Questions About Chronic Wasting Disease

Questions About Chronic Wasting Disease Related

Review Questions About Chronic Wasting Disease related questions and content

You are caring for a patient with esophageal cancer. Which task could be delegated to the nursing assistant?

  • A. Assist the patient with oral hygiene
  • B. Observe the patient's response to feedings
  • C. Facilitate expression of grief or anxiety
  • D. Initiate daily weights
Correct Answer: A

Rationale: Delegating tasks in nursing hinges on scope of practice. Assisting with oral hygiene is a basic care activity nursing assistants are trained to perform, supporting hygiene needs in esophageal cancer patients who may struggle with swallowing. Observing responses to feedings requires clinical judgment to assess tolerance or complications, a nurse's responsibility. Facilitating emotional expression involves therapeutic communication skills beyond an assistant's training, critical for addressing cancer-related distress. Initiating daily weights implies deciding when to start, requiring understanding of fluid status assistants can weigh patients but not initiate the process independently. Oral hygiene delegation optimizes care efficiency, aligns with assistants' capabilities, and frees nurses for higher-level assessments, ensuring safe, effective management of this patient's complex needs.

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Regarding PID

  • A. Trichomonas and Gardnerella are commonest organisms
  • B. Associated with irregular menstruation
  • C. Absence of fever and cervical excitation excludes diagnosis
Correct Answer: B

Rationale: PID chlamydia, gonorrhea lead, irregular menses tie, fever and motion can hide. Nurses link this chronic pelvic thread.

The suture material which poses the highest risk of infection is

  • A. Vicryl
  • B. Chromic gut
  • C. Silk
  • D. Prolene
Correct Answer: C

Rationale: Silk braided, bacteria's nest tops infection risk, not Vicryl, gut's absorb, or slick Prolene, nylon. Nurses stitch this chronic trap warily.

Which of the following is the surgical treatment of choice for end-stage heart failure?

  • A. Cardiac resynchronization therapy (CRT)
  • B. Percutaneous angiogram
  • C. Genetic counseling
  • D. Ventricular assist devices (VADs)
Correct Answer: D

Rationale: End-stage heart failure, when drugs and pacing fail, leans on ventricular assist devices mechanical pumps aiding circulation, a bridge to transplant or destination therapy. CRT syncs ventricles, less invasive, but VADs tackle severe pump collapse. Angiograms diagnose, not treat; genetic counseling's irrelevant. Nurses prep for VADs, managing post-op risks, the go-to surgical fix in this terminal cardiac scenario.

A 4 week old baby is due for her second Hepatitis B vaccine dose. However, you note that the baby is mildly jaundiced. What would be the most appropriate step to take next?

  • A. Screen for the Hepatitis B virus and only proceed with immunisation if the results are negative
  • B. Immunisation is not required as the baby may already have hepatitis
  • C. Give the hepatitis B vaccine and arrange for investigation for the jaundice
  • D. Proceed with the vaccination but also give the Hepatitis B immunoglobulin at another site
Correct Answer: C

Rationale: Mild jaundice at 4 weeks likely physiologic or breast milk, not hep B vaccine's safe, so jab and probe cause. Screening delays, skipping's wrong, deferring's cautious overkill, immunoglobulin's for exposure. Nurses roll this, a chronic vax-plus-check play.

Which does not require post exposure prophylaxis for rabies?

  • A. scratch
  • B. bite on face
  • C. bite on extremity
  • D. skin contact with blood, urine or faeces
Correct Answer: D

Rationale: Rabies PEP bites, scratches, bat splashes trigger; blood, pee, poop on skin don't. Nurses skip this chronic non-risk.

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