Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must you, as the nurse, keep in mind when developing a care plan for the child?
Pulmonary secretions are abnormally thick.
Obstruction of the endocrine glands occurs.
Elevated levels of potassium are found in the sweat.
CF is an autosomal dominant hereditary disorder.
The Correct Answer is A
Choice A reason: This is the correct choice. Thick pulmonary secretions are a hallmark of cystic fibrosis and must be addressed in the care plan.
Choice B reason: While cystic fibrosis can affect various glands, the primary concern is the respiratory system.
Choice C reason: Elevated levels of chloride, not potassium, are found in the sweat of individuals with cystic fibrosis.
Choice D reason: Cystic fibrosis is an autosomal recessive disorder, not dominant. This is important for genetic counseling and understanding the inheritance pattern.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Rheumatic fever is often preceded by an upper respiratory infection caused by group A Streptococcus, which can lead to a sore throat.
Choice B reason: Chest trauma and a fractured rib are not related to the development of rheumatic fever.
Choice C reason: Although a pre-existing heart defect can increase the risk of complications, it is not the cause of rheumatic fever.
Choice D reason: A decreasing appetite over several months is not specifically indicative of rheumatic fever.
Correct Answer is A
Explanation
Choice A reason: Meningitis is an infection of the protective membranes covering the brain and spinal cord and is not typically listed as a risk factor for ADD/ADHD.
Choice B reason: A family history of ADD/ADHD is a known risk factor, as the disorder can have a genetic component.
Choice C reason: Exposure to environmental toxins, such as lead, is associated with an increased risk of developing ADD/ADHD.
Choice D reason: While maternal health issues like gestational diabetes can impact a child's development, they are not directly linked to ADD/ADHD as a risk factor in the same way as genetic or environmental factors. However, this choice is less incorrect than Choice A, as there is some evidence suggesting a potential association between gestational diabetes and developmental disorders.
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