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1. What is the primary reason for conducting an annual eye exam for patients prescribed
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Plaquenil?
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. . To assess overall health status
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. . To monitor for potential ocular side effects
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. . To evaluate kidney function
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. . To check for signs of infection
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2. Explain why it is important for caregivers to limit theirtime near a patient undergoing
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internal radiation therapy.
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. . To ensure the patient feels comfortable.
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. . To prevent the spread of infection.
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. . To minimize radiation exposure to caregivers.
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. . To allow for more frequent patient assessments.
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3. Apatient with Systemic Lupus Erythematosus is planning a vacation to a sunny beach
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destination. As a nurse, what advice would you provide to help manage potentialtriggers
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during their trip?
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.. Encourage them to spend as much time in the sun as possible to build tolerance.
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.. Advise them towear sunscreen, protective clothing, and limit sun exposure
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during peak hours.
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. . Suggest they avoid all outdoor activities to prevent any exposure.
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. . Inform them that sun exposure will have no impact on their condition.
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,4. Explain why the Western diet is considered unhealthy in terms of its nutritional
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components.
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. . It includes a variety of whole foods and minimal processed items.
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. . It is rich in essential nutrients and low in calories.
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. . It is characterized by a high intake of processed foods and a deficiency in fruits
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and vegetables.
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. . It promotes a balanced lifestyle with adequate physical activity.
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5. What is the main purpose of immunosuppressant medications in the treatment of
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autoimmune diseases?
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. . To enhance the immune response
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. . To suppress the immune response
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. . To stimulate the production of antibodies
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. . To prevent infections
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6. What is the effect of SLE on the kidneys?
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. . Inflammation of the kidneys leads to excess proteins in the blood stream .. . .. .. . .. .. .. . .. ..
. . Immune complexes are deposited in the glomeruli .. .. .. .. .. ..
. . The kidneys are not affected by SLE
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. . Increased release of renin due to immune complexes .. .. .. .. .. .. ..
7. Explain the primary characteristics that differentiate benign tumors from malignant
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tumors.
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. . Benign tumors are always larger than malignant tumors.
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. . Malignant tumors are non-cancerous and do not spread. .. .. .. .. .. .. ..
, . . Benign tumors do not invade surrounding tissues, while malignant tumors can.
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. . Malignant tumors are always found in the brain.
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8. A patient has been diagnosed with breast cancer and is being monitored for treatment
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effectiveness. Which tumor marker would be most relevant for this patient, and why?
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. . CA-125, because it is specific to ovarian cancer.
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. . PSA, because it is used for prostate cancer monitoring.
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. . HER2/neu, because it is associated with breast cancer. .. .. .. .. .. .. ..
. . AFP, because it is used for liver cancer diagnosis.
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9. What are the severe disease conditions for which high-dose corticosteroids are indicated?
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. . Anemia and thrombocytopenia .. ..
. . Nephritis and myocarditis .. ..
. . Asthma and COPD .. ..
. . Diabetes and hypertension .. ..
10. Explain the primary differences between malignant and benign tumors in your own
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words.
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. . Malignant tumors are less aggressive and do not spread.
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. . Benign tumors are irregular and can metastasize.
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.. Malignant tumors are characterizedby invasiveness and the ability to spread,
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while benign tumors are typically localized and well-defined.
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, . . Both types of tumors are the same in terms of growth and spread.
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11. Explain how filgrastim (Neupogen) contributes to the management of patients
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undergoing chemotherapy.
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. . It helps in pain management during treatment.
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. . It prevents hair loss associated with chemotherapy.
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.. It stimulates the production of white blood cells tocombat neutropenia.
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. . It enhances the effectiveness of chemotherapy drugs.
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12. Apatient with advanced cancer is experiencing resistance to their current treatment regimen.
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As a nurse, you are considering the implementation of combination therapy. Which of the
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following strategies would best support the rationale for this approach?
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. . Switching to a single high-dose chemotherapyagent to maximize impact
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. .Introducing a new drug that works through a different mechanism to . . . . . . . . . ..
.enhance treatment effectiveness . .
. . Continuing with the current treatment while adding a placebo to monitor effects
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. . Reducing the frequency of treatment sessions to allow the body to recover
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13. A patient diagnosed with a malignant tumor is considering treatment options. If the
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oncologist recommends brachytherapy, what type of
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radiation therapy is being suggested, and how does it differ from external radiation?
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. . Brachytherapy is a form of external radiation that uses high-energy beams. .. .. .. .. .. . .. .. .. ..