Questions About Chronic Wasting Disease

Questions About Chronic Wasting Disease Related

Review Questions About Chronic Wasting Disease related questions and content

When assignments are being made for clients with alterations related to gastrointestinal (GI) cancer, which client would be the most appropriate to delegate to an LPN/LVN?

  • A. A client with severe anemia secondary to GI bleeding
  • B. A client who needs enemas and antibiotics to control GI bacteria
  • C. A client who needs preoperative teaching for bowel resection surgery
  • D. A client who needs central line insertion for chemotherapy
Correct Answer: B

Rationale: Delegating in GI cancer care hinges on scope LPN/LVNs handle routine tasks like administering enemas and antibiotics, a straightforward intervention to curb bacteria, fitting their training under RN oversight. Severe anemia from bleeding demands RN assessment for stability or transfusion, beyond LPN scope. Preoperative teaching requires detailed education and evaluation, an RN's domain. Central line insertion involves advanced skills and risks, reserved for RNs or specialists. Enemas and antibiotics align with LPN/LVN capabilities, optimizing team roles while keeping complex care with RNs, a practical choice in managing GI cancer's multifaceted needs safely and efficiently.

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A previously well 25 week pregnant lady presents as a neighbours child she was looking after 2 days ago has developed chicken pox. What would you advise?

  • A. Check her serology
  • B. Zoster immunoglobulin if negative serology
  • C. Prophylactic aciclovir if negative serology
  • D. A and B
Correct Answer: A

Rationale: Pregnant, 25 weeks check serology; VZIG or aciclovir jumps if negative, not all. Nurses test first, a chronic fetal guard.

There are several mechanisms through which AGEs can lead to increased oxidative stress. Question: Which AGE-induced mechanism supposedly plays an important role in the development of oxidative stress in endothelial cells?

  • A. Crosslinking of matrix proteins
  • B. Induction of apoptosis
  • C. Intracellular glycation by methylglyoxal
  • D. All three statements provided above are correct
Correct Answer: C

Rationale: AGEs spark stress methylglyoxal's indoor glycation fries cells, outpacing crosslinking or death calls. Key in endothelium, a chronic oxidative kick nurses target this mess.

The nurse is caring for a patient who is to begin receiving external radiation for a malignant tumor of the neck. While providing patient education, what potential adverse effects should the nurse discuss with the patient?

  • A. Impaired nutritional status
  • B. Cognitive changes
  • C. Diarrhea
  • D. Alopecia
Correct Answer: A

Rationale: Neck radiation hits the oral mucosa, salivary glands, and throat, causing mucositis, taste loss, pain, and dysphagia leading to impaired nutrition. Patients struggle to eat, risking weight loss and weakness, a top concern in head-and-neck cases. Cognitive changes tie to brain radiation, not neck. Diarrhea aligns with abdominal radiation, not this site. Alopecia occurs with whole-brain radiation, not localized neck treatment, where hair loss is minimal unless the scalp's in the field. Nurses must prep patients for these site-specific effects, ensuring dietary support (e.g., soft foods, supplements) to maintain strength through therapy, a key part of oncology care planning.

In Home BP monitoring, which of the following readings show a normal night-time BP?

  • A. 120/70 mmHg
  • B. 135/85 mmHg
  • C. 130/80 mmHg
  • D. 125/75 mmHg
Correct Answer: A

Rationale: Home night BP 120/70 fits normal, not 130+ creepers. Nurses clock this chronic sleep dip.

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. Different topics and focus can be covered at different stages of insulin therapy
  • D. It can only be done by diabetes nurse educators
Correct Answer: D

Rationale: Patient education for insulin therapy enhances experience and adherence, requires time, and varies by stage e.g., injection skills at initiation, hypoglycemia management later all true per diabetes guidelines. However, stating it can only be done by diabetes nurse educators is false. While specialized educators excel, other healthcare professionals (physicians, pharmacists) can deliver effective education, especially in resource-limited settings. Multidisciplinary involvement ensures broader access and periodic understanding checks, vital for chronic disease management. This flexibility empowers diverse teams to support patients, debunking the exclusivity myth.

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