Nokea
What type of epithelium lines the conducting portion of the respiratory tract?
- A. simple squamous epithelium
- B. simple columnar epithelium
- C. stratified ciliated columnar epithelium
- D. pseudostratified ciliated columnar epithelium
Correct Answer: D
Rationale: The correct answer is D, pseudostratified ciliated columnar epithelium. This type of epithelium lines the conducting portion of the respiratory tract because it contains cilia that help sweep mucus and debris out of the airways. It appears to be stratified but is actually a single layer of cells with varying heights, giving it a pseudostratified appearance. Simple squamous epithelium (choice A) is too thin for the respiratory tract, simple columnar epithelium (choice B) lacks cilia for mucus clearance, and stratified ciliated columnar epithelium (choice C) is not a valid type of epithelium.
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What is the primary function of carbonic anhydrase in the human body?
- A. Breakdown of carbohydrates
- B. Regulation of blood sugar levels
- C. Facilitation of gas exchange in the lungs
- D. Catalyzing the conversion of carbon dioxide and water to bicarbonate and hydrogen ions
Correct Answer: D
Rationale: The correct answer is D: Catalyzing the conversion of carbon dioxide and water to bicarbonate and hydrogen ions. Carbonic anhydrase helps maintain acid-base balance in the body by catalyzing the reversible reaction between carbon dioxide and water to form bicarbonate and hydrogen ions. This process is crucial in regulating pH levels in various bodily fluids.
A: Breakdown of carbohydrates - This is not the primary function of carbonic anhydrase. Carbohydrate breakdown is primarily carried out by enzymes like amylase and sucrase.
B: Regulation of blood sugar levels - Carbonic anhydrase does not play a direct role in regulating blood sugar levels, which is mainly controlled by insulin and glucagon.
C: Facilitation of gas exchange in the lungs - While carbonic anhydrase indirectly affects gas exchange by regulating blood pH, its primary function is not to facilitate gas exchange in the lungs.
Type 2 alveolar cells are also called as___
- A. septal cells
- B. petal cells
- C. Surfactant
- D. respiratorycell
Correct Answer: A
Rationale: The correct answer is A: septal cells. Type 2 alveolar cells are also known as septal cells because they are located in the alveolar septa. These cells are responsible for producing and secreting surfactant, a substance that helps reduce surface tension in the alveoli and prevents them from collapsing. Choice B, petal cells, is incorrect because there is no such term used to describe these cells. Choice C, Surfactant, is incorrect because surfactant is the substance produced by type 2 alveolar cells, not the name of the cells themselves. Choice D, respiratory cell, is incorrect because it is a vague term that does not specifically refer to type 2 alveolar cells.
Most oxygen in the blood is transported
- A. as gas dissolved in plasma
- B. as oxyhemoglobin
- C. as carboxyhemoglobin
- D. as bicarbonate
Correct Answer: B
Rationale: The correct answer is B: as oxyhemoglobin. Oxygen is primarily carried in the blood by binding to hemoglobin in red blood cells to form oxyhemoglobin. This allows for efficient transport of oxygen to tissues. Choice A is incorrect because only a small amount of oxygen is dissolved in plasma. Choice C is incorrect as carboxyhemoglobin refers to carbon monoxide binding to hemoglobin, not oxygen. Choice D is incorrect as the majority of carbon dioxide is transported as bicarbonate, not oxygen.
An oxygen delivery system is prescribed for a client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed?
- A. Face mask
- B. Venturi mask
- C. Aerosol mask
- D. Tracheostomy collar
Correct Answer: B
Rationale: The correct answer is B: Venturi mask. The Venturi mask delivers a precise oxygen concentration by mixing oxygen with room air through different sized ports, allowing for accurate oxygen delivery. This is important for patients with COPD who require specific oxygen levels to prevent oxygen toxicity or hypoxemia.
A: Face mask delivers a less precise oxygen concentration and may not be suitable for patients who require exact oxygen levels.
C: Aerosol mask is used for delivering medications or humidified air, not for precise oxygen concentration.
D: Tracheostomy collar is used for patients with a tracheostomy and is not typically used for delivering precise oxygen concentration in COPD.
Before administering ephedrine, Nurse Tony assesses the patient's history. Because of ephedrine's central nervous system (CNS) effects, it is not recommended for:
- A. Patients with an acute asthma attack.
- B. Patients with narcolepsy.
- C. Patients under age
- D. Elderly patients.
Correct Answer: D
Rationale: The correct answer is D: Elderly patients. Ephedrine, a sympathomimetic amine, can exacerbate existing CNS conditions in elderly patients, leading to adverse effects like confusion, agitation, and increased risk of falls. Elderly patients are more sensitive to CNS stimulants due to age-related changes in drug metabolism and clearance, making them more susceptible to negative effects. Choices A, B, and C are incorrect because patients with acute asthma attacks may benefit from ephedrine's bronchodilator effects, patients with narcolepsy may benefit from its stimulant properties, and age alone is not a contraindication for ephedrine use.