The nurse identifies which patient condition may be treated with a tissue plasminogen activator?
Idiopathic pulmonary fibrosis
Sarcoidosis
Atelectasis
Pulmonary embolus (PE)
The Correct Answer is D
Choice A reason: Idiopathic pulmonary fibrosis is a chronic, progressive lung disease characterized by scarring of the lung tissue. Tissue plasminogen activators (tPAs) are not used for this condition, as they are primarily designed to dissolve blood clots, not to address fibrotic changes in the lungs.
Choice B reason: Sarcoidosis is an inflammatory disease that affects multiple organs, particularly the lungs and lymph glands. It involves the growth of tiny collections of inflammatory cells called granulomas. Tissue plasminogen activators are not used in the treatment of sarcoidosis since the condition is not related to blood clots but rather to immune system dysregulation.
Choice C reason: Atelectasis is the complete or partial collapse of a lung or lobe of a lung due to alveoli deflation. The treatment typically focuses on re-expanding the lung tissue through techniques such as deep breathing exercises, bronchoscopy, or mechanical ventilation. Tissue plasminogen activators are not relevant for this condition, as they are used to dissolve blood clots, not to treat lung collapse.
Choice D reason: Pulmonary embolus (PE) is a blockage in one of the pulmonary arteries in the lungs, usually caused by blood clots that travel to the lungs from the legs or other parts of the body (deep vein thrombosis). Tissue plasminogen activators are used to treat PE because they can effectively dissolve the blood clots obstructing the pulmonary arteries, thereby restoring normal blood flow and preventing further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hypotension, chills, and thirst are not characteristic signs and symptoms of a thyroid storm. Hypotension generally indicates low blood pressure, while chills and thirst are less specific symptoms that do not particularly point to thyroid storm.
Choice B reason: Lethargy, confusion, and bradycardia are not typical indicators of a thyroid storm. These symptoms might be present in other conditions but are not generally associated with the severe hypermetabolic state seen in thyroid storms.
Choice C reason: Bradycardia, hypotension, and low urine output are also not typical signs of a thyroid storm. Bradycardia (slow heart rate) and hypotension (low blood pressure) are more likely associated with severe hypothyroidism or other conditions, not the hyperactive state of a thyroid storm.
Choice D reason: Fever, tachycardia, and tremors are classic signs of a thyroid storm. A thyroid storm is a life-threatening condition characterized by an excessive amount of thyroid hormones, leading to hypermetabolic activity. This results in symptoms like a high fever, rapid heart rate (tachycardia), and tremors.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Anorexia, nausea, and vomiting are not typical findings associated with Cushing syndrome. These symptoms can be related to other medical conditions but do not specifically indicate Cushing syndrome.
Choice B reason: Truncal obesity, thin extremities, and rounding of the face (moon face) are classic signs of Cushing syndrome. This condition leads to fat redistribution, resulting in increased fat around the trunk and face while the extremities appear thinner. The distinctive appearance of moon face is due to fat accumulation.
Choice C reason: Purplish streaks on the abdomen, also known as striae, are a common feature of Cushing syndrome. These stretch marks occur due to the excessive production of cortisol, which weakens the connective tissue, leading to skin changes.
Choice D reason: Hyperglycemia, or high blood sugar, is frequently seen in patients with Cushing syndrome. The excess cortisol increases glucose production and decreases insulin sensitivity, leading to elevated blood sugar levels.
Choice E reason: A bronzed appearance of the skin is not a typical finding of Cushing syndrome. This symptom is more commonly associated with Addison's disease, which involves adrenal insufficiency rather than excess cortisol production seen in Cushing syndrome.
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