Care of Chronic Illness Flashcards
7 cards from real RPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Care of Chronic Illness flashcards as text
A patient with COPD is prescribed long-acting bronchodilators. Which inhaler technique instruction is most important?
Answer: Exhale fully before inhaling the medication
Exhaling fully before inhaling maximizes medication delivery to the airways.
A nurse is educating a patient with Type 2 diabetes about foot care. Which instruction is highest priority?
Answer: Inspect feet daily using a mirror if needed
Daily foot inspection allows early detection of injuries that can lead to serious complications due to diabetic neuropathy.
Which lab value is most important to monitor in a patient with chronic kidney disease (CKD)?
Answer: Serum potassium
Hyperkalemia is a life-threatening complication of CKD because impaired kidneys cannot excrete potassium adequately.
A patient with heart failure reports waking up at night feeling short of breath. This symptom is called:
Answer: Paroxysmal nocturnal dyspnea
Paroxysmal nocturnal dyspnea (PND) is sudden shortness of breath that awakens a patient from sleep, characteristic of left-sided heart failure.
A patient with rheumatoid arthritis reports joint stiffness. When is this stiffness typically worst?
Answer: In the morning upon waking
Morning stiffness lasting more than one hour is a hallmark of rheumatoid arthritis.
A nurse is caring for a patient with multiple sclerosis (MS) experiencing fatigue. Which intervention is most appropriate?
Answer: Schedule activities during the patient's peak energy periods
Scheduling activities when energy levels are highest helps MS patients manage fatigue and maintain function.
Which dietary modification is most important for a patient with chronic heart failure to prevent fluid retention?
Answer: Limit sodium intake to 2,000 mg per day
Restricting sodium reduces fluid retention and decreases the workload on the failing heart.
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