Nokea
Why are older adults with heart and blood vessel diseases susceptible to thrombophlebitis?
- A. Choose all that apply
- B. IV drugs and chemicals
- C. Impaired mobility
- D. Compromised circulation
Correct Answer: B
Rationale: Thrombophlebitis is the inflammation of a vein with the formation of a blood clot (thrombus) that can lead to serious complications. Older adults with heart and blood vessel diseases are more susceptible to thrombophlebitis due to various reasons:
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What is the best way to detect testicular cancer early?
- A. Monthly testicular self-examination
- B. Annual physician examination
- C. Yearly digital rectal examination
- D. Annual ultrasonography
Correct Answer: A
Rationale: Testicular self-examination is the best way to detect testicular cancer early. It involves checking the size, shape, and consistency of the testicles to identify any changes or abnormalities. By performing monthly self-exams, men become familiar with the normal feel and appearance of their testicles, making it easier to notice any unusual lumps or swelling that could indicate the presence of cancer. Early detection is crucial for successful treatment of testicular cancer, which is why regular self-exams are recommended, especially for men at higher risk, such as those with a family history of the disease or prior testicular cancer. Annual physician examinations and ultrasounds can also help in detecting testicular cancer, but self-exams are a simple and effective way for men to take an active role in their health and potentially detect any issues early on.
The most serious manifestation of lead intoxication is
- A. peripheral neuropathy
- B. mental retardation
- C. anemia
- D. cerebral edema
Correct Answer: D
Rationale: Cerebral edema is the most serious manifestation of lead intoxication, as it can be life-threatening.
A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is
- A. radiotherapy
- B. concomitant chemotherapy-radiotherapy
- C. another surgery
- D. observation
Correct Answer: B
Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.
Mr. and Mrs. Robertson's son was diagnosed with idiopathic thrombocytopenic purpura. They should be aware that the drug to be avoided is:
- A. Acetaminophen
- B. Aspirin
- C. Codeine
- D. Morphine
Correct Answer: B
Rationale: Idiopathic thrombocytopenic purpura is a condition characterized by a low platelet count. Aspirin is a known blood thinner and can further decrease platelet function, potentially worsening thrombocytopenia. Therefore, Mr. and Mrs. Robertson's son should avoid taking aspirin to prevent any exacerbation of his condition.
A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session?
- A. A sense of hopelessness and despair are a normal part of adolescence.
- B. Gay and lesbian adolescents are at a particularly high risk for suicide.
- C. Problem-solving skills are of limited value to the suicidal adolescent.
- D. Previous suicide attempts are not an indication of risk for completed suicides.
Correct Answer: B
Rationale: Gay and lesbian adolescents are at a particularly high risk for suicide. Research has shown that sexual minority youth, such as gay, lesbian, bisexual, and transgender adolescents, are at a higher risk for suicide due to the stress, discrimination, and lack of acceptance they may face. It is important for the school nurse to address the unique risk factors and challenges faced by LGBTQ+ adolescents when discussing suicide prevention in order to provide appropriate support and resources.