Nokea
Respiratory pathogens in the immunosuppressed include:
- A. Staphylococcus aureus
- B. Legionella
- C. Pneumocystis carinii
- D. Chlamydia
Correct Answer: C
Rationale: Pneumocystis carinii: Pneumocystis carinii pneumonia is a life-threatening infection in immunocompromised patients, especially those with HIV/AIDS or undergoing immunosuppressive therapy.
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A child of 36 months would be expected to:
- A. Build a tower of 5 cubes
- B. Repeat back 5 digits
- C. Draw a man with a head and body
- D. Demonstrate symbolic play
Correct Answer: D
Rationale: At 36 months, a child is expected to demonstrate symbolic play. Building a tower of 5 cubes and drawing a man with a head and body are also typical milestones.
The nurse is caring for a child with Kawasaki disease. A student nurse who is on the unit asks if there are medications to treat the disease. The nurse’s best response to the student nurse is:
- A. Immunogloulin G and ACE inhibitors
- B. Immunoglobulin and heparin
- C. Immunoglobulin G and aspirin
- D. Immunoglobulin and ibuprofen
Correct Answer: C
Rationale: The standard treatment for Kawasaki disease includes Immunoglobulin G and aspirin to reduce inflammation and prevent coronary artery complications.
Regarding hypogonadotropic hypogonadism:
- A. Kallman syndrome is an example
- B. It is caused by testicular atrophy secondary to trauma
- C. LHRH testing is used to distinguish it from other forms of hypogonadism
- D. It is treated with buserelin sprays
Correct Answer: A
Rationale: Kallman syndrome is a classic example of hypogonadotropic hypogonadism, characterized by delayed puberty and anosmia.
In utero heart failure, often with fetal pleural and pericardial effusions and generalized ascites (nonimmune hydrops fetalis) may occur in
- A. ventricular septal defect
- B. coarctation of aorta
- C. d-Transposition of great arteries
- D. single ventricle
Correct Answer: D
Rationale: Single ventricle anatomy can lead to in utero heart failure and hydrops fetalis.
Despite the use of antibiotic agents, mortality remains high, in the range of 20-25%. Serious morbidity occurs in 50-60% of children with documented infective endocarditis. Of the following, the MOST common morbidity is
- A. heart failure
- B. pulmonary emboli
- C. mycotic aneurysms
- D. acquired ventricular septal defect
Correct Answer: A
Rationale: Heart failure is the most common morbidity in children with infective endocarditis.