Nokea
Hemoglobin affinity for Oxygen is to the P50 (O2 tension that produces 50% saturation of Hb)
- A. Directly related
- B. Inversely related
- C. Not related
- D. Related
Correct Answer: B
Rationale: The correct answer is B. Hemoglobin affinity for oxygen is inversely related to P50. When P50 is lower, hemoglobin has higher affinity for oxygen, meaning it binds oxygen more readily at lower oxygen tensions. Conversely, when P50 is higher, hemoglobin has lower affinity for oxygen. This relationship is crucial for the efficient loading and unloading of oxygen in tissues. Choices A, C, and D are incorrect because hemoglobin affinity for oxygen is not directly related, unrelated, or simply related to P50.
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A client has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority?
- A. Educating the client on adherence to the treatment regimen
- B. Encouraging the client to eat a well-balanced diet
- C. Informing the client about follow-up sputum cultures
- D. Teaching the client ways to balance rest with activity
Correct Answer: A
Rationale: The correct answer is A because educating the client on adherence to the treatment regimen is the top priority in managing TB. This is crucial to prevent the spread of the disease and ensure successful treatment. Choice B is important for overall health but not the priority. Choice C is important but comes after starting treatment. Choice D is also important but does not directly impact the treatment outcome for TB.
Oxygen dissociation curve of myoglobin is
- A. Hypobolic
- B. Hyperbolic
- C. Linear
- D. Sigmoid
Correct Answer: B
Rationale: The correct answer is B: Hyperbolic. Myoglobin exhibits a hyperbolic oxygen dissociation curve due to its high affinity for oxygen, allowing it to bind oxygen quickly and efficiently at low partial pressures. This curve represents a simple one-to-one binding relationship between myoglobin and oxygen. The other choices are incorrect because A (Hypobolic) does not accurately describe myoglobin's binding characteristics, C (Linear) is not representative of the typical oxygen binding behavior of myoglobin, and D (Sigmoid) is more characteristic of hemoglobin, which exhibits cooperative binding of oxygen.
Spirometry can measure all except
- A. IC
- B. ERV
- C. FRC
- D. Vital capacity
Correct Answer: C
Rationale: Spirometry measures lung volumes and capacities. Functional Residual Capacity (FRC) is the volume of air left in the lungs after a normal exhalation, which cannot be directly measured by spirometry. Therefore, C is correct. IC (Inspiratory Capacity) is the maximum volume of air that can be inhaled after a normal exhalation, ERV (Expiratory Reserve Volume) is the additional volume of air that can be exhaled after a normal exhalation, and Vital Capacity is the total volume of air that can be exhaled after a maximum inhalation, all of which can be measured using spirometry.
A male patient is admitted to the healthcare facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient?
- A. Activity intolerance related to fatigue.
- B. Anxiety related to actual threat to health status.
- C. Risk for infection related to retained secretions.
- D. Impaired gas exchange related to airflow obstruction.
Correct Answer: D
Rationale: The correct answer is D: Impaired gas exchange related to airflow obstruction. This is the most important nursing diagnosis for a patient with chronic obstructive pulmonary disease because impaired gas exchange directly impacts the patient's ability to breathe and obtain oxygen. Addressing this issue is crucial in managing the patient's condition and preventing further complications.
A: Activity intolerance related to fatigue may be a concern for the patient, but it is secondary to the primary issue of impaired gas exchange.
B: Anxiety related to actual threat to health status is important to address, but it is not the most critical nursing diagnosis for this patient.
C: Risk for infection related to retained secretions is a valid concern, but it is not as immediate and directly life-threatening as impaired gas exchange in a patient with chronic obstructive pulmonary disease.
One of the following is a difference between pulmonary respiration of frog and human
- A. Diaphragm and ribs play role in respiration
- B. Lungs are respiratory organs
- C. Respiration occurs due to pressure gradient
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A because in frogs, respiration is mainly driven by buccal pumping using their mouth cavity and floor of the mouth, while in humans, diaphragm and ribs play a crucial role in expanding and contracting the chest cavity for breathing. Choices B and C are incorrect as both frogs and humans have lungs as respiratory organs and respiration occurs due to a pressure gradient in both species. Choice D is incorrect as the difference lies in the involvement of the diaphragm and ribs in respiration.