Nokea
Concerning Ebstein-Barr virus (infectious mononucleosis):
- A. Presence of petechiae between the hard and soft palate supports the diagnosis
- B. Typically a rash following administration of penicillin V occurs
- C. Guillain-Barre syndrome is a recognised sequel
- D. Hepatitis is common
Correct Answer: A
Rationale: Petechiae between the hard and soft palate are a classic sign of infectious mononucleosis. A rash following penicillin V is also common, and Guillain-Barre syndrome is a rare complication.
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Tall (>25 mm), narrow, and spiked P waves are seen in
- A. Ebstein anomaly
- B. ventricular septal defect
- C. patent ductus arteriosus
- D. severe mitral stenosis
Correct Answer: D
Rationale: Severe mitral stenosis can cause tall, narrow, and spiked P waves due to left atrial enlargement.
During a routine well child exam on a 5-year-old child, a grade II/VI, harsh, late systolic ejection murmur at the upper left sternal border that transmits to both lung fields is auscultated. The child has normal growth and development. What will the nurse practitioner suspect?
- A. Aortic stenosis (AS)
- B. Patent ductus arteriosus (PDA)
- C. Pulmonic stenosis
- D. Tricuspid atresia
Correct Answer: C
Rationale: Pulmonic stenosis may be asymptomatic with a murmur as described above.
Hereditary angioneurotic oedema (HANE):
- A. Deficiency of CI esterase occurs
- B. Can present as recurrent abdominal pain
- C. C4 is increased
- D. Androgen agonists are helpful in management
Correct Answer: A
Rationale: Deficiency of CI esterase occurs
A hospitalized client with chemotherapy-induced stomatitis complains of mouth pain. What is the best initial nursing action?
- A. Encourage frequent mouth care
- B. Cleanse the tongue and mouth with glycerin swabs
- C. Obtain a soft diet for the client
- D. Administer a topical analgesic per PRN protocol.
Correct Answer: D
Rationale: Administering a topical analgesic provides immediate pain relief, allowing the client to tolerate mouth care and other interventions.
Drugs to be avoided in renal failure include:
- A. Allopurinol
- B. Digoxin
- C. Ceftazidime
- D. Acyclovir
Correct Answer: B
Rationale: Digoxin is avoided in renal failure due to its narrow therapeutic index and renal excretion, which can lead to toxicity.