Nokea
A child with rheumatic fever is being admitted to the pediatric floor. On admission assessment, the nurse should ask the parents which question to elicit assessment information specific to the development of rheumatic fever?
- A. “Has your child complained of back pain?â€
- B. “Has your child complained of headaches?â€
- C. “Has your child had any nausea or vomiting?â€
- D. “Did your child have a sore throat or fever within the last 2 months?â€
Correct Answer: D
Rationale: A history of sore throat or fever within the last 2 months is significant as rheumatic fever often follows a streptococcal infection such as strep throat.
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Consequences of a median nerve section in the ante-cubital fossa include:
- A. Complete paralysis of pronation
- B. Loss of sensation over palmar aspect of middle finger
- C. Wasting of hypothenar eminence
- D. Paralysis of abductor pollicis brevis
Correct Answer: D
Rationale: The median nerve controls the abductor pollicis brevis, and its injury at the ante-cubital fossa results in an inability to perform thumb abduction.
Long-chain triglyceride absorption requires:
- A. Intraluminal bile salts
- B. Mixed micelle formation
- C. Intraluminal trypsin
- D. Intact duodenum
Correct Answer: B
Rationale: Mixed micelle formation: The absorption of long-chain triglycerides requires bile salts to form mixed micelles, which facilitate the transport of lipids across the intestinal mucosa.
Causes for hypertension in childhood
- A. PDA
- B. Hemolytic uremic syndrome
- C. Guillain-Barre syndrome
- D. Lead poisoning
Correct Answer: A
Rationale: Patent ductus arteriosus (PDA) is a common cause of hypertension in childhood.
A client with acute renal injury (AKI) who weighs 50 kg and has a potassium level of 6.7 mEq/L (6.7 mmol/l) is admitted to the hospital. Which prescribed medication should the nurse administer first?
- A. Sevelamer (RenaGel) one tablet PO.
- B. Epoetin alfa, recombinant (Epogen) 2,500 units SUBQ
- C. Sodium polystyrene (Kayexalate) 15 grams PO
- D. Calcium acetate (Phos-Lo) one tablet PO
Correct Answer: C
Rationale: Sodium polystyrene (Kayexalate) helps remove excess potassium, which is the priority concern in AKI with elevated potassium.
The tricuspid valve is in closed position corresponding to which of the following curves of central venous pressure:
- A. a' wave
- B. x descent
- C. x' descent
- D. y descent
Correct Answer: B
Rationale: The tricuspid valve is closed during the x descent of the central venous pressure curve.