Nokea
Common presenting features of myotonic dystrophy are:
- A. Floppy infant
- B. Corneal opacities
- C. Frontal baldness
- D. Macro-orchidism
Correct Answer: D
Rationale: Macro-orchidism: Myotonic dystrophy is characterized by muscle weakness and myotonia. Macro-orchidism (enlarged testes) is a distinctive feature, especially in male patients.
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After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client develops pontine myelinolysis. Which intervention should the nurse implement first?
- A. Reorient client to his room
- B. Place a patch on one eye
- C. Evaluate client's ability to swallow
- D. Perform range of motion exercises
Correct Answer: A
Rationale: Reorienting the client helps in managing confusion and disorientation, which are common in pontine myelinolysis.
A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is having difficulty sleeping. What is the probable etiology of this problem?
- A. Pain
- B. Nocturia
- C. Dyspnea
- D. Frequent cough
Correct Answer: A
Rationale: Pain from shingles can be severe and interfere with sleep, making it the most likely cause of the client's difficulty sleeping.
False statements include:
- A. Curosurf is a natural surfactant
- B. Antenatal steroids are usually given as two oral doses of dexamethasone
- C. Increasing the rate on the ventilator raises the mean airway pressure
- D. CPAP is a common weaning tool in ventilated pre terms
Correct Answer: B
Rationale: The correct answer is B because antenatal steroids are typically given intramuscularly, not orally. The other options (a, c, d, e) are true statements.
The formula to predict the maximum predicted heart rate for Treadmill exercise testing in CAD patients on beta blockers is X - (0.7 X Age). The value of X is
- A. 174
- B. 164
- C. 184
- D. 154
Correct Answer: B
Rationale: The value of X is 164 in the formula for predicting maximum heart rate in CAD patients on beta blockers.
The vast majority of tumors originating from the heart are benign. Of the following, the MOST common pediatric cardiac tumors are
- A. fibromas
- B. rhabdomyomas
- C. myxomas
- D. hemangiomas
Correct Answer: B
Rationale: Rhabdomyomas are the most common benign cardiac tumors in children.