Nokea
The MOST common early long-term complication for those patients who underwent repair of complete atrioventricular canal before the development of pulmonary vascular disease is
- A. left AV valve regurgitation
- B. subaortic stenosis
- C. residual ventricular level shunts
- D. complete heart block
Correct Answer: A
Rationale: Left AV valve regurgitation is a common complication after complete atrioventricular canal repair.
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The MOST common cause of death from associated cardiac lesions without heart syndrome in the first month of life is
- A. d-Transposition
- B. hypoplastic left heart syndrome
- C. pulmonary atresia
- D. truncus arteriosus
Correct Answer: A
Rationale: d-Transposition of the great arteries is a common cause of death in the first month due to mixing of oxygenated and deoxygenated blood.
Ice applied to the face has been ineffective in the patient. The treatment of choice is
- A. adenosine
- B. verapamil
- C. digoxin
- D. lidocaine
Correct Answer: A
Rationale: Adenosine is the first-line treatment for supraventricular tachycardia.
The following conditions may present with microcephaly:
- A. Dandy-Walker malformation
- B. Congenital rubella
- C. Rett syndrome
- D. Edward's syndrome
Correct Answer: B
Rationale: Congenital rubella syndrome is associated with microcephaly due to intrauterine infection affecting brain development.
A nurse obtains the health history of a client who is newly admitted to the medical unit. Which statement by the client should alert the nurse to the presence of edema?
- A. I wake up to go to the bathroom at night.
- B. My shoes fit tighter by the end of the day.
- C. I seem to be feeling more anxious lately.
- D. I drink at least eight glasses of water a day.
Correct Answer: B
Rationale: Tight-fitting shoes by the end of the day suggest fluid retention (edema), a common sign of cardiovascular or renal issues.
An overweight, young adult made who was recently diagnosed with type 2 diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery. Which actions should the nurse implement? (Select all that apply.)
- A. Check his fingerstick glucose level
- B. Assess his skin temperature and moisture
- C. Measure his pulse and blood pressure
- D. Document anxiety on the surgical checklist
Correct Answer: C
Rationale: These actions help assess for hypoglycemia, a common issue in diabetic patients, and ensure appropriate intervention.