A patient has recently been diagnosed with multiple sclerosis. Which response best explains the etiology of multiple sclerosis (MS)?
The disease is prevalent in certain geographical locations.
There is a well-defined genetic cause.
Inflammatory processes are responsible for the signs and symptoms.
Ischemic lesions in the brain are responsible for the signs and symptoms.
The Correct Answer is C
A. The disease is prevalent in certain geographical locations: This statement is true but does not explain the etiology of MS. Geographic prevalence does not address the underlying cause.
B. There is a well-defined genetic cause: While genetics may play a role in MS, there is no single well-defined genetic cause for the disease.
C. Inflammatory processes are responsible for the signs and symptoms: MS is an autoimmune disease characterized by inflammation and demyelination of the central nervous system, leading to the signs and symptoms of the disease.
D. Ischemic lesions in the brain are responsible for the signs and symptoms: MS is primarily caused by demyelination rather than ischemic lesions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decreased respirations and CO2 retention: A thyrotoxic crisis (thyroid storm) typically involves increased, not decreased, respiratory rates and CO2 retention due to increased metabolic activity.
B. Seizures and extreme tachycardia: Thyrotoxic crisis is characterized by severe symptoms including extreme tachycardia, fever, and potentially seizures due to excessive thyroid hormone levels.
C. Constipation and a swollen abdomen: Constipation and abdominal swelling are more typical of hypothyroidism rather than a thyrotoxic crisis.
D. Hypotension and bradycardia: Thyrotoxic crisis usually causes tachycardia and hypertension rather than bradycardia and hypotension.
Correct Answer is D
Explanation
26. A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?
- elevated serum protein hyperproteinemia
- decreased serum liver enzymes (ALT).
- elevated number of platelets thrombocytosis)
- decreased level of clotting factors.
Correct answer:
A. Elevated serum protein hyperproteinemia: In cirrhosis, serum protein levels, particularly albumin, are often decreased due to impaired liver synthesis.
B. Decreased serum liver enzymes (ALT): In cirrhosis, liver enzyme levels such as ALT (alanine aminotransferase) are typically elevated due to liver damage and inflammation.
C. Elevated number of platelets (thrombocytosis): Cirrhosis often leads to thrombocytopenia (decreased platelet count) due to splenomegaly and decreased production of thrombopoietin.
D. Decreased level of clotting factors: The liver synthesizes most clotting factors, and in cirrhosis, the production of these factors is impaired, leading to decreased levels and increased bleeding risk.
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