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</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</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</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</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</p> Signup and view all the answers

    What factor is essential for adequate ventilation of the lungs?

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

    What does inspiration refer to in the process of breathing?

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

    Which system must be intact for adequate ventilation to occur?

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

    What is the function of diffusion in gas exchange?

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

    What is the role of lung compliance in ventilation?

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

    During inspiration, what happens to the thoracic cavity size?

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

    How does surfactant affect lung recoil?

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

    What is tidal volume?

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

    What primarily triggers chemoreceptors to stimulate respiration?

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

    How can excessive hematocrit levels affect oxygen transport?

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

    What characterizes kussmaul’s breathing?

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

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

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

    How do humidifiers assist in maintaining respiratory health?

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

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

    <p>Bronchodilators</p> Signup and view all the answers

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

    <p>Inhalation</p> Signup and view all the answers

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

    <p>Improve pulmonary ventilation</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</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</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.</p> Signup and view all the answers

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

    <p>Vibration</p> Signup and view all the answers

    What does Postural Drainage involve?

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

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

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

    What happens to lung recoil when surfactant production is reduced?

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

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

    <p>Increased carbon dioxide concentration</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</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</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</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</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</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</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</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</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</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</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</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</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.</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.</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.</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.</p> Signup and view all the answers

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