Nokea
Parents of a child with leukemia are exploring alternative treatments. What is the nurse's best response?
- A. Alternative therapies are safer than chemotherapy.
- B. Discuss any complementary therapies with your oncologist first.
- C. Discontinue chemotherapy before starting alternative treatments.
- D. Avoid any treatments that involve herbs or supplements.
Correct Answer: B
Rationale: Complementary therapies should always be discussed with the oncologist to avoid harmful interactions.
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The primary reason for AIDS, a deadly disease, is that it-
- A. Caused by Virus
- B. Caused by bacterium
- C. Destroys key components of body internal defense system
- D. Causes a breakdown of body's inflammatory system
Correct Answer: C
Rationale: AIDS destroys the immune system, specifically CD4 cells, leading to its lethality.
What is the therapy plan for an 11-month-old boy diagnosed with cystic fibrosis?
- A. Strict gluten-free diet
- B. Inhalations with salbutamol and methylprednisolone
- C. Parents education and complex therapy
- D. Substitution therapy with immunoglobulins
Correct Answer: C
Rationale: CF requires comprehensive management including education, physiotherapy, and medications, not gluten-free diet or immunoglobulins.
Fluid losses in severe ketoacidosis reach:
- A. Loss of 1% of body mass
- B. Loss of 5% of body mass
- C. Loss of 7-10% of body mass
- D. All are true
Correct Answer: C
Rationale: Severe ketoacidosis causes significant dehydration.
Which medication is used in the treatment of heart failure?
- A. Non-steroidal anti-inflammatory drugs
- B. ACE inhibitors
- C. Catecholamines (dopamine, dobutamine)
- D. Digitalis drug
Correct Answer: B
Rationale: ACE inhibitors, catecholamines, and digitalis are standard heart failure treatments; NSAIDs are not.
Hypothermia is common in newborn because of their inability to control heat. The following would be an appropriate nursing intervention to prevent heat loss except:
- A. Place the crib beside the wall
- B. Doing Kangaroo care
- C. By using mechanical pressure
- D. Drying and wrapping the baby
Correct Answer: C
Rationale: Mechanical pressure does not prevent heat loss; kangaroo care, drying, and wrapping are effective interventions.