Nokea
HLA B27 positivity is least common in
- A. Ankylosing spondylosis
- B. Juvenile psoriatic arthritis
- C. Inflammatory bowel disease
- D. Reactive arthritis
Correct Answer: C
Rationale: HLA B27 positivity is least common in inflammatory bowel disease compared to the other conditions listed.
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Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant?
- A. Counting the apical rate for 30 seconds before administering the medication
- B. Withholding a dose if the apical heart rate is less than 100 beats/min
- C. Repeating a dose if the child vomits within 30 minutes of the previous dose
- D. Checking respiratory rate and blood pressure before each dose
Correct Answer: B
Rationale: As a rule, if the pulse rate of an infant is below 100 beats/min, the medication is withheld and the physician is notified.
The nurse is providing discharge instructions to a client who is receiving prednisone (Deltasone) 5 mg PO daily for a rash due to contact with poison ivy. Which symptom should the nurse tell the client to report to the healthcare provider?
- A. Rapid weight gain
- B. Increased energy levels.
- C. Frequent headaches.
- D. Dry mouth.
Correct Answer: A
Rationale: Rapid weight gain may indicate fluid retention, a side effect of prednisone that requires medical evaluation.
While looking through the chart of an infant with a congenital heart defect (CHD) of decreased pulmonary blood flow, the nurse would expect which laboratory finding?
- A. Decreased platelet count
- B. Polycythemia
- C. Decreased ferritin level
- D. Shift to the left
Correct Answer: B
Rationale: Chronic hypoxemia in CHD leads to polycythemia as a compensatory mechanism.
Clubbing is found in:
- A. Crohn's disease
- B. Bronchiectasis
- C. Rheumatic fever
- D. Infective endocarditis
Correct Answer: B
Rationale: Clubbing is commonly associated with chronic respiratory conditions such as bronchiectasis, due to chronic hypoxia and inflammation.
Rare causes of bloody diarrhoea include:
- A. Campylobacter infection
- B. Peutz-Jegher's syndrome
- C. Enterotoxigenic E. coli
- D. Crohn's disease
Correct Answer: B
Rationale: Rare causes of bloody diarrhoea include conditions like Peutz-Jegher's syndrome which is a genetic disorder causing polyps in the gastrointestinal tract. Campylobacter Shigella and Enterotoxigenic E. coli are common causes of infectious diarrhoea while Crohn's disease is a chronic inflammatory condition.