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The pulmonary ventilation rate for someone with tidal volume of 500 mL and a respiration rate of 14 bpm is:
- A. 6,000 L/min
- B. 6 L/min
- C. 7 L/min
- D. 4.2 L/min
Correct Answer: C
Rationale: To calculate pulmonary ventilation rate, multiply tidal volume by respiration rate. In this case, 500 mL * 14 bpm = 7,000 mL/min. Converting to liters, it's 7 L/min. Choice A is incorrect as it miscalculates the conversion from mL to L, B is incorrect due to incorrect calculation, and D is incorrect as it's not the accurate result of the multiplication.
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A male patient is admitted to the healthcare facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient?
- A. Activity intolerance related to fatigue.
- B. Anxiety related to actual threat to health status.
- C. Risk for infection related to retained secretions.
- D. Impaired gas exchange related to airflow obstruction.
Correct Answer: D
Rationale: The correct answer is D: Impaired gas exchange related to airflow obstruction. This is the most important nursing diagnosis for a patient with chronic obstructive pulmonary disease because impaired gas exchange directly impacts the patient's ability to breathe and obtain oxygen. Addressing this issue is crucial in managing the patient's condition and preventing further complications.
A: Activity intolerance related to fatigue may be a concern for the patient, but it is secondary to the primary issue of impaired gas exchange.
B: Anxiety related to actual threat to health status is important to address, but it is not the most critical nursing diagnosis for this patient.
C: Risk for infection related to retained secretions is a valid concern, but it is not as immediate and directly life-threatening as impaired gas exchange in a patient with chronic obstructive pulmonary disease.
Inhibition of medulla oblongata chemoreceptors and respiratory muscles has what effect on respiratory rate, elimination of CO2 at alveoli, and arterial PCO2?
- A. increased respiratory rate, increased elimination of CO2 at alveoli, and increased arterial
PCO2 - B. increased respiratory rate, decreased elimination of CO2 at alveoli, and decreased arterial
PCO2 - C. increased respiratory rate, increased elimination of CO2 at alveoli, and decreased arterial
PCO2 - D. decreased respiratory rate, decreased elimination of CO2 at alveoli, and increased arterial
PCO2
Correct Answer: D
Rationale: The correct answer is D. Inhibition of medulla oblongata chemoreceptors and respiratory muscles would decrease respiratory rate, leading to decreased elimination of CO2 at alveoli. This would cause an increase in arterial PCO2 due to less CO2 being removed from the body. Therefore, choice D is correct.
Choices A, B, and C are incorrect because they do not align with the physiological effects of inhibiting the medulla oblongata chemoreceptors and respiratory muscles. Option A suggests an increase in respiratory rate and elimination of CO2, which goes against the expected decrease in these parameters. Option B proposes an increase in respiratory rate but a decrease in CO2 elimination and arterial PCO2, which is inconsistent with the expected outcomes. Option C suggests an increase in respiratory rate and CO2 elimination but a decrease in arterial PCO2, which does not follow the logic of the question.
The collapse of lung is known as:
- A. pleurisy
- B. pleural effusion
- C. atelectasis
- D. pneumothorax
Correct Answer: C
Rationale: The correct answer is C: atelectasis. Atelectasis refers to the collapse of a lung or a part of a lung, leading to incomplete expansion of air sacs. This can be caused by various factors such as blockage of the airways or compression of the lung tissue. Pleurisy (A) is inflammation of the pleura, the lining around the lungs. Pleural effusion (B) is the accumulation of fluid in the pleural space. Pneumothorax (D) is the presence of air in the pleural space, leading to lung collapse. Atelectasis specifically describes the collapse of the lung itself, making it the correct choice.
The normal rate and depth of breathing is established by the ________ center(s).
- A. apneustic
- B. pneumotaxic
- C. DRG and VRG
- D. expiratory
Correct Answer: C
Rationale: The correct answer is C because the Dorsal Respiratory Group (DRG) and Ventral Respiratory Group (VRG) are the centers in the brainstem responsible for controlling the rate and depth of breathing. The DRG primarily regulates inspiration, while the VRG is involved in both inspiration and expiration. The apneustic and pneumotaxic centers (choices A and B) are subregions within the pons that modulate the activity of the DRG and VRG but do not establish the baseline rate and depth of breathing. The expiratory center (choice D) is responsible for controlling only the expiratory phase of breathing and is not involved in setting the normal rate and depth of breathing.
A nurse assesses a client's respiratory status. Which information is most important for the nurse to obtain?
- A. Average daily fluid intake.
- B. Neck circumference.
- C. Height and weight.
- D. Occupation and hobbies.
Correct Answer: D
Rationale: The correct answer is D: Occupation and hobbies. This information is crucial as certain occupations or hobbies may expose the client to respiratory hazards, leading to potential respiratory issues. By assessing their occupation and hobbies, the nurse can identify any risks or triggers that could impact the client's respiratory status.
A: Average daily fluid intake is important for overall health but not directly related to respiratory status assessment.
B: Neck circumference may be relevant for assessing airway obstruction risk but is not as critical as occupation and hobbies.
C: Height and weight are more related to general health and body mass index, not specifically respiratory status assessment.