A nurse educator who leads a residency program for new nurses is educating the new nurses on the trajectory of chronic illness. The nurse recognizes a need for further teaching when one of the new nurses states which of the following?

"A primary goal when caring for clients who have a chronic illness is to cure them of the condition."

"Clients with chronic illness may have to dedicate a lot of time to managing their disease."

"Individuals with the same chronic illness may experience a completely different trajectory of the illness."

"The client and caregiver should be educated on the prescribed treatment plan."

Answer and Explanation

The Correct Answer is A

A.   This statement is incorrect because many chronic illnesses are not curable. The goal of care for chronic illnesses is often to manage the condition, improve quality of life, and prevent complications, rather than achieving a complete cure.
B.   This statement is accurate. Managing a chronic illness often requires significant time and effort, including medication adherence, lifestyle changes, and regular medical appointments.
C.   The trajectory of a chronic illness can vary greatly between individuals, even those with the same condition. Factors such as genetics, lifestyle, and access to care can influence the course of the illness.
D.   This statement is accurate. Educating the client and caregiver about the prescribed treatment plan is essential for optimal management of chronic illnesses. This includes understanding medication dosages, side effects, and lifestyle modifications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Gum bleeding can be a sign of thrombocytopenia (low platelet count) and is concerning because it indicates a potential for bleeding complications. However, while it's significant, it might not be the most urgent symptom in the context of HIT compared to symptoms indicating acute thrombosis.

B. A hemoglobin level of 14 g/dL is generally within the normal range for most adults. In the context of HIT, this level does not indicate any immediate abnormality or severe issue related to anemia or bleeding, making it less concerning compared to other symptoms that might indicate acute complications.
C. Tachycardia (increased heart rate) and shortness of breath are concerning symptoms in the context of HIT. These symptoms can be indicative of a thrombotic event such as a pulmonary embolism (PE) or deep vein thrombosis (DVT), which are serious complications of HIT. The presence of these symptoms requires urgent evaluation as they suggest possible life-threatening complications.
D. Petechiae are small, pinpoint red or purple spots that appear due to bleeding under the skin, often associated with low platelet counts. While petechiae are a concerning sign and indicate bleeding issues, the presence of tachycardia and shortness of breath generally represents a more immediate threat to the patient's life due to potential thromboembolic events.

A. Raw vegetables with dip B. Granola bars C. Macaroni and cheese D. Dried fruit

Correct Answer is C

Explanation

A. Raw vegetables can be challenging for individuals with myasthenia gravis because they require significant chewing and can lead to fatigue of the jaw muscles. Additionally, raw vegetables can be difficult to swallow if there is significant weakness.
B. Granola bars can be hard and require extensive chewing. For a person with myasthenia gravis, the effort needed to chew and swallow these bars can lead to increased fatigue and difficulty managing meals.
C. Macaroni and cheese is a softer food that requires less chewing compared to raw vegetables or granola bars. It can be easier for individuals with myasthenia gravis to manage because it is soft and less likely to cause fatigue. Additionally, it can be enriched with nutrients and is easier to swallow, making it a more appropriate choice for a nutritional plan for someone with MG.
D. Dried fruit is typically tough and chewy, which can be difficult for someone with myasthenia gravis to handle. The chewing effort required can lead to muscle fatigue and discomfort.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse educator who leads a residency program for new nurses is educating the new nurses on the trajectory of chronic illness. The nurse recognizes a need for further teaching when one of the new nurses states which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been diagnosed with heparin-induced thrombocytopenia (HIT). Which of the following clinical manifestations should the nurse recognize as the most concerning for a client with this condition?

Correct Answer is C

Explanation

A nurse is caring for a client who has a diagnosis of myasthenia gravis. When creating the nutritional plan of care for the client, which of the following foods would be appropriate to include?

Correct Answer is C

Explanation

A nurse is caring for a 43-year-old female client who reports abdominal pain. Exhibits For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.

Which medication is commonly used in the treatment of multiple sclerosis?

A client diagnosed with acute glomerulonephritis has pitting edema in both feet, and has had 300 mL of urine output in the last 24 hours. The nurse should monitor this client for which complication associated with this finding?

Which of the following clients is at a higher risk of developing osteoarthritis?

A nurse is discussing the importance of following a low-sodium diet with a client who has heart failure. Which of the following food items would be appropriate for this patient to choose?

A client is diagnosed with chronic stable angina caused by plaques in the coronary arteries. The client receives a prescription for sublingual nitroglycerin to use as needed when angina occurs. Which additional medication does the nurse anticipate would be prescribed for this client?

A nurse is caring for a client who will begin a prolonged course of prednisone to treat a multiple sclerosis flare. What information should the nurse include in the education about this medication?

A nurse is preparing to administer heparin 2,000 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)