrinks, glucose flows, not lipolysis shifts. Nurses cheer this, a chronic reset win.
You may also like to solve these questions
Chronic obstructive pulmonary disease (COPD) is associated with:
- A. Skeletal muscle dysfunction.
- B. Mean pulmonary arterial pressure of ≥ 25 mm Hg.
- C. Significant reversibility in airflow limitation with bronchodilator therapy.
- D. Depression.
Correct Answer: A
Rationale: COPD is a progressive lung disease characterized by airflow limitation that is not fully reversible. Skeletal muscle dysfunction is a well-documented extrapulmonary manifestation due to systemic inflammation, oxidative stress, and reduced physical activity, leading to muscle wasting and weakness. Elevated mean pulmonary arterial pressure (≥ 25 mm Hg) defines pulmonary hypertension, which can occur secondary to COPD but is not a universal feature. Significant reversibility in airflow limitation is more typical of asthma, not COPD, where bronchodilator response is limited. The FEVâ‚/FVC ratio in COPD is typically <0.7, not >0.7, making that option incorrect. Depression is common in COPD patients due to chronic illness and reduced quality of life, but it's not a defining feature. Among these, skeletal muscle dysfunction is most consistently associated with COPD pathophysiology, reflecting its systemic impact beyond the lungs.
Which of the following nursing interventions would be appropriate for a client with sickle cell disease?
- A. Prepare the client for surgery
- B. Encourage fluid intake
- C. Provide a warm environment
- D. Keep the client strictly NPO
Correct Answer: B
Rationale: Sickle cell's sticky cells crave hydration fluids thin blood, easing vaso-occlusion, a top intervention to cut crisis. Surgery's rare, warmth helps pain, NPO starves. Nurses push intake, preventing sickling, a hydration win in this hemoglobin war.
Which is not true of secondary syphilis?
- A. it occurs 3-6 weeks after the primary stage
- B. it involves nonspecific symptoms eg, headache malaise
- C. there is lymphadenopathy
- D. there is a rash, which is pink plaques
Correct Answer: D
Rationale: Secondary syphilis rash spreads, not just pink plaques; timing, malaise, nodes, tests fit. Nurses map this chronic bloom.
Which of the following statements is incorrect in describing the ADEC categorisation of drugs for Pregnancy?
- A. They are based on animal reproductive toxicology
- B. They are based on evidence available at the time of introduction of the drug
- C. The categorisations are revised as new evidence become available
- D. They are based on prospective studies
Correct Answer: D
Rationale: ADEC's pregnancy drug tags lean on animal data, initial evidence, and updates not prospective human studies, a gap. Animal tox sets baselines, launch data locks in, new proof shifts prospective's too slow. Pharmacists read this, a chronic caution grid.
A client admitted for sickle cell crisis is distraught after learning her child also has the disease. What response by the nurse is best?
- A. Both you and the father are equally responsible for passing it on
- B. There are many good treatments for sickle cell disease these days
- C. It's not your fault; there is no way to know who will have this disease
- D. It's understandable that you are upset about this news. Would you like to talk about what you're feeling?
Correct Answer: D
Rationale: Sickle cell's genetic blow autosomal recessive hits emotionally. Acknowledging distress and offering to talk validates feelings, fostering coping over blame or facts alone. Blaming genetics risks guilt, while touting treatments sidesteps her pain. Denying fault misleads carriers are predictable via screening but misses empathy. Nurses prioritize therapeutic communication, opening dialogue to process this crisis, a compassionate bridge to support mother and child through sickle cell's lifelong challenges.