Nokea
A characteristic sign of hypercalcaemia is:
- A. Trousseau's sign
- B. Chvostek's sign
- C. Homan's sign
- D. Kussmaul's sign
Correct Answer: A
Rationale: Trousseau's sign, which involves muscle spasms when a blood pressure cuff is inflated, is a common indicator of hypocalcemia, not hypercalcemia.
You may also like to solve these questions
In the most common type of CAH:
- A. Autosomal dominant transmission occurs
- B. II -Hydroxylase is deficient
- C. Hypertension is seen
- D. 17-OH progesterone is increased
Correct Answer: D
Rationale: 17-OH progesterone is increased: In congenital adrenal hyperplasia (CAH), the most common form is 21-hydroxylase deficiency, leading to increased 17-hydroxyprogesterone levels.
A nurse cares for a client who is prescribed magnetic resonance imaging (MRI) of the heart. The client’s health history includes a previous myocardial infarction and pacemaker implantation. Which action should the nurse take?
- A. Schedule an electrocardiogram just before the MRI.
- B. Notify the healthcare provider before scheduling the MRI.
- C. Call the physician and request a laboratory draw for cardiac enzymes.
- D. Instruct the client to increase fluid intake the day before the MRI.
Correct Answer: B
Rationale: Clients with pacemakers are generally not candidates for MRI due to the risk of device malfunction or tissue damage. The healthcare provider must be notified to determine the best course of action.
While assisting a female client to the toilet, the client begins to have a seizure and the nurse eases her to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?
- A. Document details of the seizure activity
- B. Observe for lacerations to the tongue
- C. Observe for prolonged periods of apnea
- D. Evaluate for evidence of incontinence
Correct Answer: C
Rationale: Observing for prolonged periods of apnea is critical to ensure the client's airway remains patent and to prevent hypoxia.
Chief organ systems affected in acute graft-versus-host reaction are:
- A. Skin
- B. Renal system
- C. Gut
- D. CNS
Correct Answer: A
Rationale: The skin is one of the primary organ systems affected in acute graft-versus-host disease. The renal system, gut, and CNS can also be affected, but the skin is the most commonly involved.
Complications of an infant of a diabetic mother include:
- A. Hypoglycaemia
- B. Hypocalcaemia
- C. Hyperinsulinaemia
- D. Jaundice
Correct Answer: A
Rationale: Infants of diabetic mothers are at risk of hypoglycemia due to maternal hyperglycemia leading to fetal hyperinsulinemia, which persists after birth.