Nokea
What are FOUR absolute contraindications for cardiac transplantation?
- A. Active infection
- B. Ongoing malignancy
- C. Medical non-compliance
- D. Drug abuse
Correct Answer: D
Rationale: These are absolute contraindications for cardiac transplantation due to the risks of infection, poor outcomes, and non-compliance.
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A male client with pernicious anemia takes supplemental folate and self-administers monthly Vitamin B12 injections. He reports feeling increasingly fatigued. Which laboratory value should the nurse review?
- A. Complete blood count
- B. Serum ferritin level
- C. Serum potassium level
- D. Liver function tests
Correct Answer: A
Rationale: Fatigue in pernicious anemia may indicate inadequate treatment. A complete blood count helps assess hemoglobin and red blood cell levels.
In febrile convulsions:
- A. Familial predisposition is the same as in idiopathic epilepsy
- B. Carbamazepine achieves good seizure control
- C. Shigella dysentery may be a cause
- D. Deafness can occur if seizure is prolonged
Correct Answer: C
Rationale: Shigella dysentery, a bacterial infection, can cause febrile convulsions in children due to the high fever associated with the infection.
A child develops carditis from rheumatic fever. Which areas of the heart are affected by carditis?
- A. Coronary arteries
- B. Heart muscle and the mitral valve
- C. Aortic and pulmonic valves
- D. Contractility of the ventricles
Correct Answer: B
Rationale: The tissues that cover the heart and heart valves are affected. The heart muscle may be involved and the mitral valve is frequently involved.
Bed-wetting can be considered normal up to
- A. 4 years in boys and 5 years in girls
- B. 5 years in boys and 4 years in girls
- C. 4 years in both boys and girls
- D. 5 years in both boys and girls
Correct Answer: D
Rationale: Bed-wetting is considered normal up to 5 years of age in both boys and girls, as bladder control develops gradually.
The nurse is caring for a child with Kawasaki disease. A student nurse who is on the unit asks if there are medications to treat the disease. The nurse’s best response to the student nurse is:
- A. Immunogloulin G and ACE inhibitors
- B. Immunoglobulin and heparin
- C. Immunoglobulin G and aspirin
- D. Immunoglobulin and ibuprofen
Correct Answer: C
Rationale: The standard treatment for Kawasaki disease includes Immunoglobulin G and aspirin to reduce inflammation and prevent coronary artery complications.