A 17-year-old college-bound student receives a vaccine against an organism that causes meningitis. This is an example of:
Tertiary prevention.
Primary prevention.
Disease treatment.
Secondary prevention.
The Correct Answer is B
Choice A Reason:
Tertiary prevention involves measures taken to reduce the impact of an ongoing illness or injury that has lasting effects. This includes rehabilitation and efforts to prevent further complications or deterioration. Vaccination, however, is aimed at preventing the disease before it occurs, which does not align with the concept of tertiary prevention.
Choice B Reason:
Primary prevention refers to actions taken to prevent the onset of disease before it occurs. Vaccination is a classic example of primary prevention because it aims to protect individuals from contracting diseases by stimulating the immune system to recognize and fight specific pathogens. In this case, the meningococcal vaccine helps prevent meningitis, making it a primary preventive measure.
Choice C Reason:
Disease treatment involves managing and caring for a patient to combat a disease or condition. This includes interventions aimed at curing the disease, alleviating symptoms, or preventing complications. Vaccination does not fall under disease treatment because it is a preventive measure rather than a therapeutic one
Choice D Reason:
Secondary prevention focuses on early detection and prompt intervention to prevent the progression of a disease. This includes screening tests and early treatment of conditions to halt or slow their progression. Vaccination, however, is intended to prevent the disease from occurring in the first place, which is not the goal of secondary prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Move Na Inside the Cell
The primary function of the Na-K pump, also known as the sodium-potassium pump, is to move sodium (Na) ions out of the cell, not into the cell. This pump actively transports three sodium ions out of the cell for every two potassium ions it brings in. Therefore, this choice is incorrect.
Choice B: Move K Out of the Cell
The Na-K pump moves potassium (K) ions into the cell, not out of the cell. This active transport mechanism helps maintain the necessary concentration gradients of sodium and potassium across the cell membrane, which are crucial for various cellular functions, including maintaining the resting membrane potential.
Choice C: Move Na Out of the Cell
The main function of the Na-K pump is to move sodium ions out of the cell. For every cycle of the pump, three sodium ions are exported out of the cell, and two potassium ions are imported into the cell. This process is essential for maintaining the electrochemical gradient across the cell membrane, which is vital for nerve impulse transmission, muscle contraction, and overall cellular homeostasis.
Choice D: Move Na and K Inside the Cell
This choice is incorrect because the Na-K pump does not move both sodium and potassium ions inside the cell. Instead, it moves sodium ions out of the cell and potassium ions into the cell. This active transport mechanism is crucial for maintaining the proper ionic balance and membrane potential necessary for various physiological processes.
Correct Answer is A
Explanation
Choice A: Metabolic Acid Deficit (Metabolic Alkalosis)
Vomiting or continuous nasogastric suctioning leads to the loss of gastric contents, which are rich in hydrochloric acid (HCl)1. This loss results in a decrease in the body’s acid levels, leading to a condition known as metabolic alkalosis2. Metabolic alkalosis is characterized by an increase in blood pH due to the loss of hydrogen ions (H+) and an increase in bicarbonate (HCO3-) levels. This condition can cause symptoms such as muscle twitching, hand tremors, and light-headedness.
Choice B: Carbonic Acid Excess (Respiratory Acidosis)
Carbonic acid excess, or respiratory acidosis, occurs when there is an accumulation of carbon dioxide (CO2) in the blood, leading to a decrease in blood pH3. This condition is typically caused by respiratory issues such as hypoventilation, chronic obstructive pulmonary disease (COPD), or severe asthma. It is not directly related to vomiting or nasogastric suctioning, which primarily affect the metabolic component of acid-base balance.
Choice C: Metabolic Acid Excess (Metabolic Acidosis)
Metabolic acidosis is characterized by a decrease in blood pH due to an accumulation of metabolic acids or a loss of bicarbonate. Common causes include renal failure, diabetic ketoacidosis, and severe diarrhea. Vomiting or nasogastric suctioning, which result in the loss of gastric acid, do not lead to metabolic acidosis but rather to metabolic alkalosis.
Choice D: Carbonic Acid Deficit (Respiratory Alkalosis)
Respiratory alkalosis occurs when there is a decrease in carbon dioxide levels in the blood, leading to an increase in blood pH. This condition is often caused by hyperventilation due to anxiety, fever, or high altitude. It is not related to the loss of gastric contents through vomiting or nasogastric suctioning, which primarily affect the metabolic component of acid-base balance.
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