Nokea
Of the following, the cyanotic cardiac lesion with decreased pulmonary blood flow is
- A. transposition of the great vessels
- B. single ventricle
- C. truncus arteriosus
- D. tricuspid atresia
Correct Answer: D
Rationale: Tricuspid atresia results in decreased pulmonary blood flow due to lack of right ventricular input.
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What are FIVE immediate management steps for an infant with Tetralogy of Fallot presenting with saturations of 60%?
- A. Knees to chest
- B. Calm baby
- C. Oxygen
- D. Beta-blocker
Correct Answer: A
Rationale: The knees-to-chest position helps increase systemic vascular resistance, improving oxygen saturation in a tetralogy of Fallot crisis.
The most appropriate first-line treatment for status epilepticus in a child is:
- A. Diazepam
- B. Phenytoin
- C. Carbamazepine
- D. Valproate
Correct Answer: A
Rationale: Diazepam is commonly used as the first-line treatment in managing status epilepticus due to its fast-acting, long-lasting anticonvulsant effects.
Causes of hypertension in a child include:
- A. Long-standing vesico-ureteric reflux
- B. Cushing's syndrome
- C. Addison's disease
- D. Turner's syndrome
Correct Answer: B
Rationale: Cushing's syndrome, characterized by excessive cortisol levels, is a known cause of secondary hypertension in children.
A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse include in the client's postoperative discharge instructions?
- A. Prepare for transcutaneous pacing
- B. Deliver another defibrillator shock
- C. Administer IV Epinephrine per ACLS protocol
- D. Give IV dose of adenosine rapidly over 1-2 seconds
Correct Answer: D
Rationale: The client may experience arrhythmia, and the correct intervention is giving IV adenosine to slow the heart rate.
An older male client with long-standing lung disease is admitted to the medical unit for treatment of pulmonary infection. In assessing for signs of increasing hypoxia, which action should the nurse include? (select all that apply)
- A. Monitor dryness of mucous membranes
- B. Check for changes in mentation
- C. Observe color of skin and nailbeds
- D. Note appearance of jugular veins
Correct Answer: B
Rationale: Changes in mentation, skin color, and breathing patterns are key indicators of hypoxia in clients with lung disease.