Nokea
A feature of Turner syndrome is:
- A. Short stature
- B. Polydactyly
- C. Congenital heart defects
- D. Mental retardation
Correct Answer: A
Rationale: Short stature is a common feature of Turner syndrome, along with ovarian insufficiency and other physical abnormalities.
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The nurse is assessing a child after a cardiac catheterization. Which complication should the nurse be assessing for?
- A. Cardiac arrhythmia
- B. Hypostatic pneumonia
- C. Heart failure
- D. Rapidly increasing blood pressure
Correct Answer: A
Rationale: Because a catheter is introduced into the heart, a risk exists of catheter-induced dysrhythmias occurring during the procedure. These are usually transient. Hypostatic pneumonia, heart failure, and rapidly increasing blood pressure are not risks usually associated with cardiac catheterization.
A nursing action that promotes ideal nutrition in an infant with congestive heart failure (CHF) is:
- A. Feeding formula that is supplemented with additional calories.
- B. Allowing the infant to nurse at each breast for 20 minutes.
- C. Providing large feedings every 5 hours.
- D. Using firm nipples with small openings to slow feedings.
Correct Answer: A
Rationale: Supplementing formula with extra calories increases the caloric density to support growth in infants with CHF.
What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select the four that apply.)
- A. Hypertrophied right ventricle
- B. Patent ductus arteriosus
- C. Ventral septal defect
- D. Narrowing of pulmonary artery
Correct Answer: D
Rationale: The four anomalies that comprise tetralogy of Fallot are hypertrophied right ventricle, patent ductus arteriosus, stenosis of pulmonary artery, and dextroposition of the aorta.
A client with a liver abscess undergoes surgical evacuation and drainage of the abscess. Which laboratory value is most important for the nurse to monitor following the procedure?
- A. Serum creatinine
- B. Blood urea nitrogen (BUN)
- C. White blood cell count
- D. Serum glucose
Correct Answer: C
Rationale: Monitoring WBC is essential to assess for infection or signs of abscess recurrence after the procedure.
Which of the following drugs have no mortality benefit?
- A. Nitrates
- B. Beta-blockers
- C. Trimetazidine
- D. RAAS blockers
Correct Answer: C
Rationale: Trimetazidine is used as an adjunct therapy in ischemic heart disease but does not have a proven mortality benefit, unlike RAAS blockers, beta-blockers, and nitrates.