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 A

Explanation

A. Peaked T-waves and a widened QRS complex on an ECG are often signs of hyperkalemia, which is an elevated potassium level in the blood. This can be a serious complication of acute kidney injury (AKI), especially in the oliguric phase when the kidneys are unable to effectively excrete potassium.A
B. While fluid management is important in AKI, administering a bolus of normal saline is not the first priority in the presence of suspected hyperkalemia. The primary concern is to address the electrolyte imbalance.

C. Administering potassium chloride would worsen hyperkalemia and should be avoided.
D. Kayexalate is a medication used to treat hyperkalemia by exchanging sodium ions for potassium ions in the gastrointestinal tract. However, checking the potassium level is the first step in confirming the diagnosis and determining the appropriate treatment.

A. Fluid volume deficit B. Bradycardia C. Hypertension D. Hyperglycemia

Correct Answer is C

Explanation

A. Fluid volume deficit, or dehydration, occurs when the body loses more fluid than it takes in. In this case, the patient has very low urine output, indicating that the kidneys are not excreting enough fluid. Despite the low urine output, the presence of pitting edema suggests that the patient is actually retaining fluid rather than losing it.
B. Bradycardia is defined as a heart rate slower than 60 beats per minute. While electrolyte imbalances and fluid imbalances can affect heart rate, bradycardia is not the primary concern associated with the combination of pitting edema and low urine output in this situation.
C. Hypertension (high blood pressure) is a common complication in acute glomerulonephritis. The condition often leads to fluid retention due to reduced kidney function and increased sodium and fluid retention. The presence of pitting edema and very low urine output suggests that the kidneys are not effectively removing excess fluid, which can lead to increased blood pressure.
D. Hyperglycemia refers to elevated blood glucose levels. Acute glomerulonephritis is not directly associated with hyperglycemia. While patients with diabetes can develop renal issues, hyperglycemia itself is not a typical direct complication of acute glomerulonephritis.

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 client is in the oliguric phase of acute kidney injury (AKI) which was caused by massive tissue trauma. The nurse notes peaked T-waves and a widened QRS complex on the cardiac monitor. What is the first action the nurse should take?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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 assessing a client who has osteoarthritis of the right hand. Which of the following would be the preferred treatment for this client?

A nurse is admitting a client who has Guillain-Barre syndrome. The client complains of an inability to move both legs and reports a tingling sensation above the waistline. Which is the most important piece of equipment for the nurse to keep at this client's bedside?

A client who received a kidney transplant 3 months ago is in the nephrologists office for a follow up appointment. Which finding would indicate that the client is experiencing a complication which is common after a kidney transplant?

The nurse is performing an admission assessment on a client who is being admitted for right- sided heart failure. Which statement made by the patient would be consistent with right-sided heart failure?

A nurse is caring for a client who has shortness of breath and a chronic cough. The client has smoked one pack of cigarettes per day for the last 20 years. Which finding on the client's chest x-ray would be consistent with a diagnosis of advanced COPD?

A client is seen in a primary care provider's office. The client has gradually developed a stooped posture, shuffling gait, and a lack of facial expressions. Which medication should the nurse anticipate will be prescribed to treat these symptoms?

Which of the following clients is at risk for sensorineural hearing loss?