Nokea
Measuring serum potassium is essential in a child with confirmed hypertension because hyperkalemia may be seen in
- A. Liddle syndrome
- B. Gordon syndrome
- C. glucocorticoid remediable aldosteronism
- D. apparent mineralocorticoid excess
Correct Answer: D
Rationale: Hyperkalemia is not typically associated with Liddle syndrome, which causes hypokalemia.
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A nurse cares for a client who is recovering from a myocardial infarction. The client states, I will need to stop eating so much chili to keep that indigestion pain from returning. How should the nurse respond?
- A. Chili is high in fat and calories; it would be a good idea to stop eating it.
- B. The provider has prescribed an antacid for you to take every morning.
- C. What do you understand about what happened to you?
- D. When did you start experiencing this indigestion?
Correct Answer: C
Rationale: Assessing the client’s understanding of their condition helps the nurse provide appropriate education and address misconceptions about symptoms.
Regarding puberty:
- A. The beginning of puberty is closely related to bony changes rather than to age
- B. The first sign of puberty in a boy is the development of axillary hair
- C. Constitutional precocious puberty is commoner in girls than boys
- D. Delayed puberty is defined as lack of pubertal changes in a boy after 14 years of age
Correct Answer: C
Rationale: Constitutional precocious puberty is more common in girls than boys, often due to earlier activation of the hypothalamic-pituitary-gonadal axis.
Following are correctly matched
- A. Tuberous sclerosis-Cardiac rhabdomyoma
- B. WPW syndrome-SVT
- C. Maternal SLE-Irreversible complete heart block
- D. Parvo B19-Roseola infectiosum
Correct Answer: A
Rationale: Tuberous sclerosis is associated with cardiac rhabdomyomas.
While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The nurse should include which other topic in the teaching session?
- A. Nursery schools
- B. Toilet Training
- C. Safety guidelines
- D. Preparation for surgery
Correct Answer: C
Rationale: Safety guidelines are crucial for an 8-month-old infant who is becoming more mobile and curious, reducing the risk of accidents.
What are FIVE non-cardiac clinical features of Marfan’s syndrome?
- A. Ectopia Lentis
- B. Pectus Excavatum or carinatum of moderate severity
- C. Pes Planus
- D. Scoliosis (>20 degrees)
Correct Answer: A
Rationale: These features are typical signs of Marfan’s syndrome and contribute to the diagnosis alongside cardiac findings.