Nokea
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.
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Damage to the phrenic nerves would
- A. increase respiratory rate
- B. increase the tidal volume
- C. force reliance on costal breathing
- D. result in greater pressure differences between the lungs and the outside air
Correct Answer: C
Rationale: Damage to the phrenic nerves would result in the inability to fully expand the diaphragm, leading to reliance on costal breathing. This is because the phrenic nerves innervate the diaphragm, the main muscle of respiration. Without proper diaphragmatic function, the individual would have difficulty engaging in effective diaphragmatic breathing. Therefore, choice C is correct.
Choices A, B, and D are incorrect because damage to the phrenic nerves would not directly impact the respiratory rate, tidal volume, or pressure differences between the lungs and the outside air. These functions are more related to overall respiratory control and lung mechanics, which are not solely dependent on the phrenic nerves.
You are supervising a nursing student who is providing care for a thoracotomy client with a chest tube. What finding will you clearly instruct the nursing student to notify you about immediately?
- A. Chest tube drainage of 10-15 mL per hour
- B. Continuous bubbling in the water seal chamber
- C. Complaints of pain at the chest tube site
- D. Chest tube dressing dated yesterday.
Correct Answer: B
Rationale: The correct answer is B. Continuous bubbling in the water seal chamber indicates an air leak and potential complications. Drainage of 10-15 mL/hour (A) is normal. Pain complaints (C) and outdated dressing (D) are less urgent.
The greatest quantity of air that can be expired after a maximum inspiratory effort is its
- A. Residual volume
- B. Tidal volume
- C. Vital capacity
- D. Lung volume
Correct Answer: C
Rationale: The correct answer is C: Vital capacity. Vital capacity is the maximum amount of air a person can expel from the lungs after a maximum inhalation. It is the sum of tidal volume, inspiratory reserve volume, and expiratory reserve volume. Residual volume (A) is the air left in the lungs after maximum exhalation. Tidal volume (B) is the amount of air inhaled and exhaled during normal breathing. Lung volume (D) is a general term and not a specific measure of air quantity. Thus, vital capacity is the best choice as it accounts for the maximum air that can be expired after a deep inhalation.
A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs. Which intervention would the nurse include in this client's plan of care?
- A. Assistance with activities of daily living
- B. Physical therapy activities every day
- C. Oxygen therapy at 2 L per nasal cannula
- D. Complete bedrest with frequent repositioning
Correct Answer: A
Rationale: The correct answer is A: Assistance with activities of daily living. This intervention helps conserve the client's energy by reducing the physical exertion required for activities like climbing stairs. It promotes independence while ensuring safety and preventing further exacerbation of dyspnea. Physical therapy activities every day (B) may be too strenuous for a client experiencing dyspnea. Oxygen therapy at 2 L per nasal cannula (C) may be necessary for severe cases but does not address the client's functional limitations. Complete bedrest with frequent repositioning (D) may lead to deconditioning and worsen the client's dyspnea.
If the thoracic wall but not lungs is punctured
- A. The lungs get inflated
- B. The man dies as lungs get collapsed
- C. The breathing rate decrease
- D. The breathing rate increase
Correct Answer: B
Rationale: The correct answer is B because if the thoracic wall is punctured but not the lungs, air will enter the pleural cavity causing a pneumothorax. This leads to lung collapse and can result in death due to impaired gas exchange. Choices A and C are incorrect as the lungs do not get inflated and breathing rate does not decrease. Choice D is incorrect as the breathing rate actually increases in response to the decreased lung function.