Lymphatic fluid that accumulates in the pleural cavity is:
pericardial effusion.
parapneumonic pleural effusion.
pleural empyema.
chylothorax.
The Correct Answer is D
Rationale:
A. Pericardial effusion is the accumulation of fluid in the pericardial sac surrounding the heart, not in the pleural cavity.
B. Parapneumonic pleural effusion is fluid that accumulates in the pleural space secondary to pneumonia; it is usually serous, purulent, or bloody but not specifically lymphatic.
C. Pleural empyema is pus in the pleural space, typically resulting from infection, not lymphatic fluid.
D. Chylothorax is the accumulation of lymphatic fluid (chyle) in the pleural cavity, usually due to trauma, obstruction, or congenital malformation of the thoracic duct. It is characterized by a milky appearance and high triglyceride content.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Hypocalcemia in infants can present with neuromuscular irritability, which includes a stridorous or high-pitched cry, positive Chvostek sign (facial muscle twitching when the facial nerve is tapped), tremors, and vomiting. Early recognition and treatment are critical to prevent seizures or cardiac complications.
B. Gastroesophageal reflux may cause vomiting and irritability but does not produce Chvostek sign or tremulousness.
C. Whooping cough presents with paroxysmal coughing and inspiratory “whoop”, but stridor and Chvostek sign are not features.
D. Rickets is associated with bone deformities, delayed growth, and hypocalcemia over time, but the acute neuromuscular signs seen here suggest immediate evaluation for hypocalcemia.
Correct Answer is C
Explanation
Rationale:
A. Radioactive iodine is generally reserved for older children or adolescents when medical therapy fails, due to potential long-term effects on growth and fertility.
B. Propylthiouracil (PTU) is avoided in children as first-line therapy because of the risk of severe liver toxicity.
C. Methimazole (Tapazole) is the preferred initial treatment for pediatric hyperthyroidism, as it effectively controls thyroid hormone production with a safer side effect profile.
D. Levothyroxine (Synthroid) is used to treat hypothyroidism, not hyperthyroidism.
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