Nokea
A male client with pernicious anemia takes supplemental folate and self-administers monthly Vitamin B12 injections. He reports feeling increasingly fatigued. Which laboratory value should the nurse review?
- A. Complete blood count
- B. Serum ferritin level
- C. Serum potassium level
- D. Liver function tests
Correct Answer: A
Rationale: Fatigue in pernicious anemia may indicate inadequate treatment. A complete blood count helps assess hemoglobin and red blood cell levels.
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The formula to predict the maximum predicted heart rate for Treadmill exercise testing in CAD patients on beta blockers is X - (0.7 X Age). The value of X is
- A. 174
- B. 164
- C. 184
- D. 154
Correct Answer: B
Rationale: The value of X is 164 in the formula for predicting maximum heart rate in CAD patients on beta blockers.
Frequent complications of Mycoplasma infection include:
- A. Thrombocytopenia
- B. Haemolytic anaemia
- C. Cardiac conduction defects
- D. Pleural effusion
Correct Answer: B
Rationale: Haemolytic anaemia: Mycoplasma infections, particularly with Mycoplasma pneumoniae, can lead to autoimmune haemolytic anaemia, where the body’s immune system destroys red blood cells.
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.
Most common autoimmune antibody - mediated encephalopathy is
- A. Anti-NMDA receptor antibody syndrome
- B. Anti-voltage gated potassium channel antibody syndrome
- C. Anti-AMPAR antibody syndrome
- D. Anti-Glycine receptor antibody syndrome
Correct Answer: A
Rationale: Anti-NMDA receptor antibody syndrome is the most common autoimmune antibody-mediated encephalopathy.
Drug of choice for infective endocarditis due to HACEK organisms is
- A. Vancomycin
- B. Gentamicin
- C. Ampicillin
- D. Ceftriaxone
Correct Answer: D
Rationale: Ceftriaxone is the drug of choice for infective endocarditis due to HACEK organisms.