Nokea
Recognised associations of Addison's disease include:
- A. Neurofibromatosis
- B. Phaeochromocytoma
- C. IDDM
- D. Nephrogenic diabetes insipidus
Correct Answer: C
Rationale: The correct answer is C because IDDM (insulin-dependent diabetes mellitus) is a recognized association of Addison's disease. The other options (a, b, d, e) are less commonly associated.
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Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse’s reply should be based on which statement?
- A. The child needs opportunities to play with peers.
- B. The child needs to understand that peers’ activities are too strenuous.
- C. Parents can meet all of the child’s needs.
- D. Constant parental supervision is needed to avoid overexertion.
Correct Answer: A
Rationale: The child needs opportunities for social development. Children usually limit their activities if allowed to set their own pace. The child will limit activities as necessary. Parents must be encouraged to seek appropriate social activities for the child, especially before kindergarten. The child needs to have activities that foster independence. The child will be able to regulate activities.
The following are causes of congestive heart failure and cardiomegaly during the newborn period but no murmur EXCEPT
- A. endocardial fibroelastosis
- B. asphyxia
- C. glycogen storage disease (Pompe disease)
- D. sepsis
Correct Answer: D
Rationale: Sepsis can cause heart failure and cardiomegaly but often presents with other systemic signs.
A client returns to the unit following a suprapubic prostatectomy. He has a three-way catheter in place with a continuous bladder irrigation infusing. Which assessment finding warrants immediate intervention by the nurse?
- A. True urinary output of 50ml/hr
- B. Lower abdominal tenderness
- C. Blood urine output with clots
- D. Urine leaking around the meatus
Correct Answer: D
Rationale: Urine leaking around the meatus may indicate catheter displacement or obstruction, requiring immediate attention to prevent complications.
The best test to confirm the diagnosis of tuberculosis is:
- A. Chest X-ray
- B. Sputum culture
- C. Skin test
- D. Blood culture
Correct Answer: B
Rationale: Sputum culture is the gold standard for diagnosing tuberculosis, as it can identify Mycobacterium tuberculosis bacteria in a sample.
An adult male client is admitted for Pneumocystis carinii pneumonia (PCP) secondary to AIDS. While hospitalized, he receives IV pentamidine isethionate therapy. In preparing this client for discharge, what important aspect regarding his medication therapy should the nurse explain?
- A. IV pentamidine may offer protection to other AIDS-related conditions, such as Kaposi's sarcoma
- B. It will be necessary to continue prophylactic doses of IV or aerosol pentamidine every month
- C. IV pentamidine will be given until oral pentamidine can be tolerated
- D. AZT (Azidothymidine) therapy must be stopped when IV or aerosol pentamidine is being used.
Correct Answer: B
Rationale: Prophylactic doses of pentamidine are necessary to prevent PCP recurrence and other AIDS-related infections.