Features of severe haemophilia A include:
- A. Retroperitoneal bleed
- B. Chronic arthropathy
- C. Prolonged bleeding time
- D. Increased APTT
Correct Answer: D
Rationale: Increased activated partial thromboplastin time (APTT) is a characteristic feature of haemophilia A due to the deficiency of clotting factor VIII.
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When providing care for a client following bronchoscopy, which assessment finding should the nurse immediately report to the healthcare provider?
- A. Slight blood-tinged sputum
- B. Dyspnea and dysphagia
- C. Sore throat and hoarseness
- D. No gag reflex after thirty minutes
Correct Answer: D
Rationale: Absence of a gag reflex after bronchoscopy may indicate nerve damage or complications requiring immediate intervention.
The nurse is caring for a child with Kawasaki disease (KD). A student nurse asks if there are medications to treat this disease. The nurse's response is:
- A. Immunoglobulin G and aspirin
- B. Immunoglobulin G and ACE inhibitors
- C. Immunoglobulin E and heparin
- D. Immunoglobulin E and ibuprofen
Correct Answer: A
Rationale: High-dose IV immunoglobulin G along with high-dose aspirin (salicylate therapy) is the current treatment for KD.
Membranous glomerulonephritis:
- A. Is typically associated with immune complex deposition
- B. Presents with nephritic syndrome
- C. Is associated with highly selective proteinuria
- D. Deposits of IgG on the glomerular membrane
Correct Answer: A
Rationale: Membranous glomerulonephritis is characterized by immune complex deposition, particularly IgG, on the glomerular basement membrane, leading to proteinuria.
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.
Features of congenital rubella syndrome include:
- A. Intrauterine growth retardation
- B. Hepatomegaly
- C. Thrombocytopenia
- D. Polydactyly
Correct Answer: A
Rationale: Intrauterine growth retardation is a classic feature of congenital rubella syndrome due to the teratogenic effects of the virus.
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