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Respiratory and Cardiovascular Anatomy and Physiology

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123 Questions

What is the primary function of the capillaries in the cardiovascular system?

To facilitate gas exchange between atmospheric air and blood

During which step of oxygenation does the cardiovascular system play a crucial role?

Perfusion

What is the direction of blood flow in arteries?

Away from the heart

What is the primary function of ventilation in the oxygenation process?

To move gases into and out of the lungs

How many chambers are present in the heart?

4

Which of the following heart valves is responsible for separating the left atrium from the left ventricle?

Mitral valve

What is the primary function of the sinoatrial node in the heart?

To initiate electrical impulses for heart contraction

Which of the following carries oxygenated blood from the lungs to the heart?

Pulmonary veins

What is the role of hemoglobin in red blood cells?

To carry oxygen from the lungs to the body

Which heart structure transmits electrical impulses from the atrioventricular node to the ventricles?

Bundle of His

What is the primary function of the cardiovascular system in oxygenation?

To pump oxygenated blood to body tissues

What would happen to the body without the heart's pumping action?

The body would experience decreased oxygenation

What is the primary site of gas exchange in the oxygenation process?

The lungs

What is the role of the respiratory system in oxygenation?

To facilitate the diffusion of gases in the lungs

What type of blood is returned to the heart and lungs?

Deoxygenated blood

What is the primary reason for decreased ventilation in older patients with oxygenation problems?

Decreased air exchange and accumulation of secretions in lungs

Why do older patients require accessory muscles during expiration?

Due to weaker lung recoil and muscles

What is the effect of fibrous tissue in alveoli on oxygenation in older patients?

Decreases gas exchange

How does altered pain sensation in older patients impact their oxygenation?

Decreases their ability to detect respiratory problems

What is the impact of decreased cardiac output on older patients with oxygenation problems?

Decreases their ability to respond to stress

What is the potential consequence of scoliosis on respiratory function?

Air trapping

Which of the following correlations has been observed?

Between obesity and chronic bronchitis

What happens to the elasticity of tissues with aging?

It decreases

What is the effect of certain medications on the medullary respiratory center?

It depresses respiration

What is a consequence of decreased activity and aging on the heart?

Stiff heart valves and decreased overall heart function

Which environmental factor increases the risk of lung cancer?

Air pollution in cities

What is a psychological factor that can lead to bronchial asthma?

Anxiety

Which of the following is a cultural factor that can affect health?

Encouragement or discouragement of healthy habits

What is a consequence of sedentary lifestyle?

Increased risk of many problems

Which of the following is a common risk factor for many health problems?

Sedentary lifestyle

What is the primary purpose of assessing the patient's general appearance during a cardiopulmonary assessment?

To identify signs of anxiety or distress

What is the significance of assessing the patient's mucous membrane during a cardiopulmonary assessment?

To detect signs of pallor or cyanosis

What is the primary purpose of assessing the patient's chest during a cardiopulmonary assessment?

To detect signs of retractions or asymmetry

What is the significance of assessing the patient's pulses during a cardiopulmonary assessment?

To assess the patient's peripheral perfusion

What is the primary diagnosis related to imbalance between oxygen supply and demand?

Activity intolerance

What is the primary risk factor identified in the patient's cardiopulmonary assessment?

Tobacco use

What is the primary goal of the planning phase in the nursing process?

Generate solutions to the patient's problems

What is the primary focus of the implementation phase in the nursing process?

Taking action to promote optimal function

What is the primary purpose of the evaluation phase in the nursing process?

Evaluating the effectiveness of the interventions

What is an example of a specific, measurable goal in the planning phase?

Patient will ambulate 20 feet without becoming short of breath in 48 hours

What is the primary purpose of setting priorities in the planning phase?

To determine which goal is most important

What is the characteristic of wheezes in abnormal lung sounds?

Continuous, musical, and heard through constricted airways

What is the probable cause of rhonchi in a patient?

Moving mucus around when coughing

What is the characteristic of crackles or rales in abnormal lung sounds?

Discontinuous, soft, and heard during inspiration

What is the probable cause of a heart murmur in a patient?

Improper valve closure in the heart

What is the common characteristic of abnormal lung sounds?

They are all produced by abnormal airway resistance

What is the characteristic of rhonchi in abnormal lung sounds?

