Which information from a client helps the nurse confirm the previous diagnosis of chronic stable angina?
- A. The pain wakes me up at night.
- B. The pain is level 3 to 5 (0 to 10 scale).
- C. The pain has gotten worse over the last week.
- D. The pain goes away after I stop jogging.
Correct Answer: D
Rationale: The correct answer is D because chronic stable angina is characterized by chest pain or discomfort that is triggered by physical exertion or emotional stress and relieved by rest or medication. Therefore, the fact that the pain goes away after stopping jogging aligns with the typical pattern of chronic stable angina.
A: The pain waking the client up at night is more indicative of unstable angina or a heart attack.
B: The level of pain on a scale does not provide conclusive evidence of chronic stable angina.
C: Pain worsening over time may suggest unstable angina or a heart attack rather than chronic stable angina.
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An oxygen delivery system is prescribed for a male 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 tent
- B. Venturi mask
- C. Aerosol mask
- D. Tracheostomy collar
Correct Answer: B
Rationale: The correct answer is B: Venturi mask. This type of oxygen delivery system allows for precise oxygen concentration delivery by adjusting the oxygen flow rate and selecting the appropriate color-coded adaptor. Venturi masks are commonly used in clients with COPD to ensure accurate oxygen delivery and prevent oxygen toxicity.
A: Face tent provides high humidity but does not allow for precise oxygen concentration delivery.
C: Aerosol mask is used for humidification and medication delivery, not for precise oxygen concentration.
D: Tracheostomy collar is used for clients with a tracheostomy, not for precise oxygen concentration in COPD.
The partial pressure of oxygen in the interstitial space of peripheral tissues is approximately
- A. 40 mm Hg
- B. 45 mm Hg
- C. 50 mm Hg
- D. 70 mm Hg
Correct Answer: A
Rationale: The correct answer is A: 40 mm Hg. In peripheral tissues, oxygen is delivered by the blood through capillaries. The partial pressure of oxygen in the interstitial space of peripheral tissues is lower than in the blood, around 40 mm Hg. This allows for the diffusion of oxygen from capillaries to cells. Choice B (45 mm Hg) and C (50 mm Hg) are slightly higher pressures and would not promote efficient oxygen diffusion. Choice D (70 mm Hg) is closer to arterial blood oxygen levels and would not allow sufficient oxygen release to tissues. Thus, the correct answer is A as it reflects the physiological conditions necessary for effective oxygen delivery to cells.
When the nurse reads the diagnosis of centrilobar emphysema, the nurse recognizes that this type of emphysema is characterized by:
- A. No significant smoking history in the patient.
- B. Enlarged and broken down bronchioles, with intact alveoli.
- C. Hypoelastic bronchi and bronchioles.
- D. Deficiency of the enzyme inhibitor alpha "“ antitrypsin.
Correct Answer: B
Rationale: The correct answer is B because centrilobar emphysema is characterized by enlarged and broken down bronchioles with intact alveoli. This type of emphysema primarily affects the respiratory bronchioles and alveolar ducts in the upper lung lobes. The other choices are incorrect because: A) Significant smoking history is usually present in patients with centrilobar emphysema. C) Hypoelastic bronchi and bronchioles are not characteristic of centrilobar emphysema. D) Deficiency of the enzyme inhibitor alpha-1 antitrypsin is associated with a different type of emphysema called panlobar emphysema, not centrilobar emphysema.
during rest state normal breathing called
- A. Breathing
- B. diaphragmatic
- C. Diaphragmatic breathing
- D. non
Correct Answer: C
Rationale: The correct answer is C: Diaphragmatic breathing. During rest, normal breathing involves the diaphragm contracting and moving downward to draw air into the lungs. This type of breathing is known as diaphragmatic breathing. Choice A (Breathing) is too broad and does not specify the involvement of the diaphragm. Choice B (Diaphragmatic) does not fully describe the process of breathing during rest. Choice D (Non) is incorrect as it does not provide any information related to the breathing process during rest state. Therefore, C is the most accurate choice as it specifically identifies the type of breathing that occurs during rest.
Which of the following are not present prior to birth?
- A. Pulmonary arterial resistance is high
- B. Pulmonary vessels are collapsed
- C. Rib cage is compressed
- D. Alveoli are expanded
Correct Answer: D
Rationale: The correct answer is D: Alveoli are expanded. Prior to birth, the alveoli in the lungs are collapsed, and they begin to expand and develop after birth when the baby starts breathing air. A: Pulmonary arterial resistance is high due to blood flow bypassing the lungs. B: Pulmonary vessels are collapsed to prevent blood flow in the fetal lungs. C: The rib cage is compressed in the womb due to the limited space, but it expands after birth to allow for lung expansion.