Nokea
Which of the ff instructions should a nurse give a client with non-Hodgkin's lymphoma who is being treated with radiation and chemotherapy?
- A. Increase fluid intake
- B. Intake low-fat meals
- C. Intake soft, bland foods
- D. Intake food rich in folic acid
Correct Answer: A
Rationale: Patients with non-Hodgkin's lymphoma who are undergoing radiation and chemotherapy need to increase their fluid intake to help flush out the toxic byproducts of the treatments from their body. Adequate hydration can also help prevent dehydration, maintain proper kidney function, and alleviate some side effects such as nausea and vomiting. It is important for the nurse to advise the client to drink plenty of water, clear fluids, and electrolyte-rich beverages to support their overall well-being during treatment.
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A patient asks the nurse what is CYSTOCLYSIS? The best explanation would be:
- A. to increase bladder atony
- B. to maintain patency of the foley
- C. to remove blood clots from the bladder catheter
- D. to lower the specific gravity of the urine
Correct Answer: A
Rationale: Cystoclisis refers to the continuous irrigation of the bladder with a sterile solution to maintain bladder atony. This procedure is commonly done to provide continuous bladder drainage, prevent clot formation, and promote urinary flow. By continuously irrigating the bladder, it helps to keep the bladder decompressed and prevent the overdistension of the bladder muscles, especially in patients with impaired bladder emptying or bladder dysfunction. Therefore, the purpose of cystoclisis is to increase bladder atony rather than the other options listed.
The MOST common behavioral sleep disorder in a 4-month-old baby who needs to be rocked to sleep is
- A. early signs of ADHD
- B. primary restless legs syndrome
- C. sleep terrors
- D. sleep-onset association disorder
Correct Answer: D
Rationale: Sleep-onset association disorder involves reliance on specific conditions to fall asleep.
The MOST common cause of sleeping difficulty in the first 2 months of life is
- A. gastro-esophageal reflux
- B. colic
- C. formula intolerance
- D. developmentally self-resolving sleeping behavior
Correct Answer: B
Rationale: Colic is a frequent cause of sleep difficulties in young infants.
while planning therapeutic care for type ï‰ diabetes mellitus you would expect treatment plan to include:
- A. oral hypoglycemic agents
- B. more physical exercises only
- C. dietary regimen only
- D. insulin injection
Correct Answer: D
Rationale: Type 1 diabetes mellitus is characterized by the body's inability to produce insulin. Therefore, the mainstay of treatment for type 1 diabetes is insulin therapy. Insulin injections are necessary to replace the insulin that the body is unable to produce on its own. While physical exercise and dietary management are important components of managing diabetes, in the case of type 1 diabetes, insulin is an essential part of the treatment plan to control blood glucose levels effectively and prevent complications. Oral hypoglycemic agents, on the other hand, are typically used in the treatment of type 2 diabetes, where the body's insulin production may be insufficient or ineffective.
When evaluating a client's response to fluid replacement therapy, the observation that indicates adequate tissue perfusion to vital organ is;
- A. Urinary output of 30 ml in an hour
- B. Central venous pressure reading of 2 cm H20
- C. Pulse rates of 120 and 110 in a 15- minute period
- D. Blood pressure readings of 50/30 and 70/40 mm Hg within 30 minutes
Correct Answer: A
Rationale: The observation that indicates adequate tissue perfusion to vital organs is a urinary output of 30 ml in an hour. Adequate tissue perfusion is essential to ensure that vital organs receive enough blood and oxygen. Monitoring urinary output is a crucial indicator of perfusion status, as it reflects the perfusion of the kidneys. A urinary output of at least 30 ml/hour or more indicates that the kidneys are receiving sufficient blood flow and are able to produce urine, which helps in removing waste products from the body. In this case, a urinary output of 30 ml in an hour suggests adequate tissue perfusion to vital organs. The other options do not directly reflect tissue perfusion to vital organs and may indicate inadequate perfusion or compromised hemodynamic status.