Nokea
Proximal renal tubular functions include:
- A. HCO3 secretion
- B. Sodium reabsorption
- C. Ammonia production
- D. Urine concentration
Correct Answer: B
Rationale: Sodium reabsorption
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The family suspects that AIDS dementia is occurring in their son who is HIV positive. Which symptom confirms their suspicions?
- A. A change has recently occurred in his handwriting.
- B. The client has a persistent cough and fever.
- C. The client experiences shortness of breath.
- D. The client exhibits a loss of appetite.
Correct Answer: A
Rationale: Changes in handwriting may indicate cognitive decline, a hallmark of AIDS dementia.
Which occurs in septic shock?
- A. Hypothermia
- B. Increased cardiac output
- C. Vasoconstriction
- D. Angioneurotic edema
Correct Answer: B
Rationale: Increased cardiac output, which results in warm, flushed skin, is one of the manifestations of septic shock. Fever and chills are characteristic of septic shock. Vasodilation is more common than vasoconstriction. Angioneurotic edema occurs as a manifestation in anaphylactic shock.
The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft graft to promote burn healing. Which information should the nurse provide this client?
- A. Grafting increases the risk for bacterial infections
- B. The xenograft is taken from nonhuman sources
- C. Grafts are later removed by a debriding procedure
- D. As the burn heals, the graft permanently attaches
Correct Answer: B
Rationale: This information is crucial for the client to understand the nature of the graft and its source.
In infantile eczema:
- A. The rash is characteristically present at birth
- B. The papules are itchy
- C. Cold weather relieves the symptoms
- D. A family history of related disorders is elicited in 70% of cases
Correct Answer: B
Rationale: Infantile eczema is itchy and often associated with a family history of atopy. The rash is not present at birth, and cold weather can exacerbate symptoms.
A 7-year-old child who has a history of a repaired congenital heart defect (CHD)has many dental caries along with gingival erythema and irritation and a temperature of 102.5°F. What will the primary care pediatric nurse practitioner do next?
- A. Admit to the hospital with a pediatric cardiology consult.
- B. Obtain blood cultures and a CBC and consult a pediatric cardiologist.
- C. Refer the child to a pediatric dental surgeon immediately.
- D. Start prophylactic antibiotics such as penicillin twice daily for 2 weeks.
Correct Answer: A
Rationale: Children who are suspected of having SBE should be admitted to the hospital and referred to pediatric cardiology.