Nokea
Ice applied to the face has been ineffective in the patient. The treatment of choice is
- A. adenosine
- B. verapamil
- C. digoxin
- D. lidocaine
Correct Answer: A
Rationale: Adenosine is the first-line treatment for supraventricular tachycardia.
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Which is the leading cause of death after heart transplantation?
- A. Infection
- B. Rejection
- C. Cardiomyopathy
- D. Heart failure
Correct Answer: B
Rationale: The posttransplant course is complex. The leading cause of death after cardiac transplantation is rejection. Infection is a continued risk secondary to the immunosuppression necessary to prevent rejection. Cardiomyopathy is one of the indications for cardiac transplant. Heart failure is not a leading cause of death.
Spread of hepatitis C occurs by:
- A. Drug abuse
- B. Seafood consumption
- C. Recombinant factor VIII therapy
- D. Faeco-oral spread
Correct Answer: A
Rationale: Hepatitis C is primarily spread through blood-to-blood contact, such as sharing needles or other equipment to inject drugs.
A child with a known history of asthma is admitted to the hospital with a respiratory infection. Which action is the nurse's priority?
- A. Administer a nebulizer treatment as ordered.
- B. Perform chest physiotherapy.
- C. Monitor oxygen saturation levels closely.
- D. Educate the parents about infection prevention.
Correct Answer: A
Rationale: The priority in asthma management is ensuring the airways are open, which is best achieved by administering a nebulizer treatment as ordered.
Chief organ systems affected in acute graft-versus-host reaction are:
- A. Skin
- B. Renal system
- C. Gut
- D. CNS
Correct Answer: A
Rationale: The skin is one of the primary organ systems affected in acute graft-versus-host disease. The renal system, gut, and CNS can also be affected, but the skin is the most commonly involved.
A VII nerve injury at the exit from the stylomastoid foramen would explain all except:
- A. Loss of sensation over the vallecula
- B. Loss of taste over the anterior third of the tongue
- C. Increased responsiveness to loud noises
- D. Inability to open the ipsilateral eye
Correct Answer: D
Rationale: The correct answer is D because the facial nerve (VII) does not control eye opening; this is controlled by the oculomotor nerve (III). The other options (a, b, c, e) are consistent with a VII nerve injury.