Nurs8022 Exam 3 Practice Exam (based from study guide) mix of med/hard q's
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Questions and Answers

What is the major muscle of breathing that performs 80% of the work of breathing?

  • Diaphragm (correct)
  • External intercostals
  • Pulmonary surfactant
  • Pulmonary capillaries

What is the function of pulmonary surfactant in the lungs?

  • Decrease alveolar surface tension (correct)
  • Maintain lung compliance
  • Increase alveolar surface tension
  • Facilitate gas exchange in the alveoli

Which vessels have a larger diameter: pulmonary arteries or systemic vessels?

  • They have similar diameters
  • Pulmonary arteries (correct)
  • Systemic vessels
  • The text does not specify

What is compliance a measure of in relation to the lungs and chest wall?

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

Which structures form the alveolocapillary membrane where gas exchange occurs?

<p>Alveolar and capillary walls (C)</p> Signup and view all the answers

What causes an increase in airway resistance during inspiration and expiration?

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

What is the function of surfactant in the alveoli?

<p>Preventing fluid accumulation and pathogen invasion (D)</p> Signup and view all the answers

Where is the carina located?

<p>Where the trachea divides into the right and left bronchi (A)</p> Signup and view all the answers

What does the work of breathing refer to?

<p>The amount of work performed to overcome lung recoil (B)</p> Signup and view all the answers

What is the primary role of type 2 alveolar cells?

<p>Surfactant production (A)</p> Signup and view all the answers

Where are the lymph vessels present in the lung?

<p>In all supportive tissues of the lung (C)</p> Signup and view all the answers

What structures make up the conducting airways of the pulmonary system?

<p>Trachea, bronchi, and terminal bronchioles (D)</p> Signup and view all the answers

Which nerve innervates the diaphragm for respiration?

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

What does the diaphragm do during inspiration?

<p>Contracts to increase the volume of the thoracic cavity (C)</p> Signup and view all the answers

Where is the respiratory center located?

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

Which cells work together to propel foreign material up and enable coughing?

<p>Goblet cells and cilia (D)</p> Signup and view all the answers

What is the primary function of pulmonary circulation?

<p>Deliver nutrients to lung tissue (B)</p> Signup and view all the answers

What stimulates the brainstem respiratory centers to increase respiration?

<p>Increased blood CO2 or H+ levels (C)</p> Signup and view all the answers

Which structure divides into the right and left bronchi?

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

Which center in the brainstem sets the basic automatic rhythm for respiration?

<p>Dorsal respiratory group (C)</p> Signup and view all the answers

What do central chemoreceptors in the brainstem reflect?

<p>CSF pH levels (B)</p> Signup and view all the answers

What is the role of pleura in the pulmonary system?

<p>Adheres firmly to the lungs to facilitate breathing movements (B)</p> Signup and view all the answers

What is the function of conducting airways in the pulmonary system?

<p>Warm and humidify incoming air (D)</p> Signup and view all the answers

What do peripheral chemoreceptors mainly respond to?

<p>Hypoxia (low PaO2 levels) (A)</p> Signup and view all the answers

What is the formula for minute volume (MV)?

<p>MV = RR x TV (B)</p> Signup and view all the answers

Which cells help prevent lung collapse by blocking water and hydrogen binding within alveoli?

<p>Type 2 alveolar cells (C)</p> Signup and view all the answers

What is alveolar ventilation responsible for?

<p>Facilitating gas exchange (B)</p> Signup and view all the answers

What is the role of carina in the respiratory system?

<p>Divides trachea into right and left bronchi (C)</p> Signup and view all the answers

In which part of the lungs does perfusion exceed ventilation due to gravity?

<p>Lower lobes (A)</p> Signup and view all the answers

What happens when ventilation exceeds perfusion in a specific area of the lungs?

<p>High PaO2 and low PaCO2 (D)</p> Signup and view all the answers

What is the primary cause of bronchoconstriction?

<p>High ventilation (high V/Q ratio) (C)</p> Signup and view all the answers

Which process is responsible for delivering oxygen to the body through the lungs?

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

What effect does hypocapnia (low carbon dioxide) have on breathing drive?

<p>Decreases breathing drive (D)</p> Signup and view all the answers

In pulmonary hypertension, the mean pulmonary artery pressure is typically above:

<p>25 mmHg (C)</p> Signup and view all the answers

Which condition is characterized by chronic mucus production and airway inflammation?

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

What is the most common cause of cancer death in the US related to the lungs?

<p>Bronchogenic cancers (A)</p> Signup and view all the answers

Which ion plays a crucial role in initiating cardiac muscle contraction?

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

What is the primary function of atria in the heart's cardiac cycle?

<p>Receiving blood from systemic circulation (A)</p> Signup and view all the answers

What causes Kussmaul respirations?

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

What are Cheyne-Stokes respirations characterized by?

