Nokea
A 3-year-old child with a fever and sore throat is most likely to have:
- A. Coxsackievirus infection
- B. Tonsillitis
- C. Scarlet fever
- D. Measles
Correct Answer: B
Rationale: Tonsillitis is a common cause of fever and sore throat in young children and may be viral or bacterial in origin.
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An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for this infant?
- A. Encouraging the infant to hold a bottle
- B. Keeping the infant on bed rest to conserve energy
- C. Rotating caregivers to provide more stimulation
- D. Maintaining a consistent, structured environment
Correct Answer: D
Rationale: A consistent, structured environment helps build trust and security, which is essential for an infant with nonorganic failure to thrive.
What should the nurse assess prior to administering digoxin? (Select all that apply.)
- A. Sclera
- B. Apical pulse rate
- C. Cough
- D. Liver function test
Correct Answer: B
Rationale: Because digoxin decreases the heart rate, the apical pulse should be assessed. If the HR is below 60 beats per minute, digoxin should not be administered.
An older client arrives at the outpatient eye surgery clinic for a right cataract extraction and lens implant. During the immediate postoperative period, which intervention should the nurse implement?
- A. Teach a family member to administer eye drops
- B. Encourage deep breathing and coughing exercises
- C. Provide an eye shield to be worn while sleeping
- D. Obtain vital signs every 2 hours during hospitalization
Correct Answer: C
Rationale: An eye shield protects the surgical site from accidental trauma during sleep, which is critical for postoperative healing.
Recurrent Neisserial meningitis in children is suggestive of deficiency of ----- complement.
- A. C3
- B. C4
- C. C8
- D. All
Correct Answer: C
Rationale: Recurrent Neisserial meningitis is suggestive of a deficiency in the terminal complement components, particularly C8, which is crucial for bacterial lysis.
In ventricular arrythmia:
- A. PR interval is prolonged
- B. Common in thyrotoxicosis
- C. Synchronised DC shock is the treatment of choice
- D. IV adenosine treatment is effective
Correct Answer: C
Rationale: Synchronised DC shock is the treatment of choice: In cases of life-threatening ventricular arrhythmias, such as ventricular fibrillation or pulseless ventricular tachycardia, synchronized direct current shock (DC shock) is the recommended treatment.