Nokea
The following are strongly associated with Kawasaki disease EXCEPT
- A. duration of fever of >16 days
- B. first-degree heart block
- C. male gender
- D. age of <1 year
Correct Answer: B
Rationale: First-degree heart block is less commonly associated with Kawasaki disease compared to other factors.
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A young female client with seven children is having frequent morning headaches, dizziness, and blurred vision. Her blood pressure (BP) is 168/104 mmHg. The client reports that her husband recently lost his job and she is not sleeping well. After administering a STAT dose of an antihypertensive IV medication, which intervention is most important for the nurse to implement?
- A. Measure urine output hourly to assess for rental perfusion
- B. Request a prescription for pain medication
- C. Use an automated BP machine to monitor for hypotension
- D. Provide a quiet environment with low lighting
Correct Answer: C
Rationale: Monitoring blood pressure is crucial after administering an antihypertensive to ensure the client does not become hypotensive.
The following are recognised features of achondroplasia:
- A. Shortened spine
- B. Increased liability to pathological fractures
- C. Can be diagnosed radiologically at birth
- D. Infertility
Correct Answer: C
Rationale: Achondroplasia can be diagnosed radiologically at birth. The spine is not shortened, fractures are not increased, and infertility is not a feature.
BP screenings to detect end-organ damage should be done routinely beginning at what age?
- A. Birth
- B. 3 years
- C. 8 years
- D. 13 years
Correct Answer: B
Rationale: The recommended age to establish a baseline blood pressure in a healthy child is around 3 years.
Recurrent pneumonia is defined in children as having a frequency of episodes more than or equal to
- A. 2 episodes in 6 months
- B. 2 episodes in one year
- C. 3 episodes ever without radiographic clearance
- D. 4 episodes ever with radiographic clearance
Correct Answer: A
Rationale: Recurrent pneumonia in children is defined as having 2 or more episodes in 6 months, indicating a pattern of frequent infections.
All of the following are conditions with combined cellular and antibody immunodeficiency, except
- A. Ataxia telangiectasia
- B. Reticular dysgenesis
- C. Common variable immunodeficiency
- D. Severe combined immunodeficiency
Correct Answer: C
Rationale: Common variable immunodeficiency (CVID) is primarily an antibody deficiency, not a combined immunodeficiency.