Nokea
Which condition is characterized by the weakening and rupture of the walls of the alveoli in the lungs, reducing the surface area available for gas exchange?
- A. Emphysema
- B. Bronchitis
- C. Atelectasis
- D. Pulmonary fibrosis
Correct Answer: A
Rationale: Rationale: Emphysema is characterized by weakening and rupture of alveoli walls, reducing gas exchange surface area. This leads to shortness of breath and decreased oxygen levels. Bronchitis involves inflammation of bronchial tubes, not alveoli. Atelectasis is the collapse of lung tissue, not alveoli weakening. Pulmonary fibrosis is scarring of lung tissue, not alveoli rupture. Therefore, A is correct due to its direct association with alveoli damage.
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The client on furosemide (Lasix) has a potassium level of 3.1 mEq/L. What is the nurse's priority action?
- A. Administer a potassium supplement.
- B. Hold the furosemide and notify the healthcare provider.
- C. Continue the current dose of furosemide.
- D. Administer Digibind.
Correct Answer: A
Rationale: The correct answer is A because a potassium level of 3.1 mEq/L indicates hypokalemia, a common side effect of furosemide. Administering a potassium supplement is essential to prevent complications like cardiac dysrhythmias. Choice B is incorrect because holding furosemide can worsen the client's condition. Choice C is incorrect as continuing the current dose can further lower potassium levels. Choice D is incorrect as Digibind is used to treat digoxin toxicity, not hypokalemia. Administering a potassium supplement addresses the underlying issue.
Explain the different modes of ventilator.
- A. Controlled mechanical ventilation
- B. Assist-control mode
- C. Both A and B
- D. None of the above
Correct Answer: C
Rationale: Modes vary depending on the degree of support required by the patient.
What procedure uses a catheter to open blocked coronary arteries and improve blood flow to the heart muscle?
- A. Angioplasty
- B. Stent placement
- C. Coronary artery bypass graft (CABG)
- D. Valve replacement
Correct Answer: A
Rationale: The correct answer is A: Angioplasty. Angioplasty involves using a catheter with a balloon to open blocked coronary arteries, improving blood flow to the heart muscle. The balloon is inflated to compress the plaque against the artery walls, restoring blood flow. Stent placement (B) involves inserting a mesh tube to keep the artery open after angioplasty. CABG (C) is a surgical procedure that uses grafts to bypass blocked coronary arteries. Valve replacement (D) is a procedure to replace damaged heart valves, not specifically for opening blocked coronary arteries.
What test measures the oxygen level in the blood, often used to monitor patients with respiratory or cardiovascular conditions?
- A. Pulse oximetry
- B. Arterial blood gas (ABG)
- C. Echocardiogram
- D. Chest X-ray
Correct Answer: A
Rationale: The correct answer is A: Pulse oximetry. This test measures the oxygen saturation level in the blood by using a device called a pulse oximeter, which is commonly placed on a patient's finger. Pulse oximetry is non-invasive, quick, and reliable in assessing oxygen levels. Arterial blood gas (B) measures oxygen and carbon dioxide levels directly from arterial blood samples, but it is more invasive and requires a blood draw. Echocardiogram (C) is an ultrasound test that evaluates the heart's structure and function, not specifically oxygen levels. Chest X-ray (D) provides images of the lungs and chest area but does not directly measure oxygen levels in the blood.
If Dr. Baker complains of loss of appetite and nausea after starting chlorothiazide, it would be important to
- A. check her digitalis and potassium levels
- B. obtain a urine specimen
- C. get an electrocardiogram immediately
- D. reassure her that since her blood pressure is normal these symptoms are to be expected
Correct Answer: A
Rationale: Chlorothiazide can affect electrolyte balance, requiring monitoring.