Which of the following conditions/abnormalities is always present in people who are diagnosed with metabolic syndrome?
- A. Type 2 diabetes mellitus
- B. Disturbed renal function
- C. Hypertension
- D. Insulin resistance
Correct Answer: D
Rationale: Metabolic syndrome's core insulin resistance ties the knot, not always diabetes, kidney flops, or high BP. A chronic root nurses peg this constant.
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A nurse is caring for a client recently diagnosed with pericarditis. Which of the following is a common assessment finding with this disorder?
- A. Elevated troponin
- B. Pericardial friction rub
- C. Heart failure
- D. ST-segment depression
Correct Answer: B
Rationale: Pericarditis rubs the sac pericardial friction rub, a scratchy sound, marks inflammation, a common find as layers grate. Troponin rises with muscle damage, not here. Heart failure or ST depression hints tamponade or ischemia, not direct. Nurses auscultate this rub, tying it to pericarditis's irritated core, a diagnostic bellwether.
A patient with a large stomach tumor attached to the liver is scheduled for a debulking procedure. Which information should the nurse teach the patient about the outcome of this procedure?
- A. Pain will be relieved by cutting sensory nerves in the stomach.
- B. Relief of pressure in the stomach will promote better nutrition.
- C. Decreasing the tumor size will improve the effects of other therapy.
- D. Tumor growth will be controlled by the removal of malignant tissue.
Correct Answer: C
Rationale: Debulking shrinks a stomach tumor stuck to the liver, boosting chemo and radiation's punch smaller targets respond better. Pain relief isn't the goal nerves aren't cut. Pressure relief might help eating, but it's secondary. Growth control fails it's not curative; tumor regrows. Nurses in oncology pitch this: it's a team play, enhancing other treatments' odds, vital for patients facing inoperable masses.
In the UK, appropriate statements concerning the trauma network include:
- A. Major trauma centres, but not minor trauma units, need facilities to deal with polytrauma patients.
- B. Hospitals dealing with trauma are expected to contribute data to the Trauma Audit Research Network (TARN) database.
- C. Within their network, trauma units have transfer arrangements for moving seriously injured patients to major trauma centres.
- D. Trauma networks have an ambulance protocol for bypassing the nearest unit for injuries that may be best treated at a distant specialist centre.
Correct Answer: B
Rationale: The UK trauma network, established pre-2014, enhances care coordination. Major trauma centres (MTCs) handle polytrauma; trauma units manage less severe cases, though both need capabilities severity dictates MTC referral. TARN collects data from all trauma-receiving hospitals, tracking outcomes (e.g., mortality) to improve standards, a core network feature. Transfer protocols ensure escalation from trauma units to MTCs for complex injuries. Ambulance bypass protocols prioritize specialist MTCs (e.g., neurosurgery) over proximity, per triage tools. Rehabilitation is included in network responsibilities. TARN's mandatory data submission drives quality, transparency, and research, distinguishing the system's evidence-based evolution.
Which drug should not be given with midazolam?
- A. zidovudine
- B. lamivudine
- C. nevirapine
- D. indinavir
Correct Answer: D
Rationale: Indinavir boosts midazolam P450 clash sedates too deep, unlike zidovudine, lamivudine, nevirapine, or ritonavir's fit. Nurses dodge this chronic sleep trap.
Which is the most common organism/s causing osteomyelitis in all age groups?
- A. streptococci
- B. staph aureus
- C. gm negatives
- D. hemophilus
Correct Answer: B
Rationale: Staph aureus reigns in osteomyelitis bone's bane across kids to geezers, sticking to marrow like glue. Streptococci hit less, gram-negatives tag trauma, hemophilus fades post-vaccine, fungi creep rare. Nurses bank on this staph stat, a chronic skeleton scourge needing targeted juice.
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