<p>Periods of gradual increase and decrease in breathing followed by apnea (B)</p> Signup and view all the answers

What role do both atria and ventricles play in the cardiovascular system?

<p>Priming pumps and playing important roles in blood circulation (A)</p> Signup and view all the answers

What is the primary role of pulmonary surfactant in the lungs?

<p>Decrease alveolar surface tension (B)</p> Signup and view all the answers

Which cells help prevent lung collapse by blocking water and hydrogen binding within alveoli?

<p>Type 2 alveolar cells (D)</p> Signup and view all the answers

What is the major muscle of breathing that performs 80% of the work of breathing?

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

In the lung and chest wall, what is compliance a measure of?

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

What does surfactant primarily aim to decrease in the alveoli?

<p>Alveolar surface tension (D)</p> Signup and view all the answers

Where does gas exchange primarily occur in the lungs?

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

Which of the following can lead to bronchoconstriction by causing too much ventilation in under-perfused areas of the lungs?

<p>Increased V/Q ratio (D)</p> Signup and view all the answers

In which condition does hypocapnia result in respiratory alkalosis and a decreased respiratory drive?

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

What happens when the oxyhemoglobin curve shifts to the left?

<p>Increased affinity for oxygen (C)</p> Signup and view all the answers

Which condition involves enlarged gas-exchange airways and destruction of alveolar walls?

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

What is the primary role of alveolar gases in the lungs?

<p>Carbon dioxide removal (C)</p> Signup and view all the answers

Which of the following conditions can lead to decreased perfusion and efficiency in the lungs?

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

What is the major cause of abnormal breathing patterns like Cheyne-Stokes respirations?

<p>Central chemoreceptor stimulation (C)</p> Signup and view all the answers

Which structure separates the thoracic and abdominal cavities?

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

Which cells produce mucus in the respiratory system?

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

What is the function of the visceral pleura?

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

Where is surfactant produced?

<p>Type 2 alveolar cells (C)</p> Signup and view all the answers

What is the primary function of the pulmonary circulation?

<p>Deliver nutrients to lung tissue (A)</p> Signup and view all the answers

Which lung structure contains alveolar macrophages?

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

What is the function of the carina in the respiratory system?

<p>Divides into right and left bronchi (A)</p> Signup and view all the answers

What provides alveolar structure in the lungs

<p>Type 1 alveolar cells (B)</p> Signup and view all the answers

What is the main difference between pulmonary circulation and systemic circulation?

<p>Pulmonary circulation has low pressure compared to systemic circulation (D)</p> Signup and view all the answers

What is the primary role of the lymphatics in the lungs?

<p>Preventing pulmonary edema (C)</p> Signup and view all the answers

Which nerve innervates the diaphragm for respiration?

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

What stimulates the brainstem respiratory centers to increase respiration?

<p>Increased CO2 and H+ levels (D)</p> Signup and view all the answers

What is the function of the pneumotaxic and apneustic centers located on the pons?

<p>Modify inspiratory depth and rate (D)</p> Signup and view all the answers

Which receptors send inhibitory impulses to the brainstem to limit excessive inspiration?

<p>Stretch receptors in bronchiolar tree (A)</p> Signup and view all the answers

What do the central chemoreceptors in the brainstem reflect?

<p>Carbon dioxide levels in CSF (B)</p> Signup and view all the answers

What mainly stimulates peripheral chemoreceptors located in the aorta and carotid bodies?

<p>Hypoxemia (low PaO2) (A)</p> Signup and view all the answers

What is alveolar ventilation responsible for?

<p>Delivering air to parts where gas exchange happens (B)</p> Signup and view all the answers

What is the formula for minute volume (MV)?

<p>RR * TV (D)</p> Signup and view all the answers

What is normal V/Q ratio indicative of?

<p>Excessive ventilation compared to perfusion (C)</p> Signup and view all the answers

Which node is responsible for delaying the cardiac impulse to allow the atria to empty blood into the ventricles before ventricular contraction?

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

Which fibers are responsible for fast conduction through large fibers and gap junctions that enhance velocity?

<p>Purkinje fibers (A)</p> Signup and view all the answers

Which receptor type is activated by norepinephrine leading to vasoconstriction?

<p>Alpha 1 receptor (B)</p> Signup and view all the answers

Which type of adrenergic receptor stimulation increases heart rate (chronotropy) and force of contraction (inotropy)?

<p>Beta 1 (D)</p> Signup and view all the answers

What is the primary neurotransmitter released by parasympathetic (vagal) nerves that innervate the SA node and AV fibers?

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

Which hormone acts on kidneys to increase water reabsorption, promote vasoconstriction, and consequently increase blood volume and blood pressure?

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

Which peptide is released in response to increased ventricular filling pressure and left ventricular dysfunction, exerting diuretic, natriuretic, and antihypertensive effects?

