Nokea
A nurse assesses a client who is scheduled for a cardiac catheterization. Which assessment should the nurse complete before this procedure?
- A. Client’s level of anxiety
- B. Ability to turn self in bed
- C. Cardiac rhythm and heart rate
- D. Allergies to iodine-based agents
Correct Answer: D
Rationale: Assessing for allergies to iodine-based agents is critical before cardiac catheterization, as contrast dye used during the procedure may cause an allergic reaction.
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Benign Rolandic seizures:
- A. Usually occurs at night
- B. Are difficult to control with drugs
- C. Centrotemporal spikes in EEG are a recognised feature
- D. Are more common than petit mal
Correct Answer: C
Rationale: Centrotemporal spikes on EEG are a hallmark feature of benign Rolandic epilepsy, a common childhood epilepsy syndrome.
Blau syndrome is associated with
- A. Amyloidosis
- B. Sarcoidosis
- C. Hemochromatosis
- D. Myeloma
Correct Answer: B
Rationale: Blau syndrome is associated with sarcoidosis
The differential in a 5-year old with a 2-week history of painful joints is all the following except:
- A. Viral polyarthritis
- B. Rheumatoid arthritis
- C. Lyme disease
- D. Rheumatic fever
Correct Answer: B
Rationale: rheumatoid arthritis is rare in a 5-year-old with a 2-week history of joint pain. The other options (a-d) are more likely differentials.
Normal Heart
- A. Ventricular septal depolarization occurs from Lt ï‚® Rt
- B. During tachycardia diastolic time reduced than systolic time
Correct Answer: B
Rationale: During tachycardia, diastolic time is significantly reduced compared to systolic time.
Atypical hemolytic uremic syndrome is associated with
- A. Factor VII deficiency
- B. Factor H deficiency
- C. Interleukin 10 deficiency
- D. Properdin deficiency
Correct Answer: B
Rationale: Factor H deficiency is a known cause of atypical hemolytic uremic syndrome.