Nokea
Mdm Koh, a 55-year-old housewife with hypertensive nephropathy was recently started on allopurinol 50 mg per day with prophylactic colchicine 500 mg OM 3 weeks ago in your clinic. She is on Lasix 20 mg OM, nifedipine LA 30 mg OM, aspirin 100 mg OM and renalvite 1 tab OM. She came down with flu like symptoms 4 days ago and developed rashes after being given Amoxil by another General Physician. Today, she returns to your clinic. What should be the next step?
- A. Stop Amoxil and continue the chronic medications
- B. Prescribe paracetamol for pain relief and switch to clarithromycin 500 mg BD instead
- C. Continue medications and check for Dengue serology
- D. Stop all medications and refer for possible SJS
Correct Answer: D
Rationale: Rash post-Amoxil, allopurinol new SJS looms, stop all, refer fast; not just Amoxil, clarithro, dengue, or colchicine tweaks. Nurses flag this chronic skin scare.
You may also like to solve these questions
Which of the following statements regarding dietary approaches to obesity treatment is TRUE?
- A. Dietary approaches are not as important as pharmacological approaches
- B. Carbohydrates have a greater satiating effect compared with proteins and fats, especially in individuals with prediabetes and obesity
- C. Intermittent fasting has consistently shown superior weight loss to very-low calorie and ketogenic diets as it is the easiest to adhere to
- D. Patient preference of dietary interventions plays a key part in adherence and ultimately weight loss and maintenance
Correct Answer: D
Rationale: Dietary approaches to obesity vary, but patient preference significantly influences adherence and long-term weight loss success, per behavioral studies making this true. Pharmacological approaches complement, not overshadow, diet. Proteins/fats are more satiating than carbohydrates, especially in prediabetes/obesity. Intermittent fasting's superiority isn't consistent adherence varies, not universally easier than ketogenic or very-low calorie diets. Preference drives sustainability, key for physicians tailoring chronic obesity interventions.
What is essential in an ecological approach to health behaviour?
- A. People should be approached in their natural environment
- B. People learn behaviour in a layered environment
- C. People aim to find a balance between risk and health
- D. If it is beneficial to one's health, it is also sustainable
Correct Answer: B
Rationale: Ecological health layered worlds shape acts, not just spots, balance, or green wins. Nurses weave this, a chronic context web.
Tetanus:
- A. is caused by clostridium tetani endotoxin
- B. is associated with a better prognosis if the incubation period is short
- C. can be manifest by rigidity of muscles in close proximity to the area of the initial injury
- D. usually presents with weakness in the extremities which then progresses to the facial muscles
Correct Answer: C
Rationale: Tetanus exotoxin, not endo, long incubation's better, local rigidity fits, not weakness march, autonomic storms. Nurses lock this chronic spasm tale.
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as the priority in the client's care?
- A. Ineffective peripheral tissue perfusion
- B. Alteration in body image
- C. Impaired skin integrity
- D. Alteration in activity tolerance
Correct Answer: C
Rationale: Varicose veins with ulcerations, edema, and heaviness scream venous stasis impaired skin integrity tops the list as open sores risk infection, a pressing threat needing immediate wound care. Ineffective perfusion drives the issue, but skin breakdown's acuity trumps. Body image matters emotionally, less urgently. Activity tolerance lags behind active complications. Nurses prioritize skin integrity, addressing ulcers' vulnerability, a direct care focus to halt deterioration in this chronic venous picture, aligning with safety and healing goals.
The side effects of radiotherapy used in the treatment of cancer do not include which of the following:
- A. Stomatitis
- B. Fatigue
- C. Alopecia
- D. Anorexia
Correct Answer: C
Rationale: Radiotherapy zaps mouth sores, tired, appetite drop, but hair's chemo's game, not rays' unless scalp-targeted. Nurses split this, a chronic beam truth.