Nokea
Children with secondary nocturnal enuresis may have
- A. UTI
- B. diabetes mellitus
- C. diabetes insipidus
- D. psychosocial stressor
Correct Answer: D
Rationale: Psychosocial stressors can trigger secondary nocturnal enuresis after a period of dryness.
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Which blood gas analyses are most indicative of respiratory acidosis?
- A. pH = 7.22, PCO2 = 55 mmHg, HCO3 = 30 mEq/L.
- B. pH = 7.28, PCO2 = 45 mmHg, HCO3 = 15 mEq/L.
- C. pH = 7.34, PCO2 = 35 mmHg, HCO3 = 25 mEq/L.
- D. pH = 7.40, PCO2 = 25 mmHg, HCO3 = 30 mEq/L.
Correct Answer: A
Rationale: Respiratory acidosis is indicated by a low pH and elevated PCO2, as seen in option A.
A client is admitted to an acute care facility with a myocardial infarction. During the admission history, the nurse learns that the client also has hypertension and progressive systemic sclerosis. For a client with this disease, the nurse is most likely to formulate which nursing diagnosis?
- A. Risk for impaired skin integrity
- B. Imbalanced nutrition: Risk for more than
- C. Constipation body requirements
- D. Ineffective thermoregulation
Correct Answer: A
Rationale: For a client with progressive systemic sclerosis, also known as Scleroderma, the nurse is most likely to formulate a nursing diagnosis related to the risk for impaired skin integrity. Scleroderma is a chronic connective tissue disease that can lead to changes in skin texture and thickness, making the skin more prone to breakdown, ulcers, and impaired wound healing. Therefore, assessing and addressing the risk for impaired skin integrity is essential to prevent complications in clients with Scleroderma. While the other options may also be relevant considerations for this client, the priority nursing diagnosis in this case would be related to maintaining skin integrity.
A client has a serum calcium level of 7.2mg/dl. During the physical examination, the nurse expects to assess:
- A. Trousseau's sign
- B. Hegar's sign
- C. Homan's sign
- D. Goodell's sign
Correct Answer: A
Rationale: A client with a low serum calcium level (hypocalcemia) is at risk for exhibiting Trousseau's sign. Trousseau's sign is a clinical manifestation of hypocalcemia characterized by carpal spasm induced by inflating a blood pressure cuff on the arm above the systolic pressure for a few minutes. This spasm occurs due to the increased neuromuscular irritability caused by low calcium levels. Therefore, a nurse assessing a client with a serum calcium level of 7.2mg/dl should expect to assess Trousseau's sign.
A 10 years old girl presented with fever and bruises for last 2 weeks. On examination she is pale; however there is no evidence of lymphadenopathy or hepatosplenomegaly. Her Hb is 6g/dl, TLC is 2700 and platelets are 90000. The most appropriate investigation to clinch the diagnosis is:
- A. Bone marrow aspiration
- B. Retics count
- C. Bleeding time
- D. PT and APTT
Correct Answer: A
Rationale: Bone marrow aspiration is essential to rule out conditions like aplastic anemia or leukemia, which could explain the symptoms and lab findings.
Use of condoms of those found to be infected with HIV
- A. 1 & 3
- B. 3 & 4
- C. 2 & 3 SITUATION; Mr. Baldo , 36 years old patient complaints of fatigue, weight loss, and low-grade fever. He also has pa in his fingers, elbows, and ankles.
Correct Answer: B
Rationale: In the given scenario involving Mr. Baldo presenting with symptoms of fatigue, weight loss, low-grade fever, and joint pain in fingers, elbows, and ankles, it is suggested that he may potentially have rheumatoid arthritis. Therefore, options 3 and 4 are the correct choices. Option 3 mentions the administration of NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) for pain management, which is a common treatment approach for rheumatoid arthritis to help reduce inflammation and manage pain. Option 4 suggests consulting a rheumatologist for further evaluation and management, which is crucial in determining the appropriate diagnosis and treatment plan for Mr. Baldo's condition.