Nokea
While planning care for a client with carpal tunnel syndrome, the nurse identifies a collaborative problem of pain. what is the etiology of this problem?
- A. Irritation of nerve endings
- B. Diminished blood flow
- C. Ischemic tissue changes
- D. Compression of a nerve
Correct Answer: D
Rationale: Carpal tunnel syndrome is caused by compression of the median nerve, leading to pain and other symptoms.
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Increased TSH is seen in a neonate with:
- A. Thyroxine insensitivity
- B. Iodine deficiency
- C. Hyperbilirubinaemia
- D. Thyroid agenesis
Correct Answer: B
Rationale: Iodine deficiency: Neonates with iodine deficiency often present with increased TSH levels as the body attempts to compensate for low thyroid hormone production.
Which drug should not be used to control secondary hypertension in a sexually active adolescent female who uses intermittent birth control?
- A. Beta blockers
- B. Calcium channel blockers
- C. ACE inhibitors
- D. Diuretics
Correct Answer: C
Rationale: ACE inhibitors and angiotensin II receptor blockers are teratogenic and should be avoided in sexually active adolescents using birth control.
The most common indication of heart transplantation in the neonate is
- A. Hypoplastic left heart syndrome
- B. Hypoplastic right heart syndrome
- C. Severe Ebstein's anomaly
- D. Dilated cardiomyopathy
Correct Answer: A
Rationale: Hypoplastic left heart syndrome is the most common indication for heart transplantation in neonates.
A female client enters the clinic and insists on being seen. She is weak, nervous, and reports a racing heart beat and recent weight loss of 15 pounds. After ruling out substance withdrawal, the healthcare provider suspects hyperthyroidism and admits her for further testing. Which action should the nurse implement?
- A. Begin preparing client for thyroidectomy procedure
- B. Space the client's care to provide periods of rest
- C. Assess the client for hyperactive bowel sounds
- D. Provide warm blankets to prevent heat loss
Correct Answer: B
Rationale: Rest is important for managing symptoms of hyperthyroidism, which can be exacerbated by stress and activity.
Sequelae of a complete posterior cord section between C3 and T1 include:
- A. Muscle fasciculation
- B. Loss of sensation below the lesion
- C. Loss of deep tendon reflexes
- D. Athetoid movements
Correct Answer: B
Rationale: A complete posterior cord section results in loss of sensation below the lesion due to damage to the sensory pathways. Motor functions may remain intact as the anterior cord is unaffected.