Nokea
Spread of hepatitis C occurs by:
- A. Drug abuse
- B. Seafood consumption
- C. Recombinant factor VIII therapy
- D. Faeco-oral spread
Correct Answer: A
Rationale: Hepatitis C is primarily spread through blood-to-blood contact, such as sharing needles or other equipment to inject drugs.
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A female client who received partial-thickness and full-thickness burns over 40% of her body in a house fire is admitted to the inpatient burn unit. What fluid should the nurse prepare to administer during the acute phase of the client's burn recovery?
- A. Ringer's Lactate
- B. Normal Saline.
- C. Dextrose 5% in water (D5W)
- D. Hypertonic saline
Correct Answer: A
Rationale: Ringer's Lactate is the preferred fluid for burn resuscitation, as it helps maintain electrolyte balance and fluid volume.
The following conditions involve the oral mucosa:
- A. Herpes simplex type I infection
- B. Scabies
- C. Eczema
- D. Lichen planus
Correct Answer: A
Rationale: Herpes simplex type I infection commonly involves the oral mucosa, causing lesions such as cold sores.
What associated manifestation might the nurse occasionally find in a child diagnosed with Wilms tumor?
- A. Atrial fibrillation
- B. Hypertension
- C. Endocarditis
- D. Hyperlipidemia
Correct Answer: B
Rationale: Wilms tumor, due to its location in the kidney, can be associated with secondary hypertension.
All the following antimalarials act by forming heme complexes which are toxic to the parasite except
- A. Primaquine
- B. Chloroquine
- C. Mefloquine
- D. Quinidine
Correct Answer: A
Rationale: Primaquine does not act by forming heme complexes; it works through a different mechanism.
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.