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.
You may also like to solve these questions
The nurse is assessing a child after a cardiac catheterization. Which complication should the nurse be assessing for?
- A. Cardiac arrhythmia
- B. Hypostatic pneumonia
- C. Heart failure
- D. Rapidly increasing blood pressure
Correct Answer: A
Rationale: Because a catheter is introduced into the heart, a risk exists of catheter-induced dysrhythmias occurring during the procedure. These are usually transient. Hypostatic pneumonia, heart failure, and rapidly increasing blood pressure are not risks usually associated with cardiac catheterization.
The following antibodies are seen in the conditions mentioned:
- A. Anti-endomysial antibodies in coeliac disease
- B. Anti-insulin receptor antibodies in diabetes mellitus
- C. Anti-epidermal antibodies in vitiligo
- D. Anti-acetylcholine receptor antibodies in spinal muscular atrophy
Correct Answer: A
Rationale: Anti-endomysial antibodies are specifically associated with coeliac disease, making (a) the correct answer. The other options are incorrect as they describe antibodies associated with different conditions.
The blood pressure in the right arm is 95/70, and in the lower extremity it is 45/25. The most likely diagnosis is
- A. patent ductus arteriosus
- B. truncus arteriosus
- C. asplenia
- D. coarctation of the aorta
Correct Answer: D
Rationale: Coarctation of the aorta causes a significant difference in blood pressure between the upper and lower extremities.
What is the recommended hourly maintenance fluid rate (water) for a 20 kg child?
- A. 50 ml/hour
- B. 60 ml/hour
- C. 80 ml/hour
- D. 100 ml/hour
Correct Answer: B
Rationale: The recommended hourly maintenance fluid rate for a 20 kg child is 60 ml/hour, calculated using the formula: 100 ml/kg for the first 10 kg + 50 ml/kg for the next 10 kg.
In febrile convulsions:
- A. Familial predisposition is the same as in idiopathic epilepsy
- B. Carbamazepine achieves good seizure control
- C. Shigella dysentery may be a cause
- D. Deafness can occur if seizure is prolonged
Correct Answer: C
Rationale: Shigella dysentery, a bacterial infection, can cause febrile convulsions in children due to the high fever associated with the infection.