Recognised features in Ehlers-Danlos syndrome include:
- A. Mutation in fibrillin gene
- B. Short stature
- C. Keratoconus
- D. Easy scarring
Correct Answer: D
Rationale: Easy scarring: Ehlers-Danlos syndrome is characterized by hyperelastic skin and joint hypermobility, with easy scarring and tissue fragility being common features.
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Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this client’s fluid intake because fluid overload may cause:
- A. Cerebral edema
- B. Dehydration
- C. Heart failure
- D. Hypovolemic shock
Correct Answer: A
Rationale: Fluid overload in a patient with meningitis can exacerbate cerebral edema, increasing intracranial pressure and worsening the condition.
A child can be diagnosed as having Kawasaki disease if he has:
- A. Fever > 3 days' duration, > 38°C
- B. Purulent conjunctivitis
- C. Thrombocytosis
- D. Polymorphous rash
Correct Answer: A
Rationale: Kawasaki disease is characterized by a fever lasting more than 3 days, which is a primary diagnostic criterion.
All of the following are true regarding transient neonatal pustular melanosis, except
- A. Increased melanization of epidermal cells is characteristic
- B. Active phase shows intracorneal or subcorneal pustules filled with eosinophils
- C. Pustular phase rarely lasts more than 2-3 days
- D. Lesions of pustular melanosis do not contain bacteria
Correct Answer: B
Rationale: The active phase of transient neonatal pustular melanosis shows pustules filled with neutrophils, not eosinophils.
Ice applied to the face has been ineffective in the patient. The treatment of choice is
- A. adenosine
- B. verapamil
- C. digoxin
- D. lidocaine
Correct Answer: A
Rationale: Adenosine is the first-line treatment for supraventricular tachycardia.
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client develops pontine myelinolysis. Which intervention should the nurse implement first?
- A. Reorient client to his room
- B. Place a patch on one eye
- C. Evaluate client's ability to swallow
- D. Perform range of motion exercises
Correct Answer: A
Rationale: Reorienting the client helps in managing confusion and disorientation, which are common in pontine myelinolysis.