List THREE medical management plans for biatrial enlargement.
- A. Loop diuretics (carefully)
- B. Beta-blockers (carefully)
- C. Anticoagulation
- D. All of the above
Correct Answer: D
Rationale: These are standard treatment options aimed at managing heart function, reducing fluid buildup, and preventing complications like clot formation.
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Features of severe folate deficiency include:
- A. Steatorrhoea
- B. Glossitis
- C. Leucoerythroblastic picture
- D. Increased total iron binding capacity
Correct Answer: B
Rationale: Glossitis, or inflammation of the tongue, is a common feature of folate deficiency due to its role in cell division and growth.
A nurse assesses a client who is scheduled for a cardiac catheterization. Which assessment should the nurse complete before this procedure?
- A. Client’s level of anxiety
- B. Ability to turn self in bed
- C. Cardiac rhythm and heart rate
- D. Allergies to iodine-based agents
Correct Answer: D
Rationale: Assessing for allergies to iodine-based agents is critical before cardiac catheterization, as contrast dye used during the procedure may cause an allergic reaction.
A child has third-degree burns of the hands, face, and chest. Which nursing diagnosis takes priority?
- A. Ineffective airway clearance related to edema
- B. Disturbed body image related to physical appearance
- C. Impaired urinary elimination related to fluid loss
- D. Risk for infection related to epidermal disruption
Correct Answer: A
Rationale: Airway clearance is the top priority in burn patients, especially with facial burns, as swelling can obstruct the airway.
In Wilson's disease:
- A. There is an association with high caeruloplasmin levels
- B. Hepatic copper deposition is pathognomonic
- C. There is increased urinary excretion of copper
- D. There are copper deposits on the cornea
Correct Answer: D
Rationale: Copper deposits on the cornea (Kayser-Fleischer rings) are a hallmark of Wilson's disease, a genetic disorder leading to copper accumulation in tissues.
How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child's weakness and fatigue? (Select all that apply.)
- A. Feeding more frequently with smaller feedings
- B. Using a soft nipple with enlarged holes
- C. Holding and cuddling the child during feeding
- D. Substituting glucose water for formula
Correct Answer: A
Rationale: Infants with CHF fatigue easily. Feeding can be given more frequently in smaller amounts through a soft, large-holed nipple. Formulas with a denser caloric content can be offered. The child may be encouraged to nurse if he or she is held.