Nokea
Tachypnoea means
- A. Rapid shallow breathing
- B. Rapid deep breathing
- C. Slow and shallow breathing
- D. Slow and deep breathing
Correct Answer: A
Rationale: The correct answer is A: Rapid shallow breathing. Tachypnoea refers to an increased respiratory rate, which can lead to shallow breathing. Rapid breathing helps to compensate for inadequate oxygen levels. Choice B is incorrect because tachypnoea is not typically associated with deep breathing. Choices C and D are incorrect as they describe slow breathing patterns, which are opposite to tachypnoea.
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How does the pressure 'P4' at label '4' compare to the pressure 'P5' at label '5'?
- A. P4 is higher than P5 during inhalation and then lower during exhalation
- B. P4 is always higher than P5
- C. P4 is always lower than P5
- D. P4 always equals P5
Correct Answer: C
Rationale: The correct answer is C because pressure decreases as air moves from a region of higher pressure to lower pressure. At label '4', the air pressure is higher due to inhalation, and at label '5', the pressure is lower as air exits during exhalation. Therefore, P4 is always lower than P5. Choices A and B are incorrect because pressure dynamics change during inhalation and exhalation. Choice D is incorrect as pressure imbalances exist during breathing.
A black client with asthma seeks emergency care for acute respiratory distress. Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the:
- A. Lips
- B. Mucous membranes
- C. Nail beds
- D. Earlobes
Correct Answer: B
Rationale: The correct answer is B: Mucous membranes. Cyanosis, a bluish discoloration of the skin and mucous membranes, is an important sign of respiratory distress. In individuals with dark skin, cyanosis may be more easily detected in the mucous membranes, such as the lips and oral mucosa, compared to the skin. The lips (choice A), nail beds (choice C), and earlobes (choice D) may not always show cyanosis clearly in individuals with darker skin tones. Therefore, assessing the mucous membranes is the best option for identifying cyanosis accurately in this scenario.
The classic pathway of complement activation begins when the protein C1 binds to:
- A. the cell wall of bacteria.
- B. the plasma membrane of bacteria.
- C. two antibodies attached to an antigen.
- D. a cell surface antigen.
Correct Answer: C
Rationale: The correct answer is C because in the classic pathway of complement activation, C1 binds to two antibodies attached to an antigen, forming an immune complex. This binding triggers a cascade of reactions leading to the activation of complement proteins. Choice A is incorrect as C1 does not bind directly to the cell wall of bacteria. Choice B is incorrect as C1 does not bind to the plasma membrane of bacteria. Choice D is incorrect as C1 does not bind directly to a cell surface antigen. The key step in the classic pathway is the recognition of immune complexes by C1, initiating the complement activation cascade.
Which of the body systems listed below cooperate to supply O2 to cells and eliminate CO2? 1) digestive system 2) cardiovascular system 3) urinary system 4) respiratory system 5) endocrine system
- A. 3, 5
- B. 2, 4
- C. 1, 2
- D. 1, 2, 2004
Correct Answer: B
Rationale: The correct answer is B (2, 4) - cardiovascular system and respiratory system. The cardiovascular system transports O2 from the lungs to the cells and carries CO2 away for elimination by the respiratory system. The respiratory system is responsible for gas exchange, bringing O2 into the body and removing CO2. The other choices are incorrect because:
A (3, 5) - The urinary system (3) filters waste from the blood and maintains fluid balance, while the endocrine system (5) regulates hormones and metabolism; neither directly supply O2 or eliminate CO2.
C (1, 2) - The digestive system (1) processes food and absorbs nutrients, not involved in gas exchange; the cardiovascular system (2) does cooperate but alone is not sufficient.
D (1, 2, 2004) - Choice 2004 is incorrect as it is not a valid option.
Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of impaired gas exchange based on which finding?
- A. SpO of 86%
- B. Crackles in both lower lobes
- C. Temperature of 101.4ºF (38.6ºC)
- D. Production of greenish purulent sputum
Correct Answer: A
Rationale: Impaired gas exchange is indicated by a low SpO2 level, in this case 86%, which suggests inadequate oxygenation. Crackles, temperature, and sputum production are important assessments but do not directly indicate impaired gas exchange.