Low-pitched, continuous sounds

What is the primary cause of wheezes in abnormal lung sounds?

Swelling, narrowing, or secretions in the airways

What is the characteristic of crackles or rales in abnormal lung sounds?

Soft, high-pitched, discontinuous sounds

What is the primary cause of a heart murmur?

Improper valve closure in the heart

What is the characteristic of abnormal lung sounds in general?

Varied, depending on the underlying cause

What is the primary nursing intervention to improve impaired gas exchange due to tobacco use?

Promoting proper breathing through pursed lip breathing

What is the primary outcome of independent nursing interventions in patients with impaired gas exchange?

Improved oxygen saturation levels

Which nursing diagnosis is most relevant to a patient with a history of tobacco use?

Impaired Gas Exchange

What is the primary focus of patient education in patients with impaired gas exchange due to tobacco use?

Lifestyle modification

Which of the following is a benefit of providing supplemental oxygen therapy to patients with impaired gas exchange?

Improved oxygen saturation levels

What is the primary purpose of using an incentive spirometer in patients with oxygenation problems?

To promote diaphragmatic breathing

What is the primary advantage of using a nonrebreather mask over a simple mask for supplemental oxygen therapy?

It delivers higher oxygen concentrations

What is the primary rationale for positioning a patient at 45 degrees to promote oxygenation?

To facilitate coughing and airflow

What is the primary difference between a partial rebreather mask and a nonrebreather mask?

The level of rebreathing of exhaled air

What is the primary purpose of promoting coughing in patients with oxygenation problems?

To move secretions and clear airways

What is the primary function of the mitral and tricuspid valves during cardiac auscultation?

To produce the S1 heart sound during ventricular contraction

Which of the following heart sounds is produced by the rapid filling of the ventricles during early diastole?

S3

What is the characteristic of a systolic murmur during cardiac auscultation?

Occurs during ventricular contraction

Which of the following cardiac conditions can be diagnosed by auscultation with a holosystolic murmur at the apex?

Mitral regurgitation

What is a limitation of cardiac auscultation in patients with obesity?

Excess tissue can make it difficult to hear heart sounds

What is the primary purpose of comparing heart sounds between the left and right sides of the chest during cardiac auscultation?

To localize the origin of heart sounds

What is the primary purpose of setting priorities in the planning phase?

To identify the most important goal

What is an example of a specific, measurable goal in the planning phase?

Patient will be able to walk 20 feet without feeling tired

What is the primary benefit of coordinating with other healthcare professionals in the planning phase?

To improve communication and ensure continuity of care

What is the primary focus of goal setting in the planning phase?

Developing a care plan that meets the patient's needs

What is the primary role of the patient and family in the planning phase?

To develop the care plan with healthcare professionals

What is the primary focus of the Implementation phase in the nursing process?

Taking action to promote optimal function

What is the significance of patient education in patients with impaired gas exchange due to tobacco use?

To promote healthy lifestyle modifications

What is the primary benefit of coordinating with other healthcare professionals in the planning phase?

To develop a comprehensive plan of care

What is the primary purpose of promoting coughing in patients with oxygenation problems?

To improve oxygenation

What is the primary role of the patient and family in the planning phase?

To participate in goal setting

What is the primary purpose of providing humidified air in patients with oxygenation problems?

To promote expectoration of mucus

What is the primary benefit of maintaining adequate fluid intake in patients with oxygenation problems?

To thin out mucus and keep airways moist

What is the primary goal of positioning patients with oxygenation problems in a comfortable position?

To improve the patient's lung expansion

What is the primary reason for taking action to promote comfort in patients with oxygenation problems?

To reduce anxiety and stress

What is the primary benefit of implementing a plan to maintain adequate fluid intake in patients with oxygenation problems?

To reduce the risk of dehydration

What is the primary reason for monitoring potassium levels in patients administered furosemide?

To prevent hypokalemia and its effects on heart function

Why is it essential to monitor the patient's weight daily when administered furosemide?

To monitor the effectiveness of the diuretic and fluid loss

What is the primary indicator that the patient is receiving too much furosemide?

Thirst, dry mouth, lethargy, weakness, hypotension, or oliguria

What is the primary purpose of administering furosemide to a patient with hypertension?

