Factors Affecting Respiratory Function in Chronic Lung Diseases
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Questions and Answers

What is the main stimulus for respiration in clients with chronic lung diseases like chronic obstructive pulmonary disease?

  • Nitrogen concentrations
  • Methane concentrations
  • Carbon dioxide concentrations
  • Oxygen concentrations (correct)

Which factor affects oxygenation by increasing the rate and depth of respirations due to physical activity?

  • Environment
  • Age
  • Lifestyle (correct)
  • Medications

What is a common manifestation of hypoxia?

  • Increased appetite
  • Increased blood pressure
  • Rapid, shallow respirations (correct)
  • Decreased heart rate

What condition refers to reduced oxygen in the blood and is characterized by low hemoglobin saturation?

<p>Hypoxemia (C)</p> Signup and view all the answers

What can happen if the cerebral cortex faces hypoxia for more than 3 to 5 minutes?

<p>Permanent damage (B)</p> Signup and view all the answers

How does an acutely hypoxic client usually appear compared to a chronically hypoxic client?

<p>Anxious and tired, sitting position (B)</p> Signup and view all the answers

What is the primary function of the respiratory system?

<p>Gas exchange between the individual and the environment (A)</p> Signup and view all the answers

Which component of respiration involves the movement of air between the atmosphere and the alveoli of the lungs?

<p>Pulmonary ventilation (A)</p> Signup and view all the answers

What factor is essential for adequate ventilation of the lungs?

<p>Clear airways (C)</p> Signup and view all the answers

What is the role of gas exchange in respiration?

<p>Diffusion of oxygen and carbon dioxide at alveoli (D)</p> Signup and view all the answers

What does inspiration refer to in the process of breathing?

<p>Inhaling air into the lungs (A)</p> Signup and view all the answers

Which system must be intact for adequate ventilation to occur?

<p>Respiratory system (D)</p> Signup and view all the answers

What is the function of diffusion in gas exchange?

<p>Exchanging oxygen and carbon dioxide at alveoli (A)</p> Signup and view all the answers

What does an intact thoracic cavity contribute to in terms of ventilation?

<p>Expanding and contracting during breathing (A)</p> Signup and view all the answers

What is the role of lung compliance in ventilation?

<p>It affects the expansibility of lung tissue. (B)</p> Signup and view all the answers

During inspiration, what happens to the thoracic cavity size?

<p>It increases. (B)</p> Signup and view all the answers

How does surfactant affect lung recoil?

<p>Reduces surface tension in alveoli. (B)</p> Signup and view all the answers

What is tidal volume?

<p>Volume of air inhaled and exhaled with each breath. (A)</p> Signup and view all the answers

How does diffusion play a role in alveolar gas exchange?

<p>Moves gases from areas of lower pressure to higher pressure. (D)</p> Signup and view all the answers

What happens when carbon dioxide pressure is higher in the alveoli than in the blood?

<p>Carbon dioxide diffuses into the alveoli for elimination. (B)</p> Signup and view all the answers

What primarily triggers chemoreceptors to stimulate respiration?

<p>Decreased oxygen concentration in arterial blood. (C)</p> Signup and view all the answers

How can excessive hematocrit levels affect oxygen transport?

<p>Reduce oxygen transport (A)</p> Signup and view all the answers

What characterizes kussmaul’s breathing?

<p>Rapid and deep breathing (D)</p> Signup and view all the answers

What is one cause of upper airway obstruction as mentioned in the text?

<p>Foreign object like food in the airway (D)</p> Signup and view all the answers

Which nursing diagnosis is related to oxygenation problems as per NANDA International?

<p>Ineffective airway clearance (A)</p> Signup and view all the answers

What is a nursing intervention to facilitate pulmonary ventilation mentioned in the text?

<p>Encouraging deep breathing and coughing (C)</p> Signup and view all the answers

How can a nurse promote normal respirations in clients according to the text?

<p>Providing frequent changes in position (B)</p> Signup and view all the answers

What is the purpose of abdominal (diaphragmatic) and pursed-lip breathing exercises?

<p>To remove secretions from the airways (A)</p> Signup and view all the answers

How do humidifiers assist in maintaining respiratory health?

<p>By thinning respiratory secretions (D)</p> Signup and view all the answers

Which medication type may be used to treat respiratory problems according to the text?

