NR 511: Differential Diagnosis Exam With 100% Correct Answers Latest Update 2024

Some pharmacological adjuncts to analgesics in clients with uncontrolled cancer pain include A. Anticonvulsants and tricyclic antidepressants B. Anticonvulsants, tricyclic antidepressants, and corticosteroids C. Selective serotonin receptor inhibitors D. Benzodiazepines Ans B. Anticonvulsants, tricyclic antidepressants, and corticosteroids - Pain that is poorly controlled with opioids and NSAIDs is often neuropathic in nature, meaning that it is a result of direct nerve injury, such as nerve compression Multiple myeloma is a plasma cell malignancy in which the bone marrow is replaced, and there is bone destruction and paraprotein formation. Myeloma is a disease of older adults overall (median age at presentation, 65 years). Common presenting symptoms include A. Nausea and vomiting and chronic cough B. Fatigue and splenomegaly C. Lower back pain and hypercalcemia D. Nausea and vomiting and fatigue Ans C. Lower back pain and hypercalcemia - Bone pain is a common presenting symptom, most frequently manifested as low back pain or pain in the rib, and may present as a pathological fracture, especially in the femoral neck. Hypercalcemia is often present related to the leakage of calcium occurring from bone destruction. Maria asks if being overweight predisposes her to cancer. How do you respond? A. "No, you have the came risk as a normal-weight individual." B. "You have less of a risk of cancer than normal-weight individuals because you have protein stores to combat mutant cells." C. "Yes, you have an increased risk of hormone-dependent cancers because of your obesity." D. "Yes, you have an increased risk because you have many more cells in all the organs of your body." Ans C. "Yes, you have an increased risk of hormone-dependent cancers because of your obesity." - Because of excessive body fat. Sex hormones are synthesized from fat, and obese people have excessive amounts of the hormones that feed hormone-dependent malignancies such as cancer of the breast, bowel, ovary, endometrium, and prostate