Nokea
Which statement is false about anatomical dead space?
- A. Anatomical dead space varies with age
- B. Can be estimated by the Fowlers method
- C. Significantly large in shallow breathing
- D. Measured by plotting N2 concentration against expired volume as in Bohr’s method
Correct Answer: D
Rationale: The correct answer is D because Bohr's method measures physiological dead space, not anatomical dead space. Anatomical dead space is constant and not affected by N2 concentration. A: Anatomical dead space does vary with age due to changes in lung dimensions. B: Fowlers method estimates anatomical dead space by measuring tidal volume and respiratory rate. C: Anatomical dead space is not significantly large in shallow breathing as it mainly involves the conducting airways, not the alveoli.
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Which of the following factors would decrease the amount of oxygen discharged by hemoglobin to peripheral tissues?
- A. increased temperature
- B. decreased pH
- C. decreased tissue PO2
- D. decreased amounts of BPG
Correct Answer: D
Rationale: The correct answer is D: decreased amounts of BPG. BPG binds to hemoglobin, reducing its affinity for oxygen. Without BPG, hemoglobin holds onto oxygen tightly, decreasing its release to tissues. Increased temperature (choice A) and decreased pH (choice B) actually enhance oxygen release by hemoglobin through the Bohr effect. Decreased tissue PO2 (choice C) triggers hemoglobin to release more oxygen due to the oxygen-hemoglobin dissociation curve.
The filtering and keeping the mucus and dirt away from our lung's performed by
- A. cilia
- B. bronchioles
- C. hair in lungs
- D. all of the above
Correct Answer: A
Rationale: The correct answer is A: cilia. Cilia are tiny hair-like structures in the respiratory tract that sweep mucus and dirt out of the lungs to keep them clean. Bronchioles are small airways in the lungs through which air passes, not involved in filtering. Hair in the lungs is not a natural structure; it would be harmful. Choice D is incorrect because not all options listed are involved in filtering and keeping the mucus and dirt away from the lungs.
smoking is one of the cause of
- A. hypoxia
- B. cancer
- C. emphysema
- D. macrosis
Correct Answer: C
Rationale: The correct answer is C: emphysema. Smoking is a leading cause of emphysema due to the damage it causes to the air sacs in the lungs. This damage leads to decreased lung function, shortness of breath, and other respiratory problems. Hypoxia (choice A) is a condition of low oxygen levels in tissues, not directly caused by smoking. Cancer (choice B) is also linked to smoking, but emphysema is specifically associated with lung damage. Macrosis (choice D) is not a recognized medical condition related to smoking or any other factor.
While assisting a patient with intermittent asthma to identify specific triggers of asthma, what should the nurse explain?
- A. a. Food and drug allergies do not manifest in respiratory symptoms.
- B. b. Exercise-induced asthma is seen only in individuals with sensitivity to cold air.
- C. c. Asthma attacks are psychogenic in origin and can be controlled with relaxation techniques.
- D. d. Viral upper respiratory infections are a common precipitating factor in acute asthma attacks.
Correct Answer: d
Rationale: The correct answer is D because viral upper respiratory infections are a common precipitating factor in acute asthma attacks. This is important information for the patient to understand in order to help identify triggers and manage their asthma effectively. Viral infections can exacerbate asthma symptoms, so recognizing this connection can aid in prevention and treatment.
At high altitudes all of the following things occur in an effort to acclimatise EXCEPT
- A. Hypoventilation
- B. Polycythaemia
- C. Increased numbers of capillaries per unit volume in peripheral tissues
- D. O2 dissociation curve shifts to right
Correct Answer: A
Rationale: The correct answer is A: Hypoventilation. At high altitudes, the body adapts to the decreased oxygen availability by increasing red blood cell production (polycythaemia) to enhance oxygen-carrying capacity. This is supported by the shift of the oxygen dissociation curve to the right, facilitating oxygen unloading in tissues. Additionally, increased capillaries in peripheral tissues improve oxygen delivery. However, hypoventilation, or decreased breathing rate, is not a typical response to high altitudes. In fact, the body usually compensates by increasing ventilation to maintain adequate oxygen levels.