To reduce the patient's blood pressure

What should the nurse monitor during furosemide administration to prevent adverse effects?

All of the above

What is the primary reason for assessing lung sounds in a patient administered furosemide?

To assess the presence of crackles and their resolution

What is the primary indication for administering metoprolol to a patient?

To control hypertension

Why is it important to monitor the patient's BP and HR before administering metoprolol?

To monitor for adverse reactions

What is the significance of 'XL' in Toprol XL?

It indicates the medication is an extended-release formulation

What should the nurse do if the patient is experiencing symptoms of hypotension and bradycardia after taking metoprolol?

Hold the medication and call the physician

Why should metoprolol not be crushed?

It may lead to a rapid release of the entire dose

What is the primary mechanism of action of Lisinopril in reducing blood pressure?

By relaxing cardiac arterial smooth muscle

Which of the following patients is at a higher risk of developing complications when taking Lisinopril?

A patient with chronic kidney disease

What is the primary reason for monitoring blood pressure in patients taking Lisinopril?

To monitor for the effectiveness of the medication in reducing blood pressure

What is the benefit of Lisinopril in patients with heart failure?

It increases blood flow to the heart

Why is it essential to monitor renal function in patients taking Lisinopril?

To monitor for kidney damage and adjust the dosage accordingly

What is the primary effect of guaifenesin on respiratory system?

Reduces viscosity of respiratory system

What type of cough is produced by guaifenesin?

Wet or productive cough

What is the primary administration instruction for guaifenesin?

Take with a large amount of fluid

What type of lung sound is guaifenesin effective for?

Rhonchi

What is NOT a benefit of guaifenesin?

Suppresses cough

What is the primary action of Dextromethorpha n on the cough reflex?

Suppresses the cough reflex by a direct action on the cough center in the medulla of the brain

Why is Dextromethorpha n not recommended for patients with restrictive airway diseases like asthma?

It closes the airways, reducing oxygenation

What type of cough is Dextromethorpha n effective for?

Nonproductive cough with no mucus production

Which of the following is a contraindication for the use of Dextromethorpha n?

Patients with asthma

What is the primary mechanism of action of Dextromethorpha n?

It suppresses the cough reflex by a direct action on the cough center in the medulla of the brain

What is the primary benefit of using albuterol as a rescue inhaler?

To immediately open airways during an asthma attack

What is the primary mechanism by which albuterol relaxes smooth muscles of the bronchioles?

By binding to beta-2 receptors

What is the primary purpose of educating patients about the side effects of albuterol?

To increase patient adherence to medication regimens

What is the primary advantage of using a metered dose inhaler to administer albuterol?

It provides a more precise dose of medication

What is the primary indication for using albuterol as a rescue inhaler?

To manage asthma attacks

What is the primary reason why prednisone should be tapered off gradually?

To prevent rebound symptoms in patients with bronchitis

What is the main purpose of assessing for infection risk in patients taking prednisone?

To minimize the risk of infection by reducing inflammation

Why is it essential to educate patients about dosing when taking prednisone?

To promote adherence to the prescribed dosage regimen

What is the primary mechanism by which prednisone reduces inflammation?

By reducing the production of inflammatory mediators

What is the primary benefit of using prednisone in patients with COPD?

Reduction of inflammation in the airways

What is the primary benefit of Fluticasone/Salmeterol (Advair) in patients with asthma and COPD?

Decreases inflammation of the bronchioles and relaxes the smooth muscles

What is the primary indication for the use of Fluticasone/Salmeterol (Advair)?

Maintenance therapy for patients with asthma and COPD

What is the primary reason why patients should rinse their mouth after using Fluticasone/Salmeterol (Advair)?

To reduce the risk of oral candidiasis

What is the primary mechanism of action of the Salmeterol component in Fluticasone/Salmeterol (Advair)?

Relaxes the smooth muscles of the bronchioles

What is the primary advantage of using Fluticasone/Salmeterol (Advair) as a dry powder inhaler?

It is easier to administer than a metered-dose inhaler

Learn about the principles of respiratory and cardiovascular anatomy and physiology, including the steps of oxygenation, ventilation, diffusion, and perfusion. Understand the structure and function of the heart, arteries, veins, and capillaries.

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