Nokea
One way to improve respiratory performance with age is to
- A. eat smaller meals
- B. stop smoking
- C. sleep longer
- D. maintain normal glucose levels
Correct Answer: B
Rationale: The correct answer is B: stop smoking. Smoking can damage the lungs and reduce respiratory function. By quitting smoking, lung health can improve, leading to better respiratory performance with age. Eating smaller meals, sleeping longer, and maintaining normal glucose levels do not directly impact respiratory performance. Smoking cessation is the most effective way to improve lung function and overall respiratory health.
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Each of the following factors affects the rate of external respiration except the
- A. PO2 of the alveoli
- B. PCO2 of the blood
- C. thickness of the respiratory membrane
- D. PN2 of the alveoli
Correct Answer: D
Rationale: The correct answer is D: PN2 of the alveoli. The rate of external respiration is primarily influenced by the partial pressure of oxygen (PO2) in the alveoli, as it drives oxygen diffusion into the blood. PCO2 affects the removal of carbon dioxide. The thickness of the respiratory membrane impacts gas exchange efficiency. However, PN2 does not significantly impact gas exchange in the lungs, as nitrogen (N2) is inert and does not participate in gas exchange. Thus, PN2 of the alveoli does not affect the rate of external respiration.
A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?
- A. Nausea or vomiting
- B. Abdominal pain or diarrhea
- C. Hallucinations or tinnitus
- D. Lightheadedness or paresthesia
Correct Answer: D
Rationale: The correct answer is D: Lightheadedness or paresthesia. Respiratory alkalosis is caused by hyperventilation, leading to decreased carbon dioxide levels and an increase in pH. This can result in symptoms such as lightheadedness (from decreased cerebral blood flow) and paresthesia (tingling sensations due to changes in calcium ionization). Choices A, B, and C are incorrect as they are not typically associated with respiratory alkalosis. Nausea, vomiting, abdominal pain, and diarrhea are more commonly seen in metabolic alkalosis, while hallucinations and tinnitus are not typical symptoms of respiratory alkalosis.
A nurse is caring for a client using oxygen while in the hospital. What assessment finding indicates that outcomes for client safety with oxygen therapy are being met?
- A. 100% of meals being eaten by the client
- B. Intact skin behind the ears
- C. The client understanding the need for oxygen
- D. Unchanged weight for the past 3 days
Correct Answer: B
Rationale: The correct answer is B. Intact skin behind the ears indicates that the oxygen delivery device is fitted properly and not causing skin breakdown, ensuring client safety. A (meals being eaten) is not directly related to oxygen therapy outcomes. C (client understanding) is important but doesn't directly assess client safety with oxygen therapy. D (unchanged weight) is not a specific indicator of client safety with oxygen therapy.
During internal and external respiration, gases move by
- A. osmosis
- B. active transport
- C. diffusion
- D. endocytosis
Correct Answer: C
Rationale: The correct answer is C: diffusion. During internal and external respiration, gases move from areas of high concentration to low concentration through passive diffusion. This process is driven by the concentration gradient, allowing gases like oxygen and carbon dioxide to exchange in the lungs and tissues. Osmosis (A) is the movement of water across a semipermeable membrane, not gases. Active transport (B) requires energy and moves substances against their concentration gradient, which is not how gases move during respiration. Endocytosis (D) is a process where cells engulf substances by forming vesicles, not how gases are exchanged in respiration.
The nurse is performing a respiratory assessment of a patient who has been experiencing episodes of hypoxia. The nurse is aware that this is ultimately attributable to impaired gas exchange. On what factor does adequate gas exchange primarily depend?
- A. An appropriate perfusion-diffusion ratio
- B. An adequate ventilation-perfusion ratio
- C. Adequate diffusion of gas in shunted blood
- D. Appropriate blood nitrogen concentration
Correct Answer: B
Rationale: The correct answer is B: An adequate ventilation-perfusion ratio. Adequate gas exchange primarily depends on the matching of ventilation (air reaching the alveoli) and perfusion (blood flow to the alveoli). A mismatch in this ratio can lead to impaired gas exchange, resulting in hypoxia. Option A relates to gas movement efficiency but does not address the matching of ventilation and perfusion. Option C mentions shunted blood, which is not directly related to the ventilation-perfusion ratio. Option D is unrelated to gas exchange. In summary, the ventilation-perfusion ratio is crucial for optimal gas exchange, making it the correct choice.