NUR 300 Exam #1

1. Which of the following clients is at a high risk for developing dilated cardiomyopathy?
a. A 4-year-old child born with cerebral palsy and confined to a wheelchair
b. A 44-year-old noncompliant female who forgets to take her hypertensive medications
c. A 17-year-old with a diving injury resulting in paraplegia
d. A 78-year-old patient with Alzheimer disease who received a third-degree burn following an oven fire
2. A client is experiencing muscle atrophy following 2 weeks in traction after a motor vehicle accident. Which of the following factors has most likely contributed to the atrophy of the client's muscle cells?
a. Reduced oxygen consumption and cellular function that ensures muscle cell survival
b. A …show more content…

12. A woman is surprised to read on the Internet that certain infections can cause cancer and has sought clarification from her family physician during an office visit. How can the physician best respond to the woman's query?
a. "Most cancers that cannot be attributed to family history or lifestyle are in fact associated with viruses."
b. "This is true; for example, HIV has been shown to cause cancer in some patients."
c. "There are many viruses, but only a very few of them have been shown to cause cancer in humans."
d. "Though it's not particularly common, it's true that certain bacteria and viruses can lead to cancer."
13. The family of a 68-year-old man who is in the end stages of small cell lung cancer are distraught at his visible body wasting that has worsened in recent weeks. Which of the following phenomena best accounts for the client's anorexia and cachexia?
a. Inadequate cellular metabolism of glucose results from tumor factors.
b. Products of the tumor itself as well as a hypermetabolic state cause cachexia.
c. Inadequate food intake due to symptoms and treatment results in loss of both muscle and fat.
d. High fat losses coupled with preservation of muscle mass exaggerate the appearance of wasting.
14. A 51-year-old female has been found to have a metastatic lesion in her lung, and her oncologist is unsure of the site of the primary tumor. Which of the following procedures is most likely to aid in this determination?
a. Tissue