Aminophylline (theophylline) is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to?
- A. Promote expectoration.
- B. Suppress the cough.
- C. Relax smooth muscles of the bronchial airway.
- D. Prevent infection.
Correct Answer: C
Rationale: The correct answer is C: Relax smooth muscles of the bronchial airway. Aminophylline (theophylline) is a bronchodilator that works by relaxing the smooth muscles in the bronchial airways, which helps to open up the airways and improve airflow. This action helps to relieve bronchospasm, which is common in conditions like acute bronchitis. Promoting expectoration (A) and suppressing cough (B) are not the primary actions of aminophylline, although they may be secondary effects. Preventing infection (D) is unrelated to the mechanism of action of aminophylline in treating acute bronchitis.
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A medical nurse has admitted a patient to the unit with a diagnosis of failure to thrive. The patient has developed a fever and cough, so a sputum specimen has been obtained. The nurse notes that the sputum is greenish and that there is a large quantity of it. The nurse notifies the patient's physician because these symptoms are suggestive of what?
- A. Pneumothorax
- B. Lung tumors
- C. Infection
- D. Pulmonary edema
Correct Answer: C
Rationale: The correct answer is C: Infection. The greenish color and large quantity of sputum suggest an infection in the lungs, typically caused by bacteria. Greenish sputum is often a sign of bacterial pneumonia. Fever and cough are common symptoms of a lung infection, along with increased sputum production. Pneumothorax (A) is characterized by a collapsed lung and does not typically present with greenish sputum. Lung tumors (B) may cause cough and sputum production, but the color of the sputum is not specific to tumors. Pulmonary edema (D) is a condition where fluid accumulates in the lungs, leading to shortness of breath and pink, frothy sputum, not greenish sputum.
Of the four parts of respiration the part when oxygen and carbon dioxide are exchanged in the capillaries lining the alveoli in the lungs is:
- A. pulmonary ventilation
- B. external respiration
- C. transport of respiratory gases
- D. internal respiration
Correct Answer: B
Rationale: The correct answer is B: external respiration. This is the part of respiration where oxygen and carbon dioxide are exchanged in the capillaries lining the alveoli in the lungs. During external respiration, oxygen from the alveoli diffuses into the bloodstream while carbon dioxide from the bloodstream diffuses into the alveoli to be exhaled.
A: Pulmonary ventilation refers to the process of breathing, specifically the movement of air in and out of the lungs. This does not involve the actual exchange of gases in the alveoli.
C: Transport of respiratory gases involves the movement of oxygen and carbon dioxide through the bloodstream to and from the tissues. This is not specifically related to the exchange of gases in the alveoli.
D: Internal respiration refers to the exchange of gases between the bloodstream and the tissues at the cellular level. This does not specifically occur in the alveoli of the lungs.
oropharynx contain
- A. palatine tonsils
- B. lingual tonsils
- C. Pharyngeal tonsils
- D. a and b
Correct Answer: D
Rationale: The correct answer is D because the oropharynx contains both palatine tonsils (choice A) and lingual tonsils (choice B). Palatine tonsils are located on the sides of the oropharynx and lingual tonsils are located at the base of the tongue. Pharyngeal tonsils (choice C) are also known as adenoids and are located in the nasopharynx, not the oropharynx. Therefore, choices A, B, and C alone are incorrect. Choice D is correct because both palatine tonsils and lingual tonsils are present in the oropharynx.
The exchange of gases between blood and cells is called
- A. pulmonary ventilation
- B. internal respiration
- C. external respiration
- D. cellular respiration
Correct Answer: B
Rationale: The correct answer is B: internal respiration. This process refers to the exchange of gases between blood and body cells. Pulmonary ventilation (A) is the process of breathing, moving air in and out of the lungs. External respiration (C) is the exchange of gases between the lungs and blood. Cellular respiration (D) is the process where cells use oxygen to produce energy. Internal respiration best describes the exchange of gases at the cellular level.
Which muscle(s) produce(s) the movement labeled '1'?
- A. rectus abdominis
- B. internal intercostals
- C. external intercostals
- D. diaphragm
Correct Answer: C
Rationale: The correct answer is C: external intercostals. These muscles are responsible for elevating the ribcage during inhalation, which corresponds to the movement labeled '1'. The rectus abdominis (A) is involved in trunk flexion, internal intercostals (B) aid in forced exhalation, and the diaphragm (D) primarily assists in inhalation by moving downward to increase thoracic cavity volume. Therefore, the external intercostals are the correct choice for the specific movement indicated in the question.