Nokea
A SCUBA diver has been deep underwater and suddenly rises to the surface too fast. Why does the diver get decompression sickness?
- A. Pressure decreases and carbon dioxide rushes into cells
- B. Pressure changes too fast and the carbon dioxide in the blood forms bubbles
- C. Pressure decreases too fast and nitrogen gas in the blood forms bubbles
- D. The gas in the SCUBA tank had too much pressure and rapid ascent forces too much air into the blood
Correct Answer: C
Rationale: The correct answer is C because as the SCUBA diver rises too fast, the pressure decreases rapidly. This causes the nitrogen gas that was dissolved in the blood at high pressure to form bubbles, leading to decompression sickness. Choice A is incorrect because carbon dioxide rushing into cells is not the cause of decompression sickness. Choice B is incorrect because it refers to carbon dioxide forming bubbles in the blood, which is not the mechanism of decompression sickness. Choice D is incorrect because it focuses on excess air from the SCUBA tank entering the blood, which is not the primary reason for decompression sickness.
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Which of the following nursing activities is most important when a client comes back from a respiratory test if they have respiratory problems?
- A. Allow the client to rest
- B. Assess the client’s airway
- C. Teach the client important information
- D. Teach the family about respiratory disease
Correct Answer: B
Rationale: The correct answer is B. Assessing the airway is critical immediately after a respiratory test, especially if the client has pre-existing respiratory issues. A (rest) is secondary until stability is confirmed. C and D involve education, which is important but not urgent compared to ensuring airway patency.
A nurse is preparing to obtain a sputum specimen from a male client. Which of the following nursing actions will facilitate obtaining the specimen?
- A. Limiting fluid.
- B. Having the client take deep breaths.
- C. Asking the client to spit into the collection container.
- D. Asking the client to obtain the specimen after eating.
Correct Answer: B
Rationale: The correct answer is B: Having the client take deep breaths. This action facilitates obtaining a sputum specimen by helping the client to cough and expectorate sputum effectively. Deep breaths help to mobilize secretions, making it easier for the client to produce a quality specimen. Limiting fluid intake (choice A) can lead to dehydration and thickening of secretions, making it harder to obtain a specimen. Asking the client to spit into the container (choice C) may result in contamination with saliva. Asking the client to obtain the specimen after eating (choice D) can introduce food particles into the specimen, affecting the accuracy of the test.
In human beings, partial pressure of carbon dioxide in the inspired and expired air is respectively
- A. 0.3 and 40 mm Hg
- B. 0.3 and 32 mm Hg
- C. 40 and 46 mm Hg
- D. 40 and 0.3 mm Hg
Correct Answer: B
Rationale: The correct answer is B (0.3 and 32 mm Hg) because in inspired air, the partial pressure of carbon dioxide is low at around 0.3 mm Hg, whereas in expired air, the partial pressure of carbon dioxide is higher at around 32 mm Hg due to gas exchange in the lungs.
Choice A (0.3 and 40 mm Hg) is incorrect because the partial pressure of carbon dioxide in inspired air is not typically as high as 40 mm Hg.
Choice C (40 and 46 mm Hg) is incorrect because the values are reversed; the partial pressure of carbon dioxide is higher in expired air compared to inspired air.
Choice D (40 and 0.3 mm Hg) is incorrect as the values are reversed, and the partial pressure of carbon dioxide in inspired air is not typically as high as 40 mm Hg.
You are supervising a student nurse who is performing tracheostomy care for a client. For which action should you intervene?
- A. The student nurse suctions the tracheostomy tube prior to performing tracheostomy care.
- B. The student nurse removes old dressings and cleans off excess secretions.
- C. The student nurse removes the inner cannula and cleans using universal precautions.
- D. The student nurse replaces the inner cannula and cleans the stoma site.
Correct Answer: A
Rationale: The correct answer is A. Suctioning prior to tracheostomy care is incorrect because it increases the risk of introducing infection. Removing old dressings and cleaning secretions (B), removing and cleaning the inner cannula (C), and replacing the inner cannula and cleaning the stoma site (D) are standard steps in tracheostomy care.
Pneumotaxic center is
- A. Inhibitory
- B. Accelatory
- C. Activating
- D. None of these
Correct Answer: A
Rationale: The correct answer is A: Inhibitory. The pneumotaxic center is located in the upper pons and functions to inhibit inspiration, preventing overinflation of the lungs. This helps regulate the respiratory rate and depth. The other choices are incorrect because the pneumotaxic center does not accelerate or activate breathing directly. It exerts its influence by inhibiting the inspiratory neurons in the medulla, thereby controlling the duration and frequency of inspiration. Choice D is incorrect as the pneumotaxic center does have a specific inhibitory function in the respiratory control system.