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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A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at high risk for coronary artery disease. Which statement related to nutrition should the nurse include in this client’s teaching?
- A. The best way to lose weight is a high-protein, low-carbohydrate diet.
- B. You should balance weight loss with consuming the necessary nutrients.
- C. A nutritionist will provide you with information about your new diet.
- D. If you exercise more frequently, you won’t need to change your diet.
Correct Answer: B
Rationale: Balancing weight loss with proper nutrient intake is essential for clients with diabetes and high BMI to reduce the risk of coronary artery disease.
What is the most likely congenital heart lesion in a newborn with Trisomy 21?
- A. AVSD
- B. Tetralogy of Fallot
- C. Ventricular septal defect
- D. Pulmonary stenosis
Correct Answer: A
Rationale: Atrioventricular septal defect (AVSD) is highly associated with Trisomy 21 and is the most likely congenital heart lesion in these infants.
The MOST common cause of syncope in children is
- A. Wolff-Parkinson-White syndrome
- B. prolonged QT syndrome
- C. atrioventricular block
- D. neurocardiogenic syncope
Correct Answer: D
Rationale: Neurocardiogenic syncope is the most common cause of syncope in children due to autonomic dysfunction.
Croup:
- A. Is a disease
- B. Is commonly caused by parainfluenza viruses
- C. Most cases are managed with nebulised adrenaline
- D. Inhaled steroids are reported to be of benefit
Correct Answer: B
Rationale: Croup is most commonly caused by parainfluenza viruses, which lead to inflammation of the larynx and trachea.
A nurse assesses a client who is recovering after a left-sided cardiac catheterization. Which assessment finding requires immediate intervention?
- A. Urinary output less than intake
- B. Bruising at the insertion site
- C. Slurred speech and confusion
- D. Discomfort in the left leg
Correct Answer: C
Rationale: Slurred speech and confusion may indicate a neurological complication, such as a stroke, which requires immediate intervention.