Nokea
The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. What action should the nurse take?
- A. Collect the blood sample
- B. Assess radial pulse volume
- C. Apply pressure to the site
- D. Select another finger
Correct Answer: A
Rationale: The reddened and engorged appearance is due to increased blood flow, and the sample can still be collected.
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For one of the following, total repair is really achieved, with no requirement for long-term follow-up
- A. atrial septal defects
- B. ventricular septal defects
- C. pulmonic stenosis
- D. uncomplicated isolated pulmonic stenosis
Correct Answer: D
Rationale: Uncomplicated isolated pulmonic stenosis can often be repaired with no need for long-term follow-up.
Urinary tract infection:
- A. Usually leads to vesico-ureteric reflux
- B. Is more common in boys than girls under a year of age
- C. In boys,is most commonly caused by Proteus mirabilis
- D. Is associated with constipation
Correct Answer: D
Rationale: Urinary tract infections (UTIs) are often associated with constipation in children, as stool retention can increase the risk of bacterial colonization in the urinary tract.
Displacement of apex to anterior axillary line
- A. TOF
- B. Truncus arteriosus
- C. Hypoplastic left heart syndrome
- D. TAPVD
Correct Answer: B
Rationale: Truncus arteriosus typically shows displacement of the apex to the anterior axillary line.
What are THREE classes of medication used to treat giant coronary artery aneurysms in Kawasaki Disease?
- A. ACE inhibitor
- B. Beta blocker
- C. Statin
- D. All of the above
Correct Answer: D
Rationale: These medications are typically used in the management of giant coronary artery aneurysms to manage cardiovascular risks.
Which clinical manifestation is included in toxic shock syndrome?
- A. Severe hypertension
- B. Subnormal temperature
- C. Erythematous macular rash
- D. Papular rash over extremities
Correct Answer: C
Rationale: One of the diagnostic criteria for toxic shock syndrome is a diffuse macular erythroderma. Hypotension is one of the manifestations. Fever of 38.9° C or higher is a characteristic. Desquamation of the palms and soles of the feet occurs in about 1 to 2 weeks.