Nokea
An emergency department nurse triages clients who present with chest discomfort. Which client should the nurse plan to assess first?
- A. A 42-year-old female who describes her pain as a dull ache with numbness in her fingers
- B. A 49-year-old male reports moderate pain that is worse on inspiration
- C. A 53-year-old female reports substernal pain that radiates to her abdomen
- D. A 58-year-old male describes his pain as an intense stabbing that spreads across his chest
Correct Answer: D
Rationale: Intense stabbing chest pain that spreads across the chest is highly suggestive of an acute cardiac event, such as a myocardial infarction, and requires immediate assessment.
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What are THREE classes of medication used to treat giant coronary artery aneurysms in Kawasaki Disease?
- A. ACE inhibitor
- B. Beta blocker
- C. Statin
- D. All of the above
Correct Answer: D
Rationale: These medications are typically used in the management of giant coronary artery aneurysms to manage cardiovascular risks.
Progressive spinal muscular atrophy of infancy presents with:
- A. Severe generalised weakness
- B. Fasciculations in the tongue
- C. Loss of spinothalamic tract function
- D. Spontaneous fibrillation on electromyography
Correct Answer: A
Rationale: Progressive spinal muscular atrophy presents with severe weakness and tongue fasciculations. Spinothalamic tract function is preserved, and electromyography shows fibrillation.
In statistical methodology:
- A. The median and mean are different when the population distribution is skewed
- B. Mode refers to the value that occurs with the highest frequency
- C. The value of 'r' (coefficient of variation) ranges from -1 to +1
- D. Incidence is defined as the number of cases seen in the population at any given period of time
Correct Answer: A
Rationale: The median and mean differ in skewed distributions because the mean is influenced by extreme values, while the median is not.
A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse include in the client's postoperative discharge instructions?
- A. Prepare for transcutaneous pacing
- B. Deliver another defibrillator shock
- C. Administer IV Epinephrine per ACLS protocol
- D. Give IV dose of adenosine rapidly over 1-2 seconds
Correct Answer: D
Rationale: The client may experience arrhythmia, and the correct intervention is giving IV adenosine to slow the heart rate.
A male client in skeletal traction tells the nurse that he is frustrated because he needs help repositioning himself in bed. Which intervention should the nurse implement?
- A. Provide an overhead trapeze to the bed for the client to use
- B. Assist the client with repositioning every hour to prevent discomfort.
- C. Encourage the client to use a bedpan instead of getting up to the bathroom.
- D. Offer additional pain medication to help the client relax.
Correct Answer: A
Rationale: An overhead trapeze allows the client to reposition independently, promoting autonomy and reducing frustration.