<p>Bronchodilators (B)</p> Signup and view all the answers

What is the preferred route of administration for the drugs mentioned in the text?

<p>Inhalation (C)</p> Signup and view all the answers

What is the main purpose of Incentive Spirometry as described in the text?

<p>Improve pulmonary ventilation (B)</p> Signup and view all the answers

Which technique involves forceful striking of the skin with cupped hands to help loosen respiratory secretions?

<p>Percussion (D)</p> Signup and view all the answers

When is oxygen therapy typically prescribed for clients as per the text?

<p>For clients with gas exchange impairment or heart failure (C)</p> Signup and view all the answers

Which statement regarding oxygen therapy is true according to the text?

<p>The nurse should not start oxygen therapy without a physician’s order, even in emergencies. (A)</p> Signup and view all the answers

Which intervention may follow percussion to aid in loosening thick secretions?

<p>Vibration (D)</p> Signup and view all the answers

What does Postural Drainage involve?

<p>Draining secretions from various lung segments using gravity (D)</p> Signup and view all the answers

What is the purpose of Vibration as mentioned in the text?

<p>Loosen thick secretions (C)</p> Signup and view all the answers

What happens to lung recoil when surfactant production is reduced?

<p>Lung recoil increases (D)</p> Signup and view all the answers

How does cardiac output affect the rate of oxygen transport to tissues?

<p>Increased cardiac output increases oxygen transport (A)</p> Signup and view all the answers

What is the primary role of the body's respiratory center located in the medulla oblongata and pons?

<p>To maintain correct levels of oxygen, carbon dioxide, and hydrogen ions (C)</p> Signup and view all the answers

What has the strongest stimulating effect on respiration according to chemoreceptors?

<p>Increased carbon dioxide concentration (D)</p> Signup and view all the answers

Which component of the respiratory system is responsible for the movement of air between the atmosphere and the alveoli of the lungs?

<p>Pulmonary ventilation (D)</p> Signup and view all the answers

What is a crucial factor influencing adequate ventilation of the lungs, as mentioned in the text?

<p>Central nervous system integrity (D)</p> Signup and view all the answers

Which process involves the transport of oxygen from the lungs to the body tissues and carbon dioxide from the tissues to the lungs?

<p>Respiratory function (B)</p> Signup and view all the answers

What is the primary function of gas exchange within the respiratory system?

<p>Oxygen and carbon dioxide diffusion (D)</p> Signup and view all the answers

What is the primary purpose of using Percussion, Vibration, and Postural Drainage techniques in respiratory care?

<p>To facilitate gas exchange (C)</p> Signup and view all the answers

In oxygen therapy, why is the concentration of oxygen considered more important than the liter flow per minute?

<p>Concentration directly impacts gas exchange efficiency (C)</p> Signup and view all the answers

Which scenario would indicate a need for oxygen therapy for a client according to the text?

<p>Gas exchange impairment (C)</p> Signup and view all the answers

Which of the following conditions is characterized by insufficient oxygen anywhere in the body, from the inspired gas to the tissues?

<p>Hypoxia (B)</p> Signup and view all the answers

Why is a low-flow oxygen system considered essential for clients with COPD?

<p>To maintain respiratory gaseous exchange (B)</p> Signup and view all the answers

What clinical manifestation may be present due to hypoxemia in a client?

<p>Clubbing of fingers and toes (A)</p> Signup and view all the answers

In terms of respiration, which pattern is characterized by a slow rate and may be seen in clients who have taken drugs like morphine?

<p>Bradypnea (C)</p> Signup and view all the answers

What distinguishes the appearance of an acutely hypoxic client from that of a chronically hypoxic client?

<p>Anxious appearance (D)</p> Signup and view all the answers

What is the purpose of kussmaul’s breathing as described in the text?

<p>To eliminate excess CO2 from the body. (C)</p> Signup and view all the answers

How does orthopnea differ from dyspnea based on the text?

<p>Orthopnea is the inability to breathe in an upright position, while dyspnea is difficult breathing. (C)</p> Signup and view all the answers

Which intervention can help promote oxygenation as per the text?

<p>Positioning the client for maximum chest expansion. (C)</p> Signup and view all the answers

How can humidifiers contribute to maintaining respiratory health according to the text?

<p>By thinning respiratory secretions for easier movement. (D)</p> Signup and view all the answers

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