In a hospitalized patient on prolonged bed rest, the most likely cause of sudden onset shortness of breath and chest pain is pulmonary embolism. Pregnancy and prolonged inactivity both increase the risk of clot formation in the deep veins of the legs. These clots can then break loose and travel to the lungs. Options A and D: Myocardial infarction and atherosclerosis are unlikely in a 27-year-old woman, as is congestive heart failure due to fluid overload. Option C: There is no reason to suspect an anxiety disorder in this patient. Though anxiety is a possible cause of her symptoms, the seriousness of pulmonary embolism demands that it be considered first.
Petechiae on the soft palate are characteristic of rubella infection. Options A, B, and D are characteristic of scarlet fever, a result of group A Streptococcus infection.
Naproxen sodium is a nonsteroidal anti-inflammatory drug that can cause inflammation of the upper GI tract. For this reason, it is contraindicated in a patient with gastritis. Option B: Calcium carbonate is used as an antacid for the relief of indigestion and is not contraindicated. Option C: Clarithromycin is an antibacterial often used for the treatment of Helicobacter pylori in gastritis. Option D: Furosemide is a loop diuretic and is NOT contraindicated in a patient with gastritis.
Please select 3 correct answers
Delayed developmental milestones are characteristic of cerebral palsy, so regular screening and intervention is essential. Because of injury to upper motor neurons, children may have ocular and speech difficulties. Parent support groups help families to share and cope. Physical therapy and other interventions can minimize the extent of the delay in developmental milestones.
Acute glomerulonephritis is most commonly caused by the immune response to a prior upper respiratory infection with group A Streptococcus. Glomerular inflammation occurs about 10-14 days after the infection, resulting in scant, dark urine and retention of body fluid. Periorbital edema and hypertension are common signs at diagnosis.
Please select 3 correct answers
Claudication describes the pain experienced by a patient with a peripheral vascular disease when oxygen demand in the leg muscles exceeds the oxygen supply. The tissue becomes hypoxic, causing cramping, weakness, and discomfort. Option B: This most often occurs during activity when demand increases in muscle tissue.
Hepatitis C is a viral infection transmitted through bodily fluids, such as blood, causing inflammation of the liver. Patients with hepatitis C may not donate blood for transfusion due to the high risk of infection in the recipient. Cholecystitis (gallbladder disease), diverticulosis, and history of Crohn’s disease do not preclude blood donation.
Antibiotics must be started after the blood culture is drawn, as they may interfere with the identification of the causative organism. Option C: The blood count will reveal the presence of infection but does not help identify an organism or guide antibiotic treatment. Option D: Parental presence is important for the adjustment of the child but not for the administration of medication.
This child weighs 30 kg, and the pediatric dose of diphenhydramine is 5 mg/kg/day (5 X 30 = 150/day). Therefore, the correct dose is 150 mg/day. Divided into 3 doses per day, the child should receive 50 mg 3 times a day rather than 25 mg 3 times a day. Dosage should not be titrated based on symptoms without consulting a physician.
The grounded theory method refers to a qualitative approach of building theory about a phenomenon about which little is known.
Different research methods accomplish different goals and offer different types and levels of evidence that inform practice.
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NCLEX-RN Test #15
