Nokea
Which of the following investigations cannot be performed easily at General Physician clinic for assessment of NAFLD patients?
- A. BMI
- B. Waist-Hip ratio
- C. MR Elastography
- D. Fasting lipid
Correct Answer: C
Rationale: NAFLD BMI, waist, lipids, glucose snap in clinic; MR elastography's fancy scan turf. Nurses stick to this chronic basics kit.
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Which is NOT the main pharmacological activity of Chinese goldenseal (Coptis chinensis) used as a therapy for diabetes?
- A. Alpha-glucosidase inhibition
- B. Anti-inflammation
- C. Anti-atherosclerosis
- D. Protective effects on vascular endothelial function
Correct Answer: B
Rationale: Chinese goldenseal's diabetes gig alpha-glucosidase block slows sugar, anti-atherosclerosis and endothelial protection guard vessels, all core. Anti-inflammation's a sidekick, not the lead less about sugar control, more general. Clinicians lean on the trio, a chronic herbal angle.
Rehabilitation utilises two types of rehabilitation interventions. The goal of the intervention support is to
- A. Maintaining existing abilities
- B. Restoring function
- C. Preventing deterioration and further disability
- D. Maintaining existing abilities while preventing new or further disabilities
Correct Answer: D
Rationale: Rehab's dual play hold steady, fend off worse blends maintenance and prevention, a chronic balance. Nurses aim here, a full guard.
The challenges faced in insulin therapy includes the following EXCEPT:
- A. Needle phobia
- B. Competence - Diabetes numeracy
- C. Dexterity
- D. All burden
Correct Answer: D
Rationale: Insulin hurdles fear, math, shaky hands, life jolts; all burden' isn't a thing, just a mash-up. Nurses tackle these chronic snags, not vague catch-alls.
The nurse is caring for a patient with colon cancer who is scheduled for external radiation therapy to the abdomen. Which information obtained by the nurse would indicate a need for patient teaching?
- A. The patient has a history of dental caries.
- B. The patient swims several days each week.
- C. The patient snacks frequently during the day.
- D. The patient showers each day with mild soap.
Correct Answer: B
Rationale: Abdominal radiation fries skin swimming in chlorinated or salt water during treatment risks irritation or infection in that tender zone. Dental caries don't tie in. Snacking might help nutrition, not hurt. Mild soap showers are fine. Nurses in oncology flag this no swimming' protects radiated skin, a teaching must to dodge complications.
A nurse is assessing a female client who is taking progestins. What assessment finding requires the nurse to notify the provider immediately?
- A. Irregular menses
- B. Edema in the lower extremities
- C. Ongoing breast tenderness
- D. Red, warm, swollen calf
Correct Answer: D
Rationale: Progestins, used in some cancer treatments (e.g., endometrial cancer), increase thromboembolism risk due to their hormonal effects on clotting factors. A red, warm, swollen calf suggests deep vein thrombosis (DVT), a medical emergency requiring immediate provider notification to prevent pulmonary embolism. Irregular menses, edema, and breast tenderness are common side effects of progestins, manageable with monitoring or symptomatic relief, and don't pose the same urgency. DVT's potential to escalate rapidly into a life-threatening condition prioritizes it over other findings. The nurse's prompt reporting ensures timely imaging (e.g., ultrasound) and anticoagulation therapy, aligning with oncology nursing's focus on vigilant complication detection in hormonally treated clients.