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 B
Explanation
Rationale:
A. The varicella vaccine is not indicated after infection, as the child has already developed immunity.
B. Acetaminophen (Tylenol) can be administered to manage fever and discomfort associated with chickenpox. This is supportive care, which is the mainstay of treatment.
C. Retapamulin (Altabax) is a topical antibiotic used for bacterial skin infections, not viral infections like chickenpox.
D. Hydrocortisone cream is generally not recommended for chickenpox lesions due to the risk of secondary infection; soothing measures like calamine lotion or oatmeal baths are preferred for pruritus.
Correct Answer is A
Explanation
Rationale:
A. Applying acetic acid to the external genitalia before chemical ablation is NOT recommended. Acetic acid is sometimes used for diagnostic purposes (to highlight lesions by turning them white), but it can irritate the skin and increase the risk of chemical injury when combined with podophyllin.
B. Applying petroleum jelly around the lesions is appropriate because it protects surrounding healthy skin from the caustic effects of podophyllin.
C. Using a cotton-tipped wooden applicator is the correct technique to apply podophyllin precisely to the lesions without spreading it to healthy tissue.
D. Dusting the lesions with talcum powder after ablation helps absorb residual medication and reduce local irritation, which is considered standard post-application care.
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