A cancer patient who has been receiving cytotoxic drugs has been having frequent sinus infections. During planning of his care, the nurse must remember that this frequency of infections is an indication of possible
a. immunotherapy.
b. drug-induced immunosuppression.
c. delayed hypersensitivity.
d. autoimmune disorder.
Question 2A 56-year-old man visits his primary care provider infrequently but has now presented with complaints of transient visual disturbances.
Assessment of the patient has yielded few remarkable findings with the exception of blood pressure (BP) of 169/106 mm Hg. When do signs and symptoms of hypertension typically appear?
A) Once the patient's average BP crosses the threshold of 140/90 mm Hg
B) During the prehypertension stage of the disease
C) After target organ damage has occurred
D) After hypertension becomes an irreversible condition
Question 3During a patient history, the nurse notices that the patient has had five upper respiratory infections in the past 18 months.
The nurse begins to suspect that the patient may have an immunodeficiency disease because the first evidence of this disease is a. an increased susceptibility to infection.
b. an increased coagulation problem.
c. a problem with hemostasis.
d. localized edema, raised wheals.
Question 4Mr. Faulkner is a 69-year-old man who has enjoyed generally good health for his entire adult life. As a result, he has been surprised to receive a new diagnosis of hypertension after a series of visits to his primary care provider.
The nurse who is working with Mr. Faulkner should recognize which of the following aspects of aging and hypertension?
A) The diagnostic criteria for hypertension in adults over 65 differ from those for younger adults.
B) The incidence and prevalence of hypertension increase with age.
C) Blood pressure remains stable throughout adulthood but tends to be assessed more often by health care providers of older adults.
D) Older adults are less vulnerable to the pathophysiological effects of hypertension than are younger adults.
Question 5A patient is undergoing immunotherapy on a perennial basis. With this form of treatment, she receives
a. larger doses each week.
b. higher concentrations each week.
c. increased amounts and concentrations in 6-week cycles.
d. the same amount and concentration each visit.
Question 6After a series of visits to her care provider, a 40-year-old woman has been diagnosed with primary hypertension and metabolic syndrome.
In addition to her persistently high blood pressure (BP) readings, what criterion would contribute to the woman's diagnosis of metabolic syndrome?
A) Serum sodium levels of 135 mmol/L
B) Abnormal lipid levels
C) Increased serum creatinine and/or blood urea nitrogen (BUN) levels
D) Presence of proteinuria
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