Chronic Disease Discussion Questions

Chronic Disease Discussion Questions Related

Review Chronic Disease Discussion Questions related questions and content

Ziconotide is:

  • A. Licensed for administration by the intrathecal route in Europe and North America.
  • B. Associated with intrathecal granuloma formation.
  • C. Contraindicated in schizophrenic patients.
  • D. Likely to lead to hypogonadotropic hypogonadism during long-term infusion.
Correct Answer: A

Rationale: Ziconotide, a non-opioid analgesic, blocks N-type calcium channels intrathecally. It's licensed in Europe and North America for chronic pain (e.g., cancer, neuropathic), delivered via pumps. Unlike opioids, it doesn't form granulomas at catheter tips those are opioid-specific complications. It's contraindicated in psychosis (e.g., schizophrenia) due to neuropsychiatric side effects (confusion, hallucinations), per prescribing guidelines. Hypogonadism isn't linked; that's an opioid effect via hypothalamic suppression. Tolerance occurs, requiring dose escalation, but it's manageable. Its licensure reflects extensive trials showing efficacy and safety for refractory pain, distinguishing it as a targeted, non-addictive option in intrathecal therapy, critical for patients intolerant to opioids.

You may also like to solve these questions

Which of the following types of cancers has a genetic predisposition to its occurrence?

  • A. Lung
  • B. Breast
  • C. Cervix
  • D. Testicles
Correct Answer: B

Rationale: Breast cancer's gene link BRCA flags it sets it apart; lung's smoke-driven, cervix HPV-tied, testicles less inherited. Nurses spot this heredity, a chronic risk trigger for screening, not just chance.

What is an independent risk factor for the development of type 2 diabetes mellitus?

  • A. Age
  • B. Waist circumference
  • C. Smoking
  • D. All three options above
Correct Answer: D

Rationale: Type 2 diabetes brews from age cells tire; waist fat resists insulin; smoking inflammation tweaks glucose. All hit independently, stacking odds, a chronic trio nurses flag in every patient check, not just one picking off the list.

The body has several mechanisms to increase the blood glucose level in case of hypoglycaemia. Question: Which of the following options best describes the role of glucagon and adrenaline in hypoglycaemia?

  • A. Glucagon and adrenaline stimulate glycogenolysis in the liver
  • B. Glucagon and adrenaline inhibit the insulin-stimulated glucose uptake in the muscles
  • C. Glucagon stimulates glycogen synthase and adrenaline stimulates glycogenolysis in the liver
  • D. Glucagon and adrenaline stimulate glycogen synthase en adrenaline stimulates glycogenolysis in the muscles
Correct Answer: A

Rationale: Hypo hits glucagon and adrenaline rip glycogen apart in liver, sugar surges. No muscle block, no synthase flip straight breakdown's the play nurses watch this, a chronic rescue duo.

A 65-year-old male client is brought via EMS to the emergency department with chest pain. He rates the pain as a 10 on a scale from 0-10; the pain is located mid-sternum and radiates to his left arm. His heart rate is 126 beats/minute and blood pressure are 96/60 mm Hg. A 12-lead electrocardiogram is performed and reveals ST-segment elevation. Which of the following interventions does the nurse anticipate performing immediately?

  • A. Administer oxygen
  • B. Administer morphine
  • C. Administer a statin
  • D. Administer nitroglycerin
Correct Answer: A

Rationale: ST-elevation MI (STEMI) signals acute coronary occlusion severe chest pain, tachycardia, and hypotension demand oxygen first to counter hypoxia, per ABCs, buying time for reperfusion. Morphine eases pain, nitroglycerin dilates (if BP allows), but oxygen's immediate. Statins aid long-term, not now. Nurses prioritize oxygen, anticipating cath lab prep, a critical step in this time-sensitive infarct emergency.

What is essential in an ecological approach to health behaviour?

  • A. People should be approached in their natural environment
  • B. People learn behaviour in a layered environment
  • C. People aim to find a balance between risk and health
  • D. If it is beneficial to one's health, it is also sustainable
Correct Answer: B

Rationale: Ecological health layered worlds shape acts, not just spots, balance, or green wins. Nurses weave this, a chronic context web.

Copyright © 2025 Nokea. All rights reserved.