What are the characteristics of chronic illness as compiled by the Commission on Chronic Illness? (Select all that apply.)
a. The illness requires specialized training for rehabilitation.
b. The illness cannot be overcome.
c. The illness is permanent.
d. The illness has an unpredictable outcome.
e. The illness leaves a residual disability.
A, C, E
The Commission listed among the characteristics of chronic illness that chronic illness requires specialized, specific training for rehabilitation; the effects of the illness are permanent; and the illness leaves a residual disability.
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A 22-year-old male patient has been living with Crohn's disease for several years and is experiencing an exacerbation of symptoms. The nurse should anticipate the use of what corticosteroid?
A) Oral fludrocortisone (Florinef) B) Topical hydrocortisone C) Oral dexamethasone (Decadron) D) Oral prednisone
Which of the statements would indicate that a patient who has received an organ transplant understands the teaching about his or her immunosuppressive medications?
a. "My drug dosages will be lower because the medications enhance each other." b. "I will be less prone to side effects because I will be taking more than one drug." c. "Lower doses of these medications put me at greater risk for infection." d. "Taking more than one medication will put me at risk for developing allergies."
A researcher is involved in the production of insulin through recombinant DNA technology. Which of the following statements could the researcher best provide as a rationale for her work?
A) The gene fragment responsible for insulin production can be isolated and reproduced. B) Particular bacteria are capable of insulin production. C) It is possible to reproduce the chromosome responsible for insulin production. D) Recombination of DNA base pairs can result in a gene that will produce insulin.
The nurse is providing postoperative education to a transplant patient's family. When asked about detecting rejection, which answer by the nurse is most appropriate?
a. "Endomyocardial biopsies will be performed weekly for the first six weeks after surgery." b. "Increased shortness of breath most likely indicates immediate, acute rejection of the heart." c. "Biopsies of the heart are done every 6 months after the day of the transplant surgery." d. "As time passes, the more biopsies that are performed, the more reliable the results become."