Nokea
The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft graft to promote burn healing. Which information should the nurse provide this client?
- A. Grafting increases the risk for bacterial infections
- B. The xenograft is taken from nonhuman sources
- C. Grafts are later removed by a debriding procedure
- D. As the burn heals, the graft permanently attaches
Correct Answer: B
Rationale: This information is crucial for the client to understand the nature of the graft and its source.
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On examination, a nurse hears a murmur at the left sternal border (LSB) in a child with diarrhea and fever. The parent asks why the pediatrician never mentioned the murmur. The nurse explains:
- A. The pediatrician is not a cardiologist.
- B. Murmurs are difficult to detect, especially in children.
- C. The fever increased the intensity of the murmur.
- D. We need to refer the child to an interventional cardiologist.
Correct Answer: C
Rationale: The increased cardiac output associated with fever can accentuate a heart murmur, making it more noticeable.
Azathioprine:
- A. Is a prodrug
- B. Is teratogenic
- C. Should be avoided in liver disease
- D. Dose should be increased when given with allopurinol
Correct Answer: A
Rationale: Azathioprine is a prodrug. It is not highly teratogenic, can be used in liver disease with caution, and its dose should be reduced with allopurinol.
In D-transposition of the great vessels, accounts for =5% of all congenital heart disease. In this anomaly, the following are true EXCEPT
- A. the pulmonary artery is anterior and to the left of the aorta
- B. pulmonary veins return to the left atrium
- C. connections between the atria and ventricles are normal
- D. aorta is posterior and to the right of the pulmonary artery
Correct Answer: A
Rationale: The pulmonary artery is anterior and to the left of the aorta in normal anatomy.
The following investigations are not needed in a 3-year old on TPN for the past 3 weeks:
- A. Serum selenium
- B. Serum manganese
- C. Serum iron
- D. Serum calcium
Correct Answer: C
Rationale: The correct answer is C because serum iron is not typically monitored in children on total parenteral nutrition (TPN). The other options (a, b, d, e) are commonly monitored to prevent deficiencies or toxicities.
Following are correctly matched
- A. Tuberous sclerosis-Cardiac rhabdomyoma
- B. WPW syndrome-SVT
- C. Maternal SLE-Irreversible complete heart block
- D. Parvo B19-Roseola infectiosum
Correct Answer: A
Rationale: Tuberous sclerosis is associated with cardiac rhabdomyomas.