Nokea
What 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: Toxic shock syndrome is characterized by several clinical manifestations, including a diffuse erythematous macular rash. The rash typically appears early in the course of the illness and may be followed by desquamation (peeling of the skin). Other common symptoms of toxic shock syndrome include fever, hypotension, multi-organ dysfunction, headache, myalgia, and gastrointestinal symptoms. Severe hypertension and subnormal temperature are not typically associated with toxic shock syndrome. Papular rash over extremities is not a classic manifestation of toxic shock syndrome.
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Antibodies are made of which of the following types of substances?
- A. Fat
- B. Protein
- C. Sugar
- D. Carbohydrates CARE OF PATIENTS WITH IMMUNE DISORDERS
Correct Answer: B
Rationale: Antibodies, also known as immunoglobulins, are proteins produced by the immune system in response to the presence of pathogens like bacteria, viruses, and other foreign substances. These proteins are specifically designed to recognize and bind to antigens, which are molecules that the immune system identifies as foreign or harmful. Antibodies play a crucial role in the immune response by marking pathogens for destruction by other immune cells and signaling the immune system to attack the invaders. Therefore, antibodies are primarily made up of proteins.
Children with anterior mediastinal masses are at serious risk for airway compromise and vascular obstruction. Which of the following is NOT an indication for CT scan in these cases?
- A. Cardiac tamponade
- B. Airway compromise
- C. Carina compression
- D. Temporo-mandibular subluxation
Correct Answer: D
Rationale: Temporo-mandibular subluxation is unrelated to the assessment of mediastinal masses.
The clue to need a help for a child who does not respond to his or her name is by age of
- A. 6 months
- B. 8 months
- C. 10 months
- D. 12 months
Correct Answer: D
Rationale: By 12 months, a child should respond to their name; if not, it may indicate a developmental concern.
A 10-month-old child can do all the following EXCEPT
- A. says mama or dada
- B. follows one-step command without gesture
- C. points to objects or real first word
- D. speaks inhibition word 'no'
Correct Answer: D
Rationale: Speaking inhibition words like 'no' typically occurs later.
What is an important consideration for the nurse who is communicating with a very young child?
- A. Speak loudly, clearly, and directly.
- B. Use transition objects, such as a doll.
- C. Disguise own feelings, attitudes, and anxiety.
- D. Initiate contact with child when parent is not present.
Correct Answer: B
Rationale: When communicating with a very young child, using transition objects, such as a doll, can help create a sense of familiarity, comfort, and security. These objects can serve as a bridge for the child to express themselves and can also provide a point of reference for the nurse to better understand the child's perspective. Additionally, transition objects can help the child feel more at ease during interactions with healthcare providers, making the communication process smoother and more effective.