Nokea
A client with pheochromocytoma reports the onset of a severe headache. The nurse observes that the client is very diaphoretic. Which assessment data should the nurse obtain next?
- A. Blood pressure
- B. Blood glucose level
- C. Respiratory rate
- D. Oxygen saturation
Correct Answer: A
Rationale: Pheochromocytoma can lead to hypertension, which may be responsible for the client’s symptoms. Monitoring blood pressure is crucial to assess for potential hypertensive crisis.
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The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever. The nurse knows that which laboratory study would assist in confirming the diagnosis?
- A. Immunoglobulin
- B. Red blood cell count
- C. White blood cell count
- D. Anti-streptolysin O titer
Correct Answer: D
Rationale: The Anti-streptolysin O titer is used to confirm a diagnosis of rheumatic fever as it indicates a recent streptococcal infection, which is a precursor to rheumatic fever.
The following conditions may present with microcephaly:
- A. Dandy-Walker malformation
- B. Congenital rubella
- C. Rett syndrome
- D. Edward's syndrome
Correct Answer: B
Rationale: Congenital rubella syndrome is associated with microcephaly due to intrauterine infection affecting brain development.
Left axis deviation of the QRS complex is associated with all the following except
- A. Inflow ventricular septal defect
- B. Pulmonary atresia with intact interventricular septum
- C. Double outlet right ventricle with subaortic ventricular septal defect
- D. Noonan syndrome with pulmonary stenosis
Correct Answer: A
Rationale: Left axis deviation is not typically associated with inflow ventricular septal defect.
The MOST common cause of death from associated cardiac lesions without heart syndrome in the first month of life is
- A. d-Transposition
- B. hypoplastic left heart syndrome
- C. pulmonary atresia
- D. truncus arteriosus
Correct Answer: A
Rationale: d-Transposition of the great arteries is a common cause of death in the first month due to mixing of oxygenated and deoxygenated blood.
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.