Which disease process has a manifestation of excessive production in mucus?
Emphysema
Peripheral vascular disease
Heart failure
Bronchitis
The Correct Answer is D
Choice A reason: Emphysema destroys alveoli, causing air trapping and dyspnea, but doesn’t involve excessive mucus production, focusing on structural loss, not glandular activity.
Choice B reason: Peripheral vascular disease impairs arterial flow, causing ischemia and pain, not affecting airways or mucus glands, unrelated to respiratory secretions.
Choice C reason: Heart failure leads to fluid in alveoli (edema), causing crackles, but not excessive mucus, as it’s a circulatory, not inflammatory airway issue.
Choice D reason: Bronchitis inflames bronchial tubes, overactivating goblet cells to produce excess mucus, leading to productive cough, a hallmark of this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Increasing fiber binds dietary calcium, reducing absorption in hyperparathyroidism, aiding excretion, so this statement aligns with proper management.
Choice B reason: Furosemide enhances calcium excretion via urine, countering hyperparathyroidism’s high levels, making this an accurate understanding of treatment intent.
Choice C reason: Parathyroidectomy removes overactive glands, correcting calcium overproduction in hyperparathyroidism, a correct expectation reflecting disease management.
Choice D reason: Fluid restriction (1,000 mL) concentrates calcium, worsening hypercalcemia in hyperparathyroidism; increased fluids dilute it, so this needs correction.
Correct Answer is B
Explanation
Choice A reason: Prednisolone reduces inflammation and thyroid hormone production in thyroid storm, stabilizing metabolism, a standard adjunct, so this order is appropriate.
Choice B reason: Aspirin displaces thyroid hormone from proteins, worsening hyperthyroidism in thyroid storm, risking increased T3/T4 effects, so it’s contraindicated and questionable.
Choice C reason: Diazepam controls agitation and seizures in thyroid storm’s hypermetabolic state, calming the nervous system, making it a suitable order here.
Choice D reason: Metoprolol blocks beta-adrenergic effects, slowing heart rate in thyroid storm’s tachycardia, a critical intervention, so this order is clinically sound.
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