Nokea
the Anti Streptolycin o titer (ASOT) is positive with :
- A. tonsillitis
- B. glomerulonephritis
- C. RF
- D. all the above
Correct Answer: D
Rationale: The Anti Streptolysin O titer (ASOT) is a test used to detect antibodies produced by the body in response to a recent streptococcal infection. A positive ASOT result can be seen in various conditions such as tonsillitis, glomerulonephritis, and Rheumatic fever (RF), which are all associated with streptococcal infections. Therefore, the correct answer is D, as all of these conditions can lead to a positive ASOT result.
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One of the clinical manifestations of chronic renal failure is uremic frost. Which best describes this term?
- A. Deposits of urea crystals in urine
- B. Deposits of urea crystals on skin
- C. Overexcretion of blood urea nitrogen
- D. Inability of body to tolerate cold temperatures
Correct Answer: B
Rationale: Uremic frost is a term used to describe the presence of urea crystals on the skin of individuals with chronic renal failure. As kidney function declines in chronic renal failure, the body is unable to effectively excrete waste products such as urea. Urea can then be deposited on the skin when sweating, leading to the formation of white or frost-like crystals, giving the appearance of "uremic frost." This condition is a visible indicator of severe kidney dysfunction and the buildup of waste products in the body.
A 14-year-old boy is being admitted to the hospital for an appendectomy. Which roommate should the nurse assign with this patient?
- A. A 4-year-old boy post-appendectomy surgery
- B. A 6-year-old boy with pneumonia
- C. A 15-year-old boy admitted with a vasoocclusive sickle cell crisis
- D. A 12-year-old boy with cellulitis
Correct Answer: C
Rationale: The nurse should assign the 14-year-old boy recovering from an appendectomy to Roommate C, the 15-year-old boy admitted with a vasoocclusive sickle cell crisis. This decision is based on providing similar age groups and conditions for mutual support and understanding. Both patients are teenagers and are experiencing health challenges that involve pain management and supportive care. This pairing can offer emotional and social benefits as they navigate their hospital stay together. It is important to consider factors like age, condition, and potential social interactions when assigning roommates in a healthcare setting to promote a positive environment for healing and recovery.
In embryonic period, formation of all of the following occur by the given time EXCEPT
- A. 8 days - blastocyst formation
- B. 6 weeks - ectoderm formation
- C. 8 weeks - crown-rump length about 3 cm
- D. 10 weeks - endoderm formation
Correct Answer: D
Rationale: Endoderm formation occurs much earlier than 10 weeks in the embryonic period.
A 15-month-old toddler was able to do all the following EXCEPT
- A. walks alone
- B. makes tower of 3 cubes
- C. inserts raisin in a bottle
- D. responds to his/her name
Correct Answer: D
Rationale: Responding to name usually occurs earlier, around 6-9 months.
A total thyroidectomy is ordered following discovery of a cold nodule. In this case of hyperthyroidism versus malignancy, the nurse anticipates that the patient will have:
- A. A complete thyroidectomy also
- B. a partial thyroidectomy (approximately one-half of the thyroid is removed)
- C. a partial thyroidectomy (approximately five-sixths of the thyroid is removed)
- D. administration of thyroid medication
Correct Answer: A
Rationale: A total thyroidectomy is the removal of the entire thyroid gland. In the case of a cold nodule, which may indicate malignancy, a total thyroidectomy is usually performed to ensure complete removal of the potentially cancerous tissue. Hyperthyroidism, on the other hand, can often be managed with medication or a partial thyroidectomy, depending on the underlying condition. In this scenario, the presence of a cold nodule suggests a higher likelihood of malignancy, hence the need for a total thyroidectomy.