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Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. You are caring for a patient who is severely anemic and has atelectasis of the left lung. These conditions can easily lead to
- A. Hypoxia and hypoxemia.
- B. Infection and sepsis.
- C. Asthma attack and stroke.
- D. Hallucinations and delusions.
Correct Answer: A
Rationale: Severe anemia reduces oxygen-carrying capacity, and atelectasis (lung collapse) impairs gas exchange, both leading to hypoxia (low tissue oxygen) and hypoxemia (low blood oxygen). Other options are less directly related.
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Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply.You have been assigned to explain internal and external respirations to another student. Which explanation(s) will you use?
- A. External respiration occurs inside the body, and internal respiration occurs outside the body.
- B. Internal respiration occurs when oxygen and carbon dioxide are exchanged between the bloodstream and the body cells.
- C. Internal respiration occurs as a result of diffusion of oxygen from the alveoli to the blood; external respiration occurs as a result of osmosis of oxygen from the blood into the lungs.
- D. External respiration occurs when oxygen and carbon dioxide are exchanged between the alveoli and the lung capillaries.
- E. Internal respiration occurs when oxygen is delivered to tissues and carbon dioxide is removed from tissues.
Correct Answer: B,D,E
Rationale: Internal respiration involves gas exchange between blood and body cells, while external respiration occurs between alveoli and lung capillaries via diffusion. Choice C is incorrect as it reverses the definitions and mentions osmosis, which is not the mechanism.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Your patient has been diagnosed with Pseudomonas pneumonia and has thick secretions in his lungs. You are most concerned about
- A. Spread of the infection from his lungs to other parts of his body.
- B. Transmitting the infection to other patients on the nursing unit.
- C. Impaired oxygenation as a result of thick secretions in his alveoli.
- D. Performing the Heimlich maneuver to clear his airway.
Correct Answer: A,B,C
Rationale: Pseudomonas pneumonia can spread systemically (sepsis), is transmissible in healthcare settings, and thick secretions impair gas exchange, leading to hypoxia. The Heimlich maneuver is irrelevant for pneumonia secretions.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Your patient has recently woken from a nap. She thinks it is morning, although it is 3 o'clock in the afternoon. She also thinks you are her daughter-in-law. When you take her vital signs, her pulse is 56 and irregular, her respiratory rate is 28, and she is having difficulty taking a deep breath. Her earlier vital signs were T 99.2, P 66, R 18, and BP 134/76. What concerns do you have about this patient?
- A. She may be having a CVA because she is confused.
- B. She may have a pulmonary embolus because she is having difficulty taking a deep breath.
- C. She may be hypoxic because her vital signs have changed and so has her orientation.
- D. She may be having a heart attack because her heart rate has dropped 10 beats per minute and become irregular.
Correct Answer: B,C
Rationale: Difficulty breathing and increased respiratory rate suggest a possible pulmonary embolus, which obstructs lung blood flow. Hypoxia is likely due to altered vital signs (increased respiratory rate, irregular pulse) and confusion. CVA or heart attack are less likely without specific neurological or chest pain symptoms.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Contraction of the diaphragm is initiated by the
- A. Cerebellum sending chemicals to the chemoreceptors.
- B. Changes in pH of the blood, detected by the carotid arteries.
- C. Changes in position of the ribs as a result of the contraction of the intercostal muscles.
- D. Medulla sending impulses to the phrenic nerve.
Correct Answer: A
Rationale: The medulla oblongata controls breathing by sending impulses via the phrenic nerve to the diaphragm, causing it to contract for inspiration. Chemoreceptors detect pH changes but do not directly initiate diaphragm contraction.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which description is most accurate regarding the mechanics of breathing?
- A. Breathing is voluntary because people are able to hold their breath at will.
- B. Breathing is involuntary and occurs because of the movement of the diaphragm and intercostal muscles.
- C. When the diaphragm contracts, it moves upward and the intercostal muscles move the ribs up and out, causing expiration.
- D. In the alveoli, oxygen leaves the alveoli and moves into the blood in the capillaries as a result of osmosis.
Correct Answer: B
Rationale: Breathing is primarily involuntary, driven by the diaphragm and intercostal muscles. Choice C is incorrect because diaphragm contraction moves it downward, causing inspiration, not expiration. Choice D is incorrect as oxygen moves by diffusion, not osmosis.