A nurse assesses clients on the medical-surgical unit. Which client should the nurse identify as at high risk for pancreatic cancer?
a. A 26-year-old with a body mass index of 21
b. A 33-year-old who frequently eats sushi
c. A 48-year-old who often drinks wine
d. A 66-year-old who smokes cigarettes
ANS: D
Risk factors for pancreatic cancer include obesity, older age, high intake of red meat, and cigarette smoking. Sushi and wine intake are not risk factors for pancreatic cancer.
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A female patient has been diagnosed with tuberculosis and begun multiple-drug therapy. The woman has asked the nurse why it is necessary for her to take several different drugs instead of one single drug
How should the nurse best respond to the patient's question? A) "Multiple drugs are used because doctors aren't sure which drug will kill a particular TB strain." B) "The use of multiple drugs prevents the development of drug-resistant TB." C) "Multiple drugs are prescribed because the final testing results for TB can take up to 3 months." D) "Multiple drugs are used in order to speed up the course of treatment."
An elderly patient has begun taking bisoprolol (Zebeta) 10 mg PO once daily for the treatment of angina. The nurse should administer this drug in the knowledge that it achieves a therapeutic effect in what way?
A) Decreasing heart rate B) Increasing the force of myocardial contractions C) Prolonging the QT interval D) Shortening the time required for repolarization
A client with heart failure experiences an increase in lower extremity edema and weigh gain. Which change in the client's behavior most likely contributed to the edema and weight gain?
a. Increased activity b. Water retention due to increased protein intake c. Worsening cardiac ejection fraction due to age d. Excess sodium from ingesting processed foods
What is the first step in drug transport?
1. Metabolism 2. Distribution 3. Excretion 4. Absorption