Nokea
A 22-year-old female client is experiencing a new-onset asthmatic attack. Which position is best for this client?
- A. High Fowler's
- B. Left side-lying.
- C. Right side-lying.
- D. Supine with pillows under each arm.
Correct Answer: A
Rationale: The correct answer is A: High Fowler's position. This position promotes optimal lung expansion by maximizing chest expansion and allowing for improved airflow. The upright position reduces pressure on the diaphragm, making it easier for the client to breathe. Left and right side-lying positions may restrict lung expansion and worsen breathing difficulties. The supine position with pillows under each arm does not provide the same benefits as the High Fowler's position in terms of respiratory support. Overall, High Fowler's is the most effective position for a client experiencing an asthmatic attack as it facilitates better oxygenation and ventilation.
You may also like to solve these questions
The most important factor in determining the percent of oxygen saturation of hemoglobin
- A. The partial pressure of o2
- B. acidity
- C. the partial of co2
Correct Answer: A
Rationale: The correct answer is A: The partial pressure of O2. Oxygen saturation of hemoglobin is directly related to the partial pressure of oxygen in the blood. As the partial pressure of O2 increases, more oxygen binds to hemoglobin, leading to higher oxygen saturation. Acidity (choice B) and the partial pressure of CO2 (choice C) can influence the oxygen-hemoglobin dissociation curve, but they are not the primary factors determining oxygen saturation. Choice D is incomplete and not relevant to the question.
Which of the following decreases respiratory efficiency?
- A. decreased blood flow
- B. increased surface area
- C. increased partial pressure gradients
- D. increased gas solubility
Correct Answer: A
Rationale: Step 1: Blood flow supplies oxygen and removes carbon dioxide in the lungs, essential for efficient gas exchange.
Step 2: Decreased blood flow means less oxygen delivery and carbon dioxide removal, leading to decreased respiratory efficiency.
Step 3: Choice A is correct as it directly impacts the gas exchange process.
Summary:
- Choice B (increased surface area) would enhance gas exchange efficiency.
- Choice C (increased partial pressure gradients) would improve gas exchange efficiency.
- Choice D (increased gas solubility) would not directly affect respiratory efficiency.
Inhibition of medulla oblongata chemoreceptors and respiratory muscles has what effect on respiratory rate, elimination of CO2 at alveoli, and arterial PCO2?
- A. increased respiratory rate, increased elimination of CO2 at alveoli, and increased arterial
PCO2 - B. increased respiratory rate, decreased elimination of CO2 at alveoli, and decreased arterial
PCO2 - C. increased respiratory rate, increased elimination of CO2 at alveoli, and decreased arterial
PCO2 - D. decreased respiratory rate, decreased elimination of CO2 at alveoli, and increased arterial
PCO2
Correct Answer: D
Rationale: The correct answer is D. Inhibition of medulla oblongata chemoreceptors and respiratory muscles would decrease respiratory rate, leading to decreased elimination of CO2 at alveoli. This would cause an increase in arterial PCO2 due to less CO2 being removed from the body. Therefore, choice D is correct.
Choices A, B, and C are incorrect because they do not align with the physiological effects of inhibiting the medulla oblongata chemoreceptors and respiratory muscles. Option A suggests an increase in respiratory rate and elimination of CO2, which goes against the expected decrease in these parameters. Option B proposes an increase in respiratory rate but a decrease in CO2 elimination and arterial PCO2, which is inconsistent with the expected outcomes. Option C suggests an increase in respiratory rate and CO2 elimination but a decrease in arterial PCO2, which does not follow the logic of the question.
Hypoxia
- A. causes hyperventilation
- B. may cause headaches, nausea, and lethargy.
- C. can lead to loss of consciousness and death
- D. all of the above
Correct Answer: D
Rationale: The correct answer is D because hypoxia, which is a condition of low oxygen levels in the body, can indeed lead to hyperventilation, as the body tries to compensate. It can also cause symptoms like headaches, nausea, and lethargy due to the lack of oxygen reaching the brain and other organs. Severe hypoxia can lead to loss of consciousness and even death if oxygen levels are not restored promptly. Therefore, all the statements in choices A, B, and C are true in relation to hypoxia, making option D the correct choice.
Which class of drugs often inhibits carbonic anhydrase and is used for certain medical conditions?
- A. Antibiotics
- B. Antihistamines
- C. Carbonic anhydrase inhibitors
- D. Antidepressants
Correct Answer: C
Rationale: The correct answer is C: Carbonic anhydrase inhibitors. These drugs inhibit the enzyme carbonic anhydrase, which plays a role in various physiological processes. They are used to treat conditions such as glaucoma, epilepsy, and altitude sickness. Antibiotics (A) target bacterial infections, antihistamines (B) relieve allergy symptoms, and antidepressants (D) treat depression, making them unrelated to carbonic anhydrase inhibition.