Nokea
Which action should the nurse take when caring for a patient who is receiving chemotherapy and complains of problems with concentration?
- A. Teach the patient to rest the brain by avoiding new activities.
- B. Teach that 'chemo-brain' is a short-term effect of chemotherapy.
- C. Report patient symptoms immediately to the health care provider.
- D. Suggest use of a daily planner and encourage adequate rest and sleep.
Correct Answer: D
Rationale: Chemo-brain foggy focus is common; planners and rest help manage, not cure. Resting fully stalls life; it's not always short-term can linger. No emergency it's expected. Nurses in oncology offer this tools and sleep ease the mental muck, supporting function.
You may also like to solve these questions
Which of the following is the most common assessment finding related to autoimmune thrombocytopenic purpura?
- A. A reddish-purple fine petechial rash
- B. Confusion in the elderly
- C. Fever greater than 102.0 degrees F
- D. Extreme fatigue
Correct Answer: A
Rationale: Autoimmune thrombocytopenic purpura (ITP) trashes platelets via antibodies petechiae, tiny reddish-purple spots, bloom from capillary bleeds, the most frequent sign. Confusion, fever, or fatigue might tag along in severe cases or infection, but petechiae's visibility and link to low platelets (below 100,000) make it dominant. Nurses spot this rash, tying it to ITP's core, guiding steroids or IVIG to halt this autoimmune bleed risk.
In caring for a patient with neutropenia, what tasks can be delegated to the nursing assistant?
- A. Take vital signs every 4 hours
- B. Report temperature elevation >100.4°F
- C. Assess for sore throat, cough, or burning with urination
- D. Gather the supplies to prepare the room for protective isolation
Correct Answer: A
Rationale: Neutropenia heightens infection risk, requiring team vigilance. Taking vital signs every 4 hours fits nursing assistants' scope routine monitoring flags fevers, key in neutropenia, without needing assessment skills. Reporting fever >100.4°F is their duty once detected, but assessing symptoms like sore throat or cough demands RN judgment to interpret infection signs. Gathering supplies for isolation is assistive, not evaluative, suiting their role. Handwashing's universal, not a task to delegate. Vital signs delegation ensures timely data collection, freeing nurses to analyze and act, a practical split in caring for this vulnerable patient.
In order to reduce cardiovascular, renal and all-cause mortality, the American Heart Association (AHA) and the American College of Cardiology (ACC) has set the definition of hypertension as a BP of X in 2017. What is X?
- A. 120/70 mmHg
- B. 125/75 mmHg
- C. 130/80 mmHg
- D. 135/85 mmHg
Correct Answer: C
Rationale: Hypertension's threshold shifted in 2017 when the AHA and ACC pegged it at 130/80 mmHg, aiming to catch cardiovascular and renal risks earlier, slashing mortality via tighter control. Lower cutoffs like 120/70 or 125/75 flag normal or elevated, not yet disease. Higher ones 135/85 or 140/90 stick to older, laxer standards, missing early intervention's benefit. This pivot reflects evidence tying 130/80 to doubled event risk versus <120, pushing clinicians to act sooner with lifestyle or meds, a proactive stance in chronic disease's long game.
An intra-venous drug user with endocarditis has a TOE and multiple blood cultures taken. He is most likely to have:
- A. tricuspid valve involvement and s.aureus on blood culture
- B. tricuspid valve involvement and enterococci on blood culture
- C. mitral valve involvement and mixed growth on blood culture
- D. tricuspid valve involvement and candida on blood culture
Correct Answer: A
Rationale: IVDU endocarditis tricuspid flops, Staph aureus spikes, not enterococci, mixed, candida, or blanks. Nurses hear this chronic junkie beat.
What is the highest likelihood that a doctor acquires HIV from a needlestick injury from an HIV pt?
- A. 0.30%
- B. 2%
- C. 5%
- D. 10%
Correct Answer: A
Rationale: HIV needlestick 0.3% odds, not 2-30's wild leaps. Nurses glove up, a chronic prick stat.