Nokea
Which diversional activity suggested by the nurse is most appropriate for the child during the acute phase of rheumatic fever?
- A. Playing with action figures
- B. Playing video games
- C. Reading an adventure story
- D. Pounding wooden pegs with a mallet
Correct Answer: C
Rationale: During the acute phase of rheumatic fever, the child is on bed rest to reduce cardiac workload. Reading an adventure story is a quiet, non-physically demanding activity appropriate for a 7-year-old, promoting rest while keeping the child engaged.
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A child is prescribed 10 mg/kg of a medication, and the child weighs 15 kg. The medication is available as 50 mg/mL. How many milliliters should the nurse administer?
Correct Answer: 3 mL
Rationale: Calculation: 15 kg × 10 mg/kg = 150 mg. Volume = 150 mg ÷ 50 mg/mL = 3 mL. Since no options are provided, the calculated volume is noted for accuracy.
A 24 years old G3P2 presents to you at 32 weeks of gestation with preterm prelabour rupture of membranes for ten days. She is complaining of pain in lower abdomen,fever with rigors and chills and purulent vaginal discharge. What is her diagnosis:
- A. Pyrexia of unknown origin.
- B. Puerperal pyrexia.
- C. Preterm labour.
- D. Chorioamnionitis.
- E. Antepartum haemorrhage.
Correct Answer: D
Rationale: Chorioamnionitis is an infection of the amniotic membranes often following prolonged rupture of membranes presenting with fever abdominal pain and purulent discharge. Other options do not fit the clinical picture.
The most common cause of heart disease in pregnant woman in Pakistan is:
- A. Congenital heart disease.
- B. Cardiomyopathy.
- C. Myocardial infarction.
- D. Cardiomegaly.
- E. Rheumatic heart disease.
Correct Answer: E
Rationale: Rheumatic heart disease is the most common cause of heart disease in pregnant women in developing countries like Pakistan due to high prevalence of rheumatic fever. Congenital heart disease is less common and other options are rare in pregnancy.
Which information about methamphetamine use is most accurate and important for the parents to know?
- A. Methamphetamines are tried by most adolescents and cause no harm.
- B. Methamphetamines are known to lead to addiction.
- C. Methamphetamines are a central nervous system depressant.
- D. Methamphetamines are harmful only if taken intravenously.
Correct Answer: B
Rationale: Methamphetamines are highly addictive stimulants, and informing parents about the risk of addiction is critical to understanding the severity of the adolescent's behavior.
Which diversional activity is best for meeting the burned child's developmental needs?
- A. Reading the newspaper
- B. Coloring simple designs
- C. Playing with an action figure
- D. Playing a solitary card game
Correct Answer: B
Rationale: Coloring simple designs is a developmentally appropriate activity for a school-age child, promoting fine motor skills and creativity while being feasible for a bedridden patient with burns.