Nokea
The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which most appropriate method to assess urine output?
- A. Inserting a foley catheter.
- B. Weighing the diapers.
- C. Comparing intake with output.
- D. Measuring the amount of water added to the formula.
Correct Answer: B
Rationale: Weighing diapers is a non-invasive and accurate method to assess urine output in infants, which is crucial for monitoring the effectiveness of diuretic therapy.
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In truncus arteriosus, all the following are true EXCEPT
- A. VSD is always present
- B. clinical manifestations are characterized by severe cyanosis and the degree of cyanosis are high
- C. both ventricles fail clinically
- D. cyanosis is usually mild
Correct Answer: B
Rationale: Cyanosis is usually mild initially in truncus arteriosus.
An adult female client is diagnosed with restless leg syndrome and is referred to the sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which laboratory values should the nurse monitor?
- A. Serum electrolytes
- B. Neutrophils and eosinophils
- C. Serum iron and ferritin
- D. Platelet count and hematocrit
Correct Answer: C
Rationale: Serum iron and ferritin levels should be monitored because they are indicators of iron deficiency, which is a common cause of restless leg syndrome.
A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at high risk for coronary artery disease. Which statement related to nutrition should the nurse include in this client’s teaching?
- A. The best way to lose weight is a high-protein, low-carbohydrate diet.
- B. You should balance weight loss with consuming the necessary nutrients.
- C. A nutritionist will provide you with information about your new diet.
- D. If you exercise more frequently, you won’t need to change your diet.
Correct Answer: B
Rationale: Balancing weight loss with proper nutrient intake is essential for clients with diabetes and high BMI to reduce the risk of coronary artery disease.
Pulmonary venous hypertension is a feature of
- A. Large ostium secundum defect with left to right shunt
- B. large ventricular septal defect with left to right shunt
- C. large pulmonary arteriovenous malformation
- D. Tricuspid atresia with restrictive atrial septal defect
Correct Answer: B
Rationale: Pulmonary venous hypertension is a feature of large ventricular septal defect with left to right shunt.
All are true about genotype - phenotype correlation in Brugada syndrome, except
- A. SCN5A mutation is associated with short PR interval
- B. LTCC mutation is associated with short QT interval
- C. Yield of genetic testing is low (25%)
- D. No major therapeutic implication of genetic testing
Correct Answer: D
Rationale: There are therapeutic implications of genetic testing in Brugada syndrome.