Nokea
A female client who was involved in a motor vehicle collision with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that her distal pulses are diminished in the left foot. Which interventions should the nurse implement? Select all that apply.
- A. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure. Verify pedal pulses using a doppler pulse device. Evaluate the application of the splint to the left leg
- B. Verify pedal pulses using a Doppler pulse device
- C. Evaluate the application of the splint to the left leg.
- D. Administer pain medication to alleviate discomfort.
Correct Answer: A
Rationale: Monitoring for signs of compartment syndrome and verifying pulses are critical to ensure adequate circulation and prevent complications.
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Hyperkalaemia:
- A. Is exacerbated by acidosis
- B. Is a finding in Conn's syndrome
- C. ECG findings include peaked tall T-waves
- D. Should be treated if serum K+ > 6mmol/l
Correct Answer: A
Rationale: Acidosis exacerbates hyperkalaemia by causing a shift of potassium from intracellular to extracellular space, worsening the condition.
Prevalence of psychiatric disorder:
- A. Is higher in urban than in rural areas
- B. Is increased in children with moderate learning difficulties
- C. Is increased in severe physical disability
- D. Is higher in children in social service care
Correct Answer: A
Rationale: Psychiatric disorders are more prevalent in urban areas compared to rural areas. They are also increased in children with learning difficulties and those in social service care.
Concerning bulimia nervosa:
- A. Review of teeth may aid diagnosis
- B. Patients may get hypokalaemia
- C. Patients are likely to neglect their appearance
- D. There is an association with calluses on the dorsum of hands
Correct Answer: B
Rationale: Hypokalaemia is a common complication of bulimia nervosa due to purging behaviors. Dental erosion and calluses on the hands are also associated with bulimia.
A child with a known history of asthma is admitted to the hospital with a respiratory infection. Which action is the nurse's priority?
- A. Administer a nebulizer treatment as ordered.
- B. Perform chest physiotherapy.
- C. Monitor oxygen saturation levels closely.
- D. Educate the parents about infection prevention.
Correct Answer: A
Rationale: The priority in asthma management is ensuring the airways are open, which is best achieved by administering a nebulizer treatment as ordered.
What are the FOUR mechanisms for LV outflow tract obstruction in AVSD?
- A. Gooseneck
- B. Subaortic fibromuscular ridge
- C. Septal hypertrophy
- D. Abnormal LAVV chordal attachments
Correct Answer: B
Rationale: The subaortic fibromuscular ridge is a common cause of LV outflow tract obstruction in AVSD, affecting the smooth flow of blood.