Nokea
Which of the following is FALSE about reduced ejection fraction heart failure (HFrEF)?
- A. The goals of therapy are to reduce morbidity (i.e., reducing symptoms, improving health-related quality of life and functional status, decreasing the rate of hospitalisation) and to reduce mortality
- B. Beta blockers, angiotensin converting enzyme (ACE) inhibitor, angiotensin II receptor blocker (ARB), or angiotensin receptor-neprilysin inhibitor (ARNI) and mineralocorticoid receptor antagonist (MRA) are the preferred antihypertensive agents because these agents improve survival
- C. Recommended lifestyle modifications include smoking cessation, restriction of alcohol consumption, salt restriction, weight reduction in obese patients, as well as daily weight monitoring to detect fluid accumulation before it becomes symptomatic
- D. Patients at high risk for re-hospitalisation should be referred to a long-term care facility
Correct Answer: D
Rationale: HFrEF goals, preferred drugs (beta blockers, ACEi, ARBs, ARNI, MRA), and lifestyle changes are true, per ESC/ACC guidelines. However, high re-hospitalization risk doesn't mandate long-term care referral outpatient management or cardiac rehab is preferred unless dependency justifies it. This false claim refines chronic HFrEF management focus.
You may also like to solve these questions
When assigning staff to patients who are receiving chemotherapy, what is the major consideration about chemotherapeutic drugs?
- A. During preparation, drugs may be absorbed through the skin or inhaled
- B. Many chemotherapeutics are vesicants
- C. Chemotherapeutics are frequently given through central venous access devices
- D. Oral and venous routes are the most common
Correct Answer: A
Rationale: Chemotherapy's potency demands safety focus preparation risks skin absorption or inhalation, exposing staff to toxins, necessitating specialized training and protective gear. Vesicants, causing tissue damage if extravasated, are a concern, but preparation hazards affect all drugs, broader in scope. Central venous access is common but a procedural detail, not the primary staffing issue. Route prevalence is logistical, not safety-centric. Prioritizing exposure risk ensures staff handling mixing, drawing minimizes occupational harm, a legal and ethical imperative, shaping assignments to trained personnel, critical in chemotherapy's high-stakes delivery.
A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?
- A. Yogurt
- B. Leafy green vegetables
- C. Oranges
- D. Cashews
Correct Answer: B
Rationale: Iron deficiency craves heme leafy greens like spinach pack non-heme iron, boosting hemoglobin, a diet fix over dairy's low yield. Oranges aid absorption, not iron itself; cashews offer some, less potently. Nurses plan greens, pairing with vitamin C, a practical lift for this anemic client's blood.
Which is not true of gangrene?
- A. it is usually caused by clostridium perfringens
- B. pain is out of proportion to the soft tissue injury
- C. hyperbaric oxygen is recommended
- D. gas must be seen on a plain xray
Correct Answer: D
Rationale: Gangrene Clostridium leads, pain screams, oxygen helps, surgery rules; gas isn't must-see. Nurses cut this chronic myth.
A patient diagnosed with moderate COPD would have a FEV1 of which percentage of their predicted range?
- A. 40%
- B. <80%
- C. 60-79%
- D. 40-59%
Correct Answer: D
Rationale: Moderate COPD's FEV1 lands 40-59% predicted airflow's pinched, not trashed, fitting GOLD staging, a middle ground of huff and puff. Over 40's too broad; under 80's loose; 60-79's mild. Nurses clock this, tuning chronic care's pace.
The nurse supervises the care of a patient with a temporary radioactive cervical implant. Which action by unlicensed assistive personnel (UAP), if observed by the nurse, would require an intervention?
- A. The UAP flushes the toilet once after emptying the patient's bedpan.
- B. The UAP stands by the patient's bed for 30 minutes talking with the patient.
- C. The UAP places the patient's bedding in the laundry container in the hallway.
- D. The UAP gives the patient an alcohol-containing mouthwash to use for oral care.
Correct Answer: B
Rationale: Cervical implant's radioactive 30 minutes bedside overshoots exposure limits (under 30's safe); flushing , laundry , and mouthwash don't radiate. Nurses in oncology intervene UAP need time caps to dodge radiation, a safety must.