Nokea
In mammals ventilation movements of lungs are governed by
- A. Muscular wall of lungs
- B. Inter costal muscles
- C. Diaphragm
- D. Diaphragm and inter coastal muscles
Correct Answer: D
Rationale: The correct answer is D: Diaphragm and intercostal muscles. The diaphragm is the primary muscle responsible for inhalation and exhalation by contracting and relaxing, respectively. Intercostal muscles aid in expanding and contracting the rib cage to assist in breathing. The combination of the diaphragm and intercostal muscles working together ensures efficient ventilation of the lungs in mammals. Choices A and B are incorrect because the muscular wall of the lungs and intercostal muscles alone are not solely responsible for regulating ventilation. Choice C is incorrect because the diaphragm alone does not govern ventilation movements without the assistance of the intercostal muscles. Therefore, the correct answer is D as it accurately reflects the coordinated effort of both the diaphragm and intercostal muscles in regulating lung ventilation.
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A patient is undergoing testing to see if he has a pleural effusion. Which of the nurse's respiratory assessment findings would be most consistent with this diagnosis?
- A. Increased tactile fremitus, egophony, and a dull sound upon percussion of the chest wall
- B. Decreased tactile fremitus, wheezing, and a hyperresonant sound upon percussion of the chest wall
- C. Lung fields dull to percussion, absent breath sounds, and a pleural friction rub
- D. Normal tactile fremitus, decreased breath sounds, and a resonant sound upon percussion of the chest wall
Correct Answer: C
Rationale: The correct answer is C. Lung fields dull to percussion, absent breath sounds, and a pleural friction rub are consistent with pleural effusion. Dullness on percussion indicates fluid accumulation in the pleural space. Absent breath sounds suggest decreased air movement due to the fluid. A pleural friction rub may be heard due to inflammation of the pleura.
A is incorrect because increased tactile fremitus, egophony, and a dull sound upon percussion are more indicative of pneumonia.
B is incorrect because decreased tactile fremitus, wheezing, and a hyperresonant sound upon percussion are more indicative of COPD or emphysema.
D is incorrect because normal tactile fremitus, decreased breath sounds, and a resonant sound upon percussion are more indicative of asthma or atelectasis.
You are the team leader RN working with a student nurse. The student nurse is to teach the client how to use a multidose inhaler without a spacer. Put the steps that the student nurse should teach the client in correct order.
- A. Remove the inhaler cap and shake the inhaler.
- B. Tilt your head back and breathe out fully.
- C. Press down firmly on the canister and breathe deeply through your mouth.
- D. Wait at least 1 minute between puffs.
Correct Answer: D
Rationale: The correct order is: A (remove cap and shake), B (tilt head back and breathe out), C (press down and breathe in), D (wait between puffs). This sequence ensures proper inhaler technique.
All of the following are unpaired cartilage of larynx except
- A. epiglottis
- B. cricoid
- C. Thyroid
- D. cuneiform
Correct Answer: D
Rationale: The correct answer is D: cuneiform. The cuneiform cartilages are paired cartilages, not unpaired. The epiglottis, cricoid, and thyroid cartilages are unpaired cartilages of the larynx. The epiglottis functions in covering the larynx during swallowing, the cricoid provides support for the larynx, and the thyroid cartilage forms the "Adam's apple." The cuneiform cartilages, on the other hand, are small paired cartilages located within the aryepiglottic folds. They help maintain the shape and stiffness of these folds, assisting in vocal cord function.
The concentration of carbon dioxide in the earth's atmosphere is
- A. 0.004 percent.
- B. 0.04 percent.
- C. 0.4 percent
- D. 4.0 percent.
Correct Answer: B
Rationale: The correct answer is B (0.04 percent) because the concentration of carbon dioxide in the Earth's atmosphere is around 400 parts per million (ppm), which is equivalent to 0.04 percent. This concentration is widely accepted by scientific research and measurements. Choice A (0.004 percent) is too low and doesn't accurately reflect the actual concentration. Choice C (0.4 percent) and choice D (4.0 percent) are both too high, which are significantly above the current levels of carbon dioxide in the atmosphere. Therefore, B is the correct choice as it aligns with the established scientific data on carbon dioxide concentration in the atmosphere.
Which of these does not affect diffusion rate?
- A. Surface area for diffusion
- B. Concentration gradient
- C. Solubility of gas
- D. Molecular weight of gas
Correct Answer: D
Rationale: The correct answer is D: Molecular weight of gas. Diffusion rate is inversely proportional to the square root of the molecular weight of the gas. This means that as the molecular weight increases, the diffusion rate decreases. This is because heavier molecules move more slowly and have a harder time diffusing through a medium. Surface area for diffusion, concentration gradient, and solubility of gas all directly affect diffusion rate. Increasing the surface area for diffusion allows for more space for molecules to diffuse, a steeper concentration gradient increases the rate of diffusion, and higher solubility of gas in a medium enhances the diffusion rate.