Which clinical manifestation, when found in newborns, may indicate the presence of cystic fibrosis?
Meconium ileus
Cyanosis
Yellow, seedy, loose stools
Coughing
The Correct Answer is A
A. Meconium ileus is a common early sign of cystic fibrosis in newborns. It occurs when the meconium, which is the first stool of a newborn, becomes thick and sticky, leading to a blockage in the intestines. This is often one of the first signs of cystic fibrosis in infants.
B. Cyanosis, while indicative of oxygenation problems, is not a specific sign of cystic fibrosis in newborns. It may be seen in many respiratory or cardiac conditions.
C. Yellow, seedy, loose stools are more commonly associated with normal newborn digestion or conditions like lactose intolerance or gastrointestinal infections, not specifically cystic fibrosis.
D. Coughing is a symptom of cystic fibrosis, but it typically develops later as the disease progresses and affects the lungs, rather than being an early sign in newborns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Identifying specific pathogens is important for guiding treatment, but the immediate focus in septic shock is on supporting circulation and treating the source of infection rather than just identification.
B. Improving tissue perfusion through intravenous fluid and blood replacement is part of the treatment but is not the sole focus. It is a supportive measure, and it is done alongside treating the source of infection.
C. Administering antibiotics is critical in septic shock but is only part of the treatment. It should be done alongside efforts to support circulation and treat the source of infection.
D. Treating the source of infection and supporting circulation are the primary goals in managing septic shock. This includes administering fluids, antibiotics, and sometimes vasopressors, in addition to addressing the underlying infection.
Correct Answer is D
Explanation
A. Dark-colored urine is typically a sign of dehydration, as the kidneys concentrate the urine when the body is low on water. Adequate hydration usually results in lighter-colored urine.
B. Strong-smelling urine can indicate dehydration, certain foods, or medications, but it is not an indicator of adequate hydration. Properly hydrated urine typically has a mild odor.
C. Oliguria, or low urine output, can be a sign of dehydration, kidney dysfunction, or other underlying issues. It is not a sign of adequate hydration.
D. Pale-colored urine is a characteristic of adequate hydration. When the body is well-hydrated, the kidneys excrete a greater volume of diluted urine, which tends to be light in color.
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