Nokea
A nurse cares for a client who has advanced cardiac disease and states, I am having trouble sleeping at night. How should the nurse respond?
- A. I will consult the provider to prescribe a sleep study to determine the problem.
- B. You become hypoxic while sleeping; oxygen therapy via nasal cannula will help.
- C. A continuous positive airway pressure, or CPAP, breathing mask will help you breathe at night.
- D. Use pillows to elevate your head and chest while you are sleeping.
Correct Answer: D
Rationale: Elevating the head and chest can reduce fluid accumulation in the lungs, improving breathing and sleep quality in clients with advanced cardiac disease.
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All of the following are part of acute aortic syndrome, except
- A. Aortic dissection
- B. Acute aortic regurgitation
- C. Intramural hematoma
- D. Penetrating atherosclerotic ulcer
Correct Answer: B
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Emergency management of acute asthma includes:
- A. Arterial blood gas
- B. Nebulised steroids
- C. Intravenous theophylline
- D. Nebulised ~-antagonists
Correct Answer: D
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Toddler's diarrhoea is characterised by:
- A. Onset over 18 months
- B. Failure to thrive
- C. Excessive consumption of cow's milk
- D. Undigested food particles in the stool
Correct Answer: D
Rationale: The correct answer is D because undigested food particles in the stool are a hallmark of toddler's diarrhoea. The other options (a, b, c, e) are less specific.
These causes often cause secretory diarrhoea except:
- A. Lactose intolerance
- B. E. coli infection
- C. Congenital chloridorrhoea
- D. Blind loop syndrome
Correct Answer: A
Rationale: The correct answer is A because lactose intolerance causes osmotic diarrhoea, not secretory diarrhoea. The other options (b-e) are causes of secretory diarrhoea.
Common reasons for doing a BMT in children are:
- A. SCID (severe combined immunodeficiency)
- B. Acute lymphoblastic leukemia
- C. CML
- D. Gaucher's disease
Correct Answer: A
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