Nokea
The nurse is assessing the patient with influenza. The patient reports having general malaise and aching muscles over the past 2 weeks. The nurse suspects that the patient may have developed which complication of influenza?
- A. Bronchitis
- B. Bacterial pneumonia
- C. Urinary infection
- D. Encephalitis
Correct Answer: B
Rationale: The correct answer is B: Bacterial pneumonia. Influenza can weaken the immune system, making the patient more susceptible to secondary bacterial infections like pneumonia. Symptoms of bacterial pneumonia, such as persistent cough, chest pain, and difficulty breathing, align with the patient's reported general malaise and muscle aches. Bronchitis (A) is a common complication of influenza but is usually characterized by cough with or without phlegm. Urinary infection (C) and encephalitis (D) are less likely in this scenario as the patient's symptoms are more indicative of a respiratory complication.
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The nursing assistant tells you that the client on oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should you suggest to improve the client's comfort for this problem?
- A. Suggest that the client's oxygen be humidified.
- B. Suggest that the client be placed on a simple face mask.
- C. Suggest that the client be provided an extra pillow.
- D. Suggest that the client sit up in a chair at the bedside.
Correct Answer: A
Rationale: The correct answer is A. Humidifying oxygen reduces nasal dryness and irritation caused by high-flow oxygen through a nasal cannula. Using a face mask (B) might help but is less practical for long-term use. Providing an extra pillow (C) or sitting up in a chair (D) does not address the nasal discomfort directly.
Where is carbonic anhydrase commonly found in the body?
- A. Liver
- B. Kidneys
- C. Lungs
- D. Stomach
Correct Answer: C
Rationale: The correct answer is C: Lungs. Carbonic anhydrase is an enzyme that catalyzes the interconversion of carbon dioxide and water to carbonic acid, which plays a crucial role in maintaining acid-base balance in the body. In the lungs, carbonic anhydrase helps regulate the levels of carbon dioxide and bicarbonate in the blood by facilitating the exchange of gases during respiration. This enzyme is not predominantly found in the liver, kidneys, or stomach, as their functions are not directly related to gas exchange or acid-base balance.
Pain with chronic stable angina is due to:
- A. Rubbing of epicardium against the pericardial sac.
- B. Insufficient blood flow due to narrowing of the coronary arteries
- C. Irritation of cardiac nerve endings in the chest wall
- D. Dilation of the coronary arteries to increase blood flow
Correct Answer: B
Rationale: The correct answer is B because chronic stable angina is caused by insufficient blood flow due to narrowing of the coronary arteries, leading to inadequate oxygen supply to the heart muscle during exertion. This results in chest pain.
A is incorrect as there is no rubbing of epicardium against the pericardial sac in chronic stable angina.
C is incorrect as the pain is not due to irritation of cardiac nerve endings in the chest wall.
D is incorrect as dilation of the coronary arteries does not cause pain in chronic stable angina; it is actually a compensatory mechanism to increase blood flow in response to decreased oxygen supply.
The 'Adams' Apple' is the:
- A. thyroid cartilage.
- B. cricoid cartilage.
- C. corniculate cartilage.
- D. cuneiform cartilage.
Correct Answer: A
Rationale: The 'Adams' Apple' is the prominent bulge in the front of the neck and corresponds to the thyroid cartilage. This cartilage forms the largest part of the larynx and is more prominent in males due to hormonal differences. The cricoid cartilage (Choice B) is located below the thyroid cartilage. Corniculate cartilage (Choice C) and cuneiform cartilage (Choice D) are smaller cartilages in the larynx and are not responsible for the 'Adams' Apple' prominence.
Partial pressure of oxygen in the inspired and expired air is respectively
- A. 158 and 116 mm Hg
- B. 158 and 40 mm Hg
- C. 100 and 95 mm Hg
- D. 40 and 95 mm hg
Correct Answer: A
Rationale: The correct answer is A (158 and 116 mm Hg) because in inspired air, the partial pressure of oxygen is around 158 mm Hg, which corresponds to the atmospheric oxygen level. During expiration, some oxygen is exchanged for carbon dioxide, leading to a decrease in oxygen partial pressure to around 116 mm Hg.
Choice B is incorrect because the partial pressure of oxygen in expired air is not as high as 40 mm Hg, which is too low for the oxygen content in the air we breathe.
Choice C is incorrect because the partial pressure of oxygen in inspired air is not exactly 100 mm Hg, and the partial pressure in expired air is not as close to 95 mm Hg.
Choice D is incorrect because the partial pressure of oxygen in inspired air is not as low as 40 mm Hg, and the partial pressure in expired air is not as high as 95 mm Hg.