Nokea
Following surgical repair of the bladder, a female client is being discharged from the hospital to home with an indwelling urinary catheter. Which instruction is most important for the nurse to provide to this client?
- A. Avoid coiling the tubing and keep if free of kinks
- B. Cleanse the perineal area with soap and water twice daily
- C. Keep the drainage bag lower than the level of the bladder
- D. Drink 1,000 ml of fluids daily to irrigate catheter
Correct Answer: C
Rationale: Keeping the drainage bag lower than the bladder prevents backflow of urine, reducing the risk of infection.
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The following tests are routine in the management of an epileptic on carbamazepine:
- A. Blood counts
- B. Serum levels
- C. Liver function tests
- D. Renal function tests
Correct Answer: C
Rationale: Liver function tests are routinely monitored in patients taking carbamazepine due to the risk of liver toxicity, which can occur with prolonged use.
Systolic murmur in which among the following conditions does not increase in intensity in the cardiac cycle after a premature ventricular contraction?
- A. Valvular aortic stenosis
- B. Hypertrophic obstructive cardiomyopathy
- C. Valvular pulmonic stenosis
- D. Mitral valve prolapse
Correct Answer: D
Rationale: Mitral valve prolapse does not typically increase in intensity after a premature ventricular contraction.
Chest pain in pediatric patients often generates a significant amount of parental concern. Of the following, the MOST common cause is
- A. myocarditis
- B. pericarditis
- C. pneumonia
- D. pleurisy
Correct Answer: C
Rationale: Chest pain in children is most commonly caused by non-cardiac conditions such as pneumonia or pleurisy.
A two-year-old child should have been immunised against:
- A. Tetanus
- B. Polio
- C. Measles
- D. Hepatitis A
Correct Answer: C
Rationale: By the age of two, a child should have received the MMR vaccine, which protects against measles, mumps, and rubella.
In ventricular arrythmia:
- A. PR interval is prolonged
- B. Common in thyrotoxicosis
- C. Synchronised DC shock is the treatment of choice
- D. IV adenosine treatment is effective
Correct Answer: C
Rationale: Synchronised DC shock is the treatment of choice: In cases of life-threatening ventricular arrhythmias, such as ventricular fibrillation or pulseless ventricular tachycardia, synchronized direct current shock (DC shock) is the recommended treatment.