Nokea
For one of the following, total repair is really achieved, with no requirement for long-term follow-up
- A. atrial septal defects
- B. ventricular septal defects
- C. pulmonic stenosis
- D. uncomplicated isolated pulmonic stenosis
Correct Answer: D
Rationale: Uncomplicated isolated pulmonic stenosis can often be repaired with no need for long-term follow-up.
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A male client complains of pain in his right calf, and the nurse determines that his calf is edematous and deep red. What intervention has the highest priority?
- A. Tell the client to remain in bed
- B. Apply warm compresses to the affected leg.
- C. Administer pain medication as prescribed.
- D. Encourage the client to elevate the affected leg.
Correct Answer: A
Rationale: The symptoms suggest deep vein thrombosis (DVT). Bed rest prevents dislodgment of the clot, reducing the risk of pulmonary embolism.
Nystagmus can be a presenting sign in:
- A. Partial albinism
- B. Retinopathy of prematurity
- C. Acute vestibulitis
- D. Medulloblastoma
Correct Answer: D
Rationale: Medulloblastoma, a type of brain tumor, can present with nystagmus due to its impact on the cerebellum and brainstem.
In a child with scabies, which of the following is the most appropriate treatment?
- A. Permethrin
- B. Benzoyl peroxide
- C. Hydrocortisone
- D. Calamine lotion
Correct Answer: A
Rationale: Permethrin cream is the most effective treatment for scabies, as it targets the mites causing the infestation.
Diagnostic signs of child abuse are:
- A. Sub-hyaloid bleeding
- B. Spiral fracture of a long bone
- C. Lacerated tongue
- D. Posterior rib fractures
Correct Answer: D
Rationale: Posterior rib fractures are highly suggestive of child abuse, as they are often caused by forceful squeezing or shaking.
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.