Nokea
The nurse advises the parents of a child who is in status asthmaticus that if not corrected, the result could be:
- A. Pneumothorax, severe hypoxemia, and respiratory arrest.
- B. Hypertension, CVA, and cardiac arrest.
- C. Respiratory alkalosis, pneumonia, and death.
- D. Lung abscess, cor pulmonale, and respiratory failure.
Correct Answer: A
Rationale: The correct answer is A because status asthmaticus can lead to pneumothorax due to increased air trapping, severe hypoxemia from impaired gas exchange, and respiratory arrest from respiratory muscle fatigue. Pneumothorax can occur due to increased intrathoracic pressure during an asthma attack. Hypertension, CVA, and cardiac arrest (choice B) are not typical complications of status asthmaticus. Respiratory alkalosis, pneumonia, and death (choice C) are less likely outcomes compared to the severe complications mentioned in choice A. Lung abscess, cor pulmonale, and respiratory failure (choice D) are not directly associated with the pathophysiology of status asthmaticus.
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Which of the following statements about the chloride shift is false?
- A. It involves a movement of chloride ion into RBCs
- B. It depends on the chloride-bicarbonate countertransporter
- C. It causes RBCs to swell
- D. It is driven by a rise in PCO2
Correct Answer: C
Rationale: The correct answer is C because the chloride shift actually causes RBCs to shrink, not swell. During the chloride shift, chloride ions move out of RBCs in exchange for bicarbonate ions to maintain electrochemical equilibrium. This process helps maintain pH balance in blood. Choices A and B are correct as they accurately describe aspects of the chloride shift. Choice D is incorrect because the chloride shift is primarily driven by a decrease in PCO2, not a rise.
Expiration involves
- A. Relaxation of diaphragm and intercostals muscles
- B. Contraction of diaphragm and intercostals muscles
- C. Contraction of diaphragm muscles
- D. Contraction of inter costal muscles
Correct Answer: A
Rationale: The correct answer is A because expiration involves the relaxation of the diaphragm and intercostal muscles. During expiration, the diaphragm moves up and the intercostal muscles relax, causing the thoracic cavity to decrease in volume. This increase in pressure forces air out of the lungs. Choice B is incorrect as it describes the process of inspiration, not expiration. Choice C is incorrect because expiration involves both the diaphragm and intercostal muscles, not just the diaphragm muscles. Choice D is incorrect as the intercostal muscles also relax during expiration, rather than contracting.
Food and drink are prevented from entering the respiratory passageways during swallowing by means of the
- A. glottis.
- B. pharynx.
- C. epiglottis.
- D. larynx.
Correct Answer: C
Rationale: The correct answer is C: epiglottis. During swallowing, the epiglottis covers the opening of the larynx to prevent food and drink from entering the respiratory passageways. It acts as a lid that directs food and liquids to the esophagus instead of the trachea. The glottis (choice A) is the space between the vocal cords, the pharynx (choice B) is the passageway for food and air, and the larynx (choice D) contains the vocal cords. The epiglottis specifically functions to protect the airway during swallowing.
The organ of the respiratory system that closes when food is being swallowed is the:
- A. nose
- B. pharynx
- C. larynx
- D. trachea
Correct Answer: C
Rationale: The correct answer is C: larynx. The larynx houses the vocal cords and serves as a passageway for air between the pharynx and trachea. During swallowing, the larynx closes to prevent food and liquids from entering the airway, directing them towards the esophagus instead. The nose (A) is not directly involved in swallowing. The pharynx (B) is a shared pathway for both air and food, but it does not actively close during swallowing. The trachea (D) is responsible for transporting air to and from the lungs and does not play a role in swallowing.
The human vocal cords are located in the
- A. glottis.
- B. pharynx.
- C. larynx
- D. Trachea
Correct Answer: C
Rationale: The correct answer is C: larynx. The vocal cords are located in the larynx, specifically in the upper part known as the glottis. The glottis is a space within the larynx where the vocal cords are situated. The pharynx (B) is the passageway for both food and air, the trachea (D) is the windpipe connecting the larynx to the lungs. The vocal cords are responsible for producing sound by vibrating as air passes through them, and this process occurs in the larynx. Therefore, the correct answer is C: larynx.