Nokea
Although carbon dioxide is normally carried by hemoglobin, the fact that carbon monoxide reduces hemoglobin's oxygen-carrying capacity would indicate that
- A. different hemoglobins carry different gases.
- B. carbon monoxide competes with oxygen for the same binding sites on hemoglobin.
- C. binding of different gases is directed by a variety of enzymes.
- D. carbon dioxide is an abnormal gas.
Correct Answer: B
Rationale: The correct answer is B because carbon monoxide competes with oxygen for the same binding sites on hemoglobin, leading to reduced oxygen-carrying capacity. This is known as competitive inhibition. Other choices are incorrect because different hemoglobins do not carry different gases (A), binding of gases is not directed by enzymes in this context (C), and carbon dioxide is a normal gas in the body (D).
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Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses see many abbreviations. What does a lowercase in ABG value present?
- A. Acid-base balance
- B. Arterial Blood
- C. Arterial oxygen saturation
- D. Alveoli
Correct Answer: B
Rationale: The correct answer is B: Arterial Blood. The lowercase "a" in ABG values denotes arterial blood, indicating that the values are specific to the blood obtained from an artery. ABG analysis provides information about the oxygen and carbon dioxide levels in the blood, as well as the pH and bicarbonate levels, which are crucial in assessing respiratory and metabolic functions.
Choice A: Acid-base balance - This is incorrect because the lowercase "a" in ABG does not represent acid-base balance. Acid-base balance is determined by the pH level in the blood, which is one of the parameters measured in ABG analysis.
Choice C: Arterial oxygen saturation - This is incorrect because oxygen saturation is typically measured using pulse oximetry, not through ABG analysis. ABG values focus on the partial pressure of oxygen in the arterial blood.
Choice D: Alveoli - This is incorrect because ABG values do not directly represent the condition of the alveoli. ABG analysis
In addition to heart rate, blood pressure, respiratory rate, and temperature, the nurse needs to assess a patient's arterial oxygen saturation (SaO2). What procedure will best accomplish this?
- A. Incentive spirometry
- B. Arterial blood gas (ABG) measurement
- C. Peak flow measurement
- D. Pulse oximetry
Correct Answer: D
Rationale: Step 1: Pulse oximetry is a non-invasive method of measuring SaO2 by using a sensor attached to a patient's fingertip, earlobe, or toe.
Step 2: It provides immediate and continuous monitoring of oxygen saturation levels in the blood, making it an efficient and reliable method.
Step 3: Pulse oximetry is widely used in clinical settings due to its accuracy and convenience.
Step 4: In contrast, the other options are not direct methods for assessing SaO2. Incentive spirometry helps improve lung function, ABG measures blood pH and gases, and peak flow measures airflow in the lungs.
A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement should the nurse include in this client's teaching?
- A. Make a list of reasons why smoking is a bad habit.
- B. Rise slowly when getting out of bed in the morning.
- C. Smoking while taking this medication will increase your risk of a stroke.
- D. Stopping this medication suddenly increases your risk for a heart attack.
Correct Answer: C
Rationale: The correct answer is C. Smoking while taking nicotine replacement therapy can increase the risk of a stroke due to the combination of nicotine intake from smoking and the therapy. This is important for the client to understand to avoid potential serious health complications.
A: Making a list of reasons why smoking is bad is not directly related to the client's use of nicotine replacement therapy.
B: Rising slowly when getting out of bed is a general safety measure and not specific to nicotine replacement therapy.
D: Stopping nicotine replacement therapy suddenly does not increase the risk for a heart attack; rather, it may lead to withdrawal symptoms.
The atmospheric pressure at sea level is
- A. 1,000mm Hg.
- B. 760mm Hg.
- C. 540mm Hg.
- D. 400mm Hg.
Correct Answer: B
Rationale: The atmospheric pressure at sea level is typically around 760mm Hg, which is equivalent to 101.3 kilopascals. This is the standard atmospheric pressure used in various scientific calculations. This value represents the pressure exerted by the weight of air above a given area at sea level. Choice B is correct because it accurately reflects the standard atmospheric pressure at sea level. Choices A, C, and D are incorrect as they do not match the accepted value for atmospheric pressure at sea level.
The maximum volume of air contained in the lung by a full forced inhalation is called?
- A. vital capacity
- B. tidal volume
- C. Total lung capacity
- D. inspiratory capacity
Correct Answer: C
Rationale: The correct answer is C: Total lung capacity. This term refers to the maximum volume of air the lungs can hold after a full forced inhalation. It is the sum of vital capacity and residual volume. Vital capacity (A) is the maximum volume of air that can be exhaled after a maximum inhalation, not the maximum volume of air contained in the lungs. Tidal volume (B) is the volume of air inhaled or exhaled during normal breathing, not the maximum volume. Inspiratory capacity (D) is the maximum volume of air that can be inhaled after a normal exhalation, not the maximum volume of air contained in the lungs.