Nokea
What is the priority nursing action for a child who is post-operative following a tonsillectomy?
- A. Provide pain management.
- B. Encourage fluid intake.
- C. Monitor for signs of bleeding.
- D. Educate the child about proper oral hygiene.
Correct Answer: C
Rationale: The priority after a tonsillectomy is to monitor for bleeding, as this can be a serious complication.
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Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect?
- A. A loud, harsh murmur with a systolic thrill
- B. Cyanosis when crying
- C. Blood pressure higher in the arms than in the legs
- D. A machinery-like murmur
Correct Answer: A
Rationale: A loud, harsh murmur combined with a systolic thrill is characteristic of a ventricular septal defect.
Third generation cephalosporin that is primarily excreted through bile is
- A. Cefoperazone
- B. Ceftriaxone
- C. Cefotaxim
- D. Cefixime
Correct Answer: A
Rationale: Cefoperazone is known for its biliary excretion
Left axis deviation of the QRS complex is associated with all the following except
- A. Inflow ventricular septal defect
- B. Pulmonary atresia with intact interventricular septum
- C. Double outlet right ventricle with subaortic ventricular septal defect
- D. Noonan syndrome with pulmonary stenosis
Correct Answer: A
Rationale: Left axis deviation is not typically associated with inflow ventricular septal defect.
Which is a clinical manifestation of the systemic venous congestion that can occur with heart failure?
- A. Tachypnea
- B. Tachycardia
- C. Peripheral edema
- D. Pale, cool extremities
Correct Answer: C
Rationale: Peripheral edema, especially periorbital edema, is a clinical manifestation of systemic venous congestion. Tachypnea is a manifestation of pulmonary congestion. Tachycardia and pale, cool extremities are clinical manifestations of impaired myocardial function.
Membranous glomerulonephritis:
- A. Is typically associated with immune complex deposition
- B. Presents with nephritic syndrome
- C. Is associated with highly selective proteinuria
- D. Deposits of IgG on the glomerular membrane
Correct Answer: A
Rationale: Membranous glomerulonephritis is characterized by immune complex deposition, particularly IgG, on the glomerular basement membrane, leading to proteinuria.