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What is a condition where the lung's air sacs (alveoli) are damaged and enlarged, leading to breathlessness?
- A. Emphysema
- B. Chronic bronchitis
- C. Asthma
- D. Pulmonary fibrosis
Correct Answer: A
Rationale: The correct answer is A: Emphysema. Emphysema is a condition where the lung's air sacs are damaged and enlarged, leading to breathlessness. This occurs due to the destruction of the alveoli walls, causing reduced surface area for gas exchange and airflow obstruction. Chronic bronchitis (B) involves inflammation of the bronchial tubes, not alveoli damage. Asthma (C) is characterized by airway inflammation and bronchoconstriction, not alveoli damage. Pulmonary fibrosis (D) is scarring of lung tissue, not enlargement of the alveoli.
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Which of the following is an indication of an alarm sound when a client with transvenous pacemaker is on a cardiac monitor?
- A. Client's heart rate drops below the lowest level set on the alarm system.
- B. Client is confused or restless and physical movement disturbs external pacemaker.
- C. Client's heartbeat is greater than 60 beats/minute.
- D. Client's blood pressure drops below the lowest level set on the alarm system.
Correct Answer: A
Rationale: An alarm indicates the heart rate falling below the set limit, signaling potential pacemaker malfunction or arrhythmia.
Which type of lung cancer begins in the cells lining the bronchi and bronchioles?
- A. Adenocarcinoma
- B. Small cell lung cancer
- C. Squamous cell carcinoma
- D. Mesothelioma
Correct Answer: A
Rationale: The correct answer is A: Adenocarcinoma. This type of lung cancer begins in the cells lining the bronchi and bronchioles. Adenocarcinoma is the most common type of lung cancer and often affects non-smokers. It is characterized by the growth of glandular cells in the lining of the lungs.
B: Small cell lung cancer typically originates in the bronchi, but it is characterized by small, round cells and tends to grow and spread quickly.
C: Squamous cell carcinoma starts in the squamous cells lining the airways and is associated with a history of smoking.
D: Mesothelioma is a cancer of the mesothelial cells that line the lungs, not specifically the bronchi or bronchioles. It is commonly linked to asbestos exposure.
ECG changes in myocardial infarction.
- A. ST elevation
- B. Q waves
- C. Both A and B
- D. None of the above
Correct Answer: C
Rationale: ECG shows characteristic ST elevation and Q waves during MI.
How might the blood pressure be affected in a client whose body mass index (BMI) is 31 (obese)?
- A. increased
- B. decreased
- C. no change
- D. a change either way
Correct Answer: A
Rationale: Obesity is strongly associated with increased blood pressure due to factors like insulin resistance and increased vascular resistance.
What are the pressure-sensitive structures located in the aortic and carotid bodies called?
- A. Baroreceptors
- B. Chemoreceptors
- C. Nociceptors
- D. Mechanoreceptors
Correct Answer: A
Rationale: The correct answer is A: Baroreceptors. Baroreceptors are pressure-sensitive structures that detect changes in blood pressure in the aortic and carotid bodies. They help regulate blood pressure by sending signals to the brain to adjust heart rate and blood vessel dilation. Chemoreceptors (B) detect changes in chemical composition, not pressure. Nociceptors (C) detect pain stimuli. Mechanoreceptors (D) detect mechanical stimuli, not specifically pressure changes. Therefore, the correct answer is A as baroreceptors specifically respond to changes in blood pressure.