Nokea
Depending on the frequency and severity of hypercyanotic attacks in tetralogy of Fallot, all the following procedures are true EXCEPT
- A. placement of the infant in the knee-chest position
- B. administration of oxygen
- C. injection of morphine subcutaneously
- D. rapid correction with intravenous sodium bicarbonate
Correct Answer: D
Rationale: Intravenous sodium bicarbonate is not typically used for hypercyanotic attacks.
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Deafness can develop due to:
- A. Unconjugated hyperbilirubinaemia in the newborn
- B. Pneumococcal meningitis
- C. Alport syndrome
- D. Cleft palate
Correct Answer: B
Rationale: Pneumococcal meningitis is a known cause of sensorineural hearing loss due to inflammation and damage to the cochlea.
A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange from a respiratory infection. Which assessment finding warrants immediate intervention by the nurse?
- A. Elevated temperature
- B. Generalized weakness
- C. Diminished lung sounds
- D. Pain when swallowing
Correct Answer: D
Rationale: Pain when swallowing could indicate an opportunistic infection such as candidiasis, which requires prompt treatment.
Cantwell criteria is used to diagnose
- A. Congenital tuberculosis
- B. Congenital syphilis
- C. Congenital rubella
- D. None of the above
Correct Answer: B
Rationale: The Cantwell criteria are used to diagnose congenital syphilis, based on clinical and laboratory findings.
The Duke criterion for the diagnosis of endocarditis is a major
- A. new regurgitant flow by echocardiography
- B. Osler nodes
- C. single positive blood culture
- D. serologic evidence of infection
Correct Answer: C
Rationale: A single positive blood culture is one of the major criteria for diagnosing endocarditis.
The most common cause for testicular pain in boys in 2-10 years of age is
- A. Testicular torsion
- B. Torsion of appendix testis
- C. Epididymitis
- D. Congenital varicocele
Correct Answer: B
Rationale: Torsion of the appendix testis is the most common cause of testicular pain in boys aged 2-10 years, as it involves the twisting of a small vestigial remnant.