The primary factor responsible for possible multiple clinical manifestations in cystic fibrosis is which of the following?
Hyperactivity of sweat glands
Mechanical obstruction caused by increased viscosity of mucous gland secretion
Hypoactivity of autonomic nervous system
Atrophic changes in mucosal wall of intestines
The Correct Answer is B
A. Hyperactivity of sweat glands:
In cystic fibrosis (CF), there is an abnormality in the CF transmembrane conductance regulator (CFTR) protein, leading to increased salt concentration in sweat. However, this is not the primary factor responsible for the diverse clinical manifestations in CF. The primary issue lies in the abnormal production of thick and sticky mucus affecting various organs.
B. Mechanical obstruction caused by increased viscosity of mucous gland secretion:
This is the correct choice. CF is characterized by the production of thick and sticky mucus due to abnormal CFTR protein function. This increased viscosity leads to mechanical obstruction in organs such as the respiratory, digestive, and reproductive systems, causing a range of clinical manifestations.
C. Hypoactivity of the autonomic nervous system:
CF is not characterized by hypoactivity of the autonomic nervous system. The primary issue lies in the mechanical obstruction caused by the abnormal mucus production.
D. Atrophic changes in the mucosal wall of the intestines:
Atrophic changes in the mucosal wall of the intestines are not the primary factor responsible for the clinical manifestations of CF. The key problem is the mechanical obstruction due to increased viscosity of mucous gland secretions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Autonomy.
The ethical/moral principle represented in this situation is autonomy. Autonomy refers to the respect for an individual's right to make their own decisions and choices about their own life and well-being. In this case, the parent expressing second thoughts about the child's surgery reflects a reconsideration of the decision, and the nurse's action of calling the surgeon respects the parent's autonomy by seeking further discussion and clarification.
B. Fidelity
Fidelity refers to the principle of faithfulness, loyalty, and keeping promises. While it is important in the healthcare context, the scenario does not involve a breach of fidelity.
C. Equality
Equality relates to the fair and just treatment of individuals. In this scenario, the primary focus is on the parent's autonomy and the reconsideration of the elective surgery, rather than issues of equality.
D. Justice
Justice involves the fair distribution of benefits and burdens in society. The scenario does not directly relate to justice but is more aligned with the principle of autonomy as the parent reconsiders the decision about the child's surgery.
Correct Answer is B
Explanation
A. Child Abuse
While the presence of welts might be concerning, it is essential for the nurse to consider cultural practices before labeling the situation as child abuse. In this case, the coin rubbing is described as a cultural practice rather than an abusive act.
B. A cultural practice to rid the body of disease.
This is the correct choice. Coin rubbing, or "coining," is a cultural practice in some traditions, including Vietnamese culture. It is believed to have therapeutic benefits and is used to address health concerns.
C. A child discipline measure common in Asian cultures.
The scenario does not provide evidence that the coin rubbing is a form of discipline. It seems to be described as a traditional health practice rather than a disciplinary measure.
D. A cultural practice to treat temper tantrums.
The scenario does not indicate that the coin rubbing is related to treating temper tantrums. It appears to be described as a health-related cultural practice rather than a disciplinary measure.
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