Nokea
Which medication should the nurse give to a child diagnosed with transposition of the great vessels?
- A. Ibuprofen
- B. Betamethasone
- C. Prostaglandin E
- D. Indocin
Correct Answer: C
Rationale: Prostaglandin E keeps the ductus arteriosus open, which is essential for maintaining adequate circulation in transposition of the great vessels until corrective surgery is performed.
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A male client tells the clinic nurse that he is experiencing burning on urination, and assessment reveals that he had sexual intercourse four days ago with a woman he casually met. Which action should the nurse implement?
- A. Observe the perineal area for a chancroid-like lesion
- B. Obtain a specimen of urethral drainage for culture
- C. Assess for perineal itching, erythema and excoriation
- D. Identify all sexual partners in the last four days
Correct Answer: B
Rationale: A culture of urethral drainage is necessary to diagnose a potential sexually transmitted infection (STI).
Concerning bulimia nervosa:
- A. Review of teeth may aid diagnosis
- B. Patients may get hypokalaemia
- C. Patients are likely to neglect their appearance
- D. There is an association with calluses on the dorsum of hands
Correct Answer: B
Rationale: Hypokalaemia is a common complication of bulimia nervosa due to purging behaviors. Dental erosion and calluses on the hands are also associated with bulimia.
A male client with chronic kidney disease (CKD) is beginning his first hemodialysis 3 times per week. Which short-term goal is most important for the nurse to include in the plan of care for this client as he begins the series?
- A. Reports subjective symptoms during hemodialysis
- B. Documents his oral intake during dialysis treatments
- C. Demonstrates self-care of the arteriovenous (AV) Shunt
- D. Verbalizes understanding of the reasoning for dialysis
Correct Answer: D
Rationale: Verbalizing understanding is the most important short-term goal for the client beginning dialysis.
The following statements are true about screening:
- A. The sensitivity of a screening test is the extent of picking up true negatives
- B. Positive predictive value is dependent on the population being screened
- C. A good screening test is always inexpensive
- D. Screening for Duchenne muscular dystrophy is not practised, mainly because of the extent of false positives in the test
Correct Answer: B
Rationale: The positive predictive value of a screening test is influenced by the prevalence of the condition in the population being screened.
The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment finding?
- A. Nuchal rigidity
- B. Carotid bruit
- C. Jugular vein distention
- D. Palpable cervical lymph node
Correct Answer: B
Rationale: A carotid bruit indicates turbulent blood flow, which is a risk factor for stroke.