Burns Pediatric Primary Care 7th Edition Test Bank

Burns Pediatric Primary Care 7th Edition Test Bank Related

Review Burns Pediatric Primary Care 7th Edition Test Bank related questions and content

Which of the ff symptoms is associated with AIDS related distal sensory polyneuropathy (DSP)?

  • A. Staggering gait and muscle incoordination
  • B. Abnormal sensations such as burning and numbness
  • C. Delusional thinking
  • D. Incontinence
Correct Answer: B

Rationale: AIDS related distal sensory polyneuropathy (DSP) is a common neurological complication in individuals living with HIV or AIDS. One of the hallmark symptoms associated with DSP is the presence of abnormal sensations such as burning pain, tingling, numbness, and hypersensitivity in the distal extremities. These abnormal sensations are typically described as a feeling of pins and needles or electric shocks. Patients may also experience a loss of proprioception, leading to difficulties in coordination and balance. Staggering gait and muscle incoordination (choice A) may be seen in patients with advanced stages of DSP, but the primary symptom associated with the condition is the presence of abnormal sensory perceptions. Delusional thinking (choice C) and incontinence (choice D) are not typical symptoms of AIDS related distal sensory polyneuropathy.

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The nurse is reviewing the medication history of a new preoperative patient who is nil by mouth (NPO). The nurse notes that the patient has been on long-term oral steroid therapy. The nurse understands that which of the following is the reason that steroids cannot be abruptly stopped?

  • A. Higher steroid levels are needed during
  • B. Malignant hypertension will occur.
  • C. Respiratory failure will result.
  • D. Malignant hyperthermia will result.
Correct Answer: A

Rationale: Steroids should not be abruptly stopped, especially in patients on long-term therapy, because higher steroid levels are needed during stress. Abruptly stopping steroids can lead to adrenal insufficiency and a life-threatening condition called adrenal crisis. Patients undergoing surgery or experiencing significant stress require higher doses of steroids to prevent adrenal crisis. It is important for healthcare providers to monitor and adjust steroid doses accordingly during stressful situations such as surgery.

A client with uterine cancer asks the nurse, "Which is the most common type of cancer in women?" The nurse replies that it's breast cancer. Which type of cancer causes the most deaths in women?

  • A. Breast cancer
  • B. Lung cancer
  • C. Brain cancer
  • D. Colon and rectal cancer
Correct Answer: B

Rationale: Lung cancer causes the most deaths in women. Despite breast cancer being the most common type of cancer in women, lung cancer is responsible for the highest number of deaths among women due to factors such as smoking, secondhand smoke exposure, and other environmental factors. It is crucial for women to be aware of the risks associated with lung cancer, even if they are non-smokers, and to take steps to reduce their risk factors through lifestyle changes and early detection methods.

all the following are major signs of DM except :

  • A. polydipsia
  • B. hypernatremia
  • C. polyphagia
  • D. hyporeflexia and bradycardia
Correct Answer: D

Rationale: Hyporeflexia (reduced deep tendon reflexes) and bradycardia (slow heart rate) are not typical signs of diabetes mellitus (DM). The major signs of DM are the classic "3 Ps": polydipsia (excessive thirst), polyuria (excessive urination), and polyphagia (excessive hunger). These symptoms are usually due to elevated blood glucose levels leading to increased thirst, frequent urination, and hunger. Additionally, unexplained weight loss can also be a common symptom of DM. Other complications related to DM, such as neuropathy, can lead to issues like hyporeflexia, but they are not considered major signs of DM itself.

Assume you are evaluating the specificity of the indirect fluorescence antibody test for rapid diagnosis of Campylobacter enteritis. The number of normal persons tested is 150 and the test is positive in 30 persons. The specificity of this test is

  • A. 20%
  • B. 40%
  • C. 60%
  • D. 80%
Correct Answer: D

Rationale: Specificity = (True negatives / Total normals) * 100 = [(150 - 30) / 150] * 100 = 80%.

Assume you are evaluating the specificity of the indirect fluorescence antibody test for rapid diagnosis of Campylobacter enteritis. The number of normal persons tested is 150 and the test is positive in 30 persons. The specificity of this test is

  • A. 20%
  • B. 40%
  • C. 60%
  • D. 80%
Correct Answer: D

Rationale: Specificity = (True negatives / Total normals) * 100 = [(150 - 30) / 150] * 100 = 80%.

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