Nokea
Management of thalassaemia includes:
- A. Whole blood transfusions
- B. Pneumovax
- C. Bone marrow transplant
- D. Penicillin V prophylaxis
Correct Answer: C
Rationale: The correct answer is C because bone marrow transplant is a curative treatment for thalassaemia. The other options (a, b, d, e) are supportive treatments but not curative.
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The nurse is caring for a child with Kawasaki disease (KD). A student nurse asks if there are medications to treat this disease. The nurse's response is:
- A. Immunoglobulin G and aspirin
- B. Immunoglobulin G and ACE inhibitors
- C. Immunoglobulin E and heparin
- D. Immunoglobulin E and ibuprofen
Correct Answer: A
Rationale: High-dose IV immunoglobulin G along with high-dose aspirin (salicylate therapy) is the current treatment for KD.
A client with pheochromocytoma reports the onset of a severe headache. The nurse observes that the client is very diaphoretic. Which assessment data should the nurse obtain next?
- A. Blood pressure
- B. Blood glucose level
- C. Respiratory rate
- D. Oxygen saturation
Correct Answer: A
Rationale: Pheochromocytoma can lead to hypertension, which may be responsible for the client’s symptoms. Monitoring blood pressure is crucial to assess for potential hypertensive crisis.
Which medication should the nurse give to a child diagnosed with transposition of the great vessels?
- A. Ibuprofen
- B. Betamethasone
- C. Prostaglandin E
- D. Indocin
Correct Answer: C
Rationale: Prostaglandin E keeps the ductus arteriosus open, which is essential for maintaining adequate circulation in transposition of the great vessels until corrective surgery is performed.
A feature of Turner syndrome is:
- A. Short stature
- B. Polydactyly
- C. Congenital heart defects
- D. Mental retardation
Correct Answer: A
Rationale: Short stature is a common feature of Turner syndrome, along with ovarian insufficiency and other physical abnormalities.
A tuberculosis intradermal skin test to detect tuberculosis infection is given to a high-risk adolescent. How long after the test is administered should the result be evaluated?
- A. Immediately
- B. Within 24 hours
- C. In 48 to 72 hours
- D. After 5 days
Correct Answer: C
Rationale: The tuberculin skin test reaction peaks in 48 to 72 hours, making this the optimal time for evaluation.