Nokea
What is the risk of not treating congenital hypothyroidism within the first 3 months following birth?
- A. To ensure normal growth
- B. To prevent cognitive impairment
- C. To prevent mental retardation
- D. All of the above
Correct Answer: D
Rationale: Congenital hypothyroidism is a condition where a newborn baby is born with an underactive thyroid gland. If left untreated within the first 3 months following birth, it can lead to serious consequences such as stunted growth, cognitive impairment, and mental retardation.
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Morphine is given in acute pulmonary edema to redistribute the pulmonary circulation to the periphery by decreasing:
- A. Periphery resistance
- B. Pulmonary capillary pressure
- C. Transudation of fluid
- D. All of the above CARING FOR CLIENTS WITH HEART FAILURE
Correct Answer: B
Rationale: Morphine is given in acute pulmonary edema to decrease pulmonary capillary pressure. By reducing pulmonary capillary pressure, morphine helps to redistribute the pulmonary circulation to the periphery, leading to improved oxygenation and decreased symptoms of pulmonary edema. Morphine works to vasodilate the blood vessels, which ultimately helps decrease the pressure in the pulmonary capillaries, allowing for improved blood flow to the periphery of the lungs. This redistribution of pulmonary circulation helps to alleviate the congestion and fluid buildup in the lungs that occurs in acute pulmonary edema.
Almost all of the diseases detected in neonatal screening programs have a very low prevalence; the strategy is to use the initial screening test to separate a highly suspect group from normal and then follow this suspect group aggressively. Of the following, the disease that has low prevalence rendering it not useful for neonatal screening testing is
- A. phenylketonuria
- B. hypothyroidism
- C. cystic fibrosis
- D. neuroblastoma
Correct Answer: D
Rationale: Neuroblastoma has a very low prevalence and is not typically screened for in neonatal programs due to its rarity and the inefficiency of mass screening for such a condition.
You are evaluating a 9-year-old boy child with ALL who recently develops relapse; an important statement that should be mentioned to his parents is
- A. testicular relapse occurs in the majority of boys with ALL
- B. such relapse occurs as painful swelling of one or both testes
- C. the diagnosis is confirmed by ultrasonography
- D. the majority of affected boys can be successfully retreated, and the survival rate is good
Correct Answer: D
Rationale: Most boys with testicular relapse can be successfully treated, and their overall survival remains favorable.
An adult has a central venous line. Which of the following should the nurse include in the plan of care?
- A. Complete blood count and electrolytes
- B. Regular chest x rays to ensure proper placement of the central line
- C. Continuous infusion of the solution at a keep vein open rate
- D. Any signs of infection, air embolus, and leakage or puncture
Correct Answer: D
Rationale: An adult with a central venous line should include monitoring for any signs of infection, air embolus, and leakage or puncture in the plan of care. Central venous lines carry a risk of complications such as infection, air embolism, and mechanical issues like leakage or puncture. These complications can be serious and require immediate attention to prevent further harm to the patient. Regular monitoring and assessment for these potential issues are crucial in providing safe care for a patient with a central venous line. Other options (A, B, C) may be important in the overall care but monitoring for complications is the priority.
Which of the following may be the first abnormal sign detected in a client with cardiomyopathy?
- A. Ascites c.Chest pain
- B. Heart murmur
- C. Dyspnea
Correct Answer: C
Rationale: Dyspnea, or difficulty breathing, may be the first abnormal sign detected in a client with cardiomyopathy. Cardiomyopathy is a disease of the heart muscle, which can lead to impaired heart function. As the heart's ability to pump blood effectively is compromised, the body may not receive an adequate supply of oxygen-rich blood. This can result in symptoms such as dyspnea, especially during physical exertion or when lying down. Ascites (fluid accumulation in the abdomen), chest pain, and heart murmur may also be seen in clients with cardiomyopathy but are not typically the first signs to present. Dyspnea is often a key indicator that should prompt further evaluation and monitoring for cardiac issues.