Nokea
In hyper cyanotic spells in Fallots tetralogy
- A. Hypoxia is there
- B. Murmur disappear
- C. Right to left shunt increases
- D. Acidosis occur
Correct Answer: C
Rationale: During hypercyanotic spells in Tetralogy of Fallot, the right-to-left shunt increases, leading to worsening cyanosis.
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The nurse is assessing a child after a cardiac catheterization. Which complication should the nurse be assessing for?
- A. Cardiac arrhythmia
- B. Hypostatic pneumonia
- C. Heart failure
- D. Rapidly increasing blood pressure
Correct Answer: A
Rationale: Because a catheter is introduced into the heart, a risk exists of catheter-induced dysrhythmias occurring during the procedure. These are usually transient. Hypostatic pneumonia, heart failure, and rapidly increasing blood pressure are not risks usually associated with cardiac catheterization.
Changes that occur in CVS and Respiratory system at birth
- A. Increase in pulmonary Vascular resistance
- B. Increase in Oxygen concentration in Aorta
- C. Increase in the right Ventricular Pressure
- D. Reversal of flow through the ductus arteriosus
Correct Answer: B
Rationale: At birth, oxygen concentration increases in the aorta as lungs begin functioning.
Bed-wetting can be considered normal up to
- A. 4 years in boys and 5 years in girls
- B. 5 years in boys and 4 years in girls
- C. 4 years in both boys and girls
- D. 5 years in both boys and girls
Correct Answer: D
Rationale: Bed-wetting is considered normal up to 5 years of age in both boys and girls, as bladder control develops gradually.
A 4-year-old child has had fever, malaise, and vomiting and right-sided abdominal pain for 48 hours. The following are likely diagnoses:
- A. Acute pyelonephritis
- B. Shigella dysentery
- C. Ascaris lumbricoides infestation, if the child is living in the tropics
- D. Right sided tumour
Correct Answer: A
Rationale: Acute pyelonephritis is a common cause of fever, vomiting, and abdominal pain in children. Shigella dysentery typically causes diarrhea, and Ascaris infestation is rare in non-tropical regions. A right-sided tumour is unlikely without other signs.
The nurse is teaching parents about signs of digoxin (Lanoxin) toxicity. Which is a common sign of digoxin toxicity?
- A. Seizures
- B. Vomiting
- C. Bradypnea
- D. Tachycardia
Correct Answer: B
Rationale: Vomiting is a common sign of digoxin toxicity. Seizures are not associated with digoxin toxicity. The child will have a slower heart rate, not respiratory rate. The heart rate will be slower, not faster.