Nokea
Cerebral salt wasting indicates all, except
- A. Low serum sodium
- B. High intravascular volume
- C. High urine output
- D. Low vasopressin level
Correct Answer: B
Rationale: Cerebral salt wasting is characterized by low serum sodium, high urine output, and low vasopressin levels, but it is associated with hypovolemia, not high intravascular volume.
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A male client with chronic kidney disease (CKD) is beginning his first hemodialysis 3 times per week. Which short-term goal is most important for the nurse to include in the plan of care for this client as he begins the series?
- A. Reports subjective symptoms during hemodialysis
- B. Documents his oral intake during dialysis treatments
- C. Demonstrates self-care of the arteriovenous (AV) Shunt
- D. Verbalizes understanding of the reasoning for dialysis
Correct Answer: D
Rationale: Verbalizing understanding is the most important short-term goal for the client beginning dialysis.
Third generation cephalosporin that is primarily excreted through bile is
- A. Cefoperazone
- B. Ceftriaxone
- C. Cefotaxim
- D. Cefixime
Correct Answer: A
Rationale: Cefoperazone is known for its biliary excretion
The aminoacid used in the treatment of hyperammonemia due to certain urea cycle disorders is
- A. Leucine
- B. Valine
- C. Arginine
- D. Isoleucine
Correct Answer: C
Rationale: Arginine is used in the treatment of hyperammonemia due to urea cycle disorders, as it helps in the detoxification of ammonia.
A child can be diagnosed as having Kawasaki disease if he has:
- A. Fever > 3 days' duration, > 38°C
- B. Purulent conjunctivitis
- C. Thrombocytosis
- D. Polymorphous rash
Correct Answer: A
Rationale: Kawasaki disease is characterized by a fever lasting more than 3 days, which is a primary diagnostic criterion.
In febrile convulsions:
- A. Familial predisposition is the same as in idiopathic epilepsy
- B. Carbamazepine achieves good seizure control
- C. Shigella dysentery may be a cause
- D. Deafness can occur if seizure is prolonged
Correct Answer: C
Rationale: Shigella dysentery, a bacterial infection, can cause febrile convulsions in children due to the high fever associated with the infection.