Which of the following conditions is commonly associated with tetralogy of Fallot?
Heart failure
Asthma
Polycythemia
Pulmonary hypertension
The Correct Answer is C
A. While heart failure can occur in many congenital heart defects, it is not the most specific condition commonly associated with tetralogy of Fallot.
B. Asthma is not typically associated with tetralogy of Fallot. It is a respiratory condition that does not have a direct link to congenital heart defects.
C. Tetralogy of Fallot is associated with polycythemia due to chronic hypoxemia. The body produces more red blood cells in response to low oxygen levels, leading to an increased hematocrit.
D. While pulmonary hypertension can occur in congenital heart defects, tetralogy of Fallot is more directly associated with polycythemia as a result of the decreased blood flow to the lungs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Gastritis in the father is unrelated to rheumatic fever, which is linked to streptococcal infections, not gastrointestinal issues.
B. Chickenpox, caused by the varicella-zoster virus, is not related to rheumatic fever.
C. A sibling who had a sore throat 3 weeks ago is significant because rheumatic fever often follows an untreated or inadequately treated streptococcal throat infection. Recognizing a recent history of streptococcal infection is key to understanding the source of the child's rheumatic fever.
D. Fifth disease, caused by parvovirus B19, is also unrelated to rheumatic fever.
Correct Answer is ["A","B","E","F"]
Explanation
Given the client’s symptoms (right lower quadrant pain, nausea, fever) and elevated WBC count indicating a possible infection, the provider may prescribe IV antibiotics. This is especially important if there is a concern for appendicitis or another bacterial infection.
B. The client may need to be kept NPO (nil per oral) in preparation for possible surgery or diagnostic imaging to prevent complications such as aspiration if surgery is needed.
C. Promethazine is an antiemetic, but the priority in this case would be addressing the underlying condition (likely appendicitis) rather than just managing symptoms. However, it might be used later for symptomatic relief.
D. Acetaminophen may be used for pain management, but with a suspected surgical condition, addressing the root cause is more critical. Pain management will likely be considered after the primary issue is addressed.
E. With symptoms and lab results suggestive of appendicitis, the client may require surgery. Informed consent is necessary before any surgical procedure.
F. An abdominal ultrasound is commonly used to assess for appendicitis in children and can help confirm the diagnosis by visualizing the appendix and assessing for inflammation.
G. Enemas are not indicated in this case and could be harmful. They are not recommended for abdominal pain with a possible surgical condition like appendicitis.
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