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Patho Wks 4-6 Quiz
Nightingale Pathophysiology, Weeks 4-6 Quiz
Question | Answer |
---|---|
Which statement made by the cancer patient indicates the need for more teaching? A major cause of cancer pain is: | cancer cells residing in lymph nodes. |
Which of the following treatments to help cancer-related or chemotherapy-related anemia should the nurse discuss with the patient? | Erythropoietin |
The nurse is seeking information about proto-oncogenes. Through a reputatble source the nurse learns that a proto-oncogene is: | a normal, nonmutant gene. |
The nurse is reviewing a patient’s laboratory report. Which finding correlates to the patient’s diagnosis of cervical cancer? | Human papilloma virus |
A nurse is describing a process in which a piece of one chromosome is moved to another chromosome. What term should the nurse use to describe this process? | Transolcation |
A nurse is explaining variant genes to a group of nursing students. When discussing the retinoblastoma gene, what type of gene is the nurse describing? | A tumor-suppressor gene |
During a health fair, the nurse is asked about cancer symptoms. The best response identifies that the most commonly reported symptom is: | Fatigue |
When explaining cancer that extends to organs or tissues distant from the site of origin, what term should the nurse use? | Metastasis |
A nurse is describing the process of metastasis. Which is necessary in order for metastasis to occur? | Decreased cell adhesions |
A patient with cancer has poor muscle functioning and fatigue. Which cytokines/inflammatory mediators does the nurse suspect is causing these problems? | Tumor necrosis factor and interleukin-1 |
A nurse is discussing the pathophysiology of cerebral infarction. Which point is correct? Cerebral thrombosis develops most frequently from: | atherosclerosis. |
A patient has a vertebral disorder that involves a structural defect (often hereditary) that causes forward displacement of the affected vertebra. Which diagnosis will the nurse observe documented on the chart? | Spondylolysis |
Autonomic hyperreflexia is caused by: | stimulation of sensory/pain receptors below the level of the spinal cord lesion. |
A patient ruptured the middle meningeal artery, resulting in an epidural hemorrhage. The nurse realizes that in this type of intracranial hemorrhage; the bleeding occurs between the dura mater and the: | skull. |
A patient with a spinal cord injury (T6 level) reports a headache. The patient's blood pressure is 296 systolic, and the patient is sweating. Which intervention is most appropriate? | Check the patient's bladder. |
A patient has Guillain-Barré. During the health history the nurse should ask about a history of: | respiratory viral infections. |
A nurse is describing the pathophysiology of myasthenia gravis. Which information should the nurse include? | This is an autoimmune disease mediated by antibodies against the acetylcholine receptors, resulting in defective nerve impulses. |
ALS is caused by: | degeneration of lower and upper motor neurons. |
A patient has a subdural hematoma. A nurse realizes that the bleeding is occurring: | between the dura mater and the brain. |
A nurse is describing the pathophysiology of subarachnoid hemorrhage (SAH). Which information should the nurse include? | Impaired reabsorption of cerebrospinal fluid occurs. |
During the assessment of a patient with meningitis, the nurse wants to test for nuchal rigidity. Which test will the nurse implement? | Kernig |
Which type of injury will the nurse prepare to care for when a patient has a diffuse brain injury? | Concussion |
A patient's forehead hit the steering wheel during a motor vehicle accident. Which part of the brain received the coup injury? | Frontal |
A nurse is describing the pathophysiology of a herniated disk. Which information should the nurse include? | The nucleus pulposus extrudes and compresses the nerve root. |
A patient has a recent spinal cord injury. Which term should the nurse use to describe the loss of reflex function below the level of injury/lesion? | Spinal Shock |
A patient has a brief episode of neurological deficits that resolves within 12 hours with a return to normal functioning. Which diagnosis will the nurse observe documented on the chart? | Transient ischemic attack |
A nurse is preparing a presentation on progressive neurological disorders. Which concept should be taught? | Amyotrophic lateral sclerosis—degenerative disorder of both upper and lower motor neurons |
A patient with HIV has painful burning dysesthesias and paresthesias, especially in the extremities. What condition will the nurse see documented in the chart? | HIV neuropathy |
Which intervertebral disks should the nurse assess first for herniation? | L4-S1 |
A patient has a spinal cord tumor that is causing an irritative syndrome. What does this imply to the nurse? | The patient is experiencing compression symptoms plus radicular pain. |