<p>Brain natriuretic peptide (BNP) (C)</p> Signup and view all the answers

Which center in the brainstem connects with the parasympathetic nervous system via the vagus nerve to decrease heart rate?

<p>Brain stem vasomotor center (B)</p> Signup and view all the answers

In what type of cancer can progressive occlusion of the superior vena cava lead to venous distention?

<p>Lung cancer (A)</p> Signup and view all the answers

Which receptor type found in smooth muscle of arteries, GI tract, bladder, and bronchial tree responds to epinephrine only?

<p>Beta 2 receptors (B)</p> Signup and view all the answers

"Atrial natriuretic peptide is released in response to stretch in the atria and has which effect on the body?"

<p>Diuretic effect (A)</p> Signup and view all the answers

Which center in the brainstem sets the basic automatic rhythm for respiration?

<p>Respiratory center (A)</p> Signup and view all the answers

During ventricular ejection, which valves open completely?

<p>Pulmonic and aortic semilunar valves (C)</p> Signup and view all the answers

Which phase represents the time when the ventricles begin to open the pulmonary and aortic valves?

<p>Phase 2: Isovolumetric ventricular systole (C)</p> Signup and view all the answers

What is determined by the amounts of venous return to the ventricle and blood left in the ventricle after systole?

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

Which factor is directly related to decreased cardiac output if it exceeds the physiologic range?

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

What does Frank Starling Law primarily relate to in the cardiac cycle?

<p>The volume of blood at the end of diastole (A)</p> Signup and view all the answers

What does Laplace Law suggest about ventricular dilation and contractile force?

<p>Increased dilation leads to increased contractile force (B)</p> Signup and view all the answers

What determines the stroke volume in the cardiac cycle?

<p>Myocardial stretch/preload (A)</p> Signup and view all the answers

Which factor indicates the efficiency of ventricular function?

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

What does a decreased cardiac index indicate in terms of heart function?

<p>Decreased blood flow to the heart (A)</p> Signup and view all the answers

What is a major function of atrioventricular valves in the heart?

<p>Ensure one-way blood flow (C)</p> Signup and view all the answers

Which structures are primarily responsible for preventing retrograde blood flow in the heart?

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

What is the normal range of heart rate generated by the AV node?

<p>40-60 BPM (A)</p> Signup and view all the answers

Which node in the heart is responsible for rapid impulse conduction through large fibers?

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

What is the primary location of Beta 2 adrenergic receptors?

<p>Vascular and non-vascular smooth muscle (D)</p> Signup and view all the answers

Which neurotransmitter causes vasodilation of bronchioles and skeletal muscle tissue?

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

Which receptor stimulation increases heart rate (chronotropy) and force of contraction (inotropy) in the heart?

<p>Beta 1 adrenergic receptors (B)</p> Signup and view all the answers

Where is the SA node located in the heart?

<p>Right atrium near entry of SVC (C)</p> Signup and view all the answers

What is the function of parasympathetic (vagal) nerves in the heart?

<p>Release acetylcholine to reduce heart rate (C)</p> Signup and view all the answers

Which neurotransmitter interacts with blood vessel alpha 1 receptors to cause vasoconstriction?

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

What effect do sympathetic nerves have on sinus node discharge?

<p>Increases sinus node discharge rate (A)</p> Signup and view all the answers

What is the purpose of AV bundles within the heart?

<p>To prevent re-entry of conduction (A)</p> Signup and view all the answers

What is the primary role of Purkinje fibers in the heart's electrical conduction system?

<p>To provide rapid conduction through large fibers (C)</p> Signup and view all the answers

What is the primary function of the Laplace Law in the cardiac cycle?

<p>To influence the contractile force based on chamber radius and wall thickness (A)</p> Signup and view all the answers

During Phase 4 of the cardiac cycle, what event occurs?

<p>Mitral and tricuspid valves close (C)</p> Signup and view all the answers

What primarily determines the force of myocardial contraction in the cardiac cycle?

<p>The stretch during diastole (D)</p> Signup and view all the answers

What is the main role of the atria in the cardiac cycle?

<p>To act as primer pumps before ventricular contraction (B)</p> Signup and view all the answers

How does increased preload affect myocardial oxygen consumption in the cardiac cycle?

<p>It represents increased myocardial oxygen consumption (B)</p> Signup and view all the answers

Which valve type ensures one-way blood flow from the left ventricle to the aorta in the cardiac cycle?

<p>Aortic semilunar valve (B)</p> Signup and view all the answers

What effect does decreased afterload have on heart contractions in the cardiac cycle?

<p>Heart contracts more rapidly (B)</p> Signup and view all the answers

What is the significance of Phase 1 (atrial systole) in the cardiac cycle?

<p>It signifies ventricles filling with blood (B)</p> Signup and view all the answers

What is the primary role of Frank-Starling Law in the cardiac cycle?

<p>To determine contractility based on myocardial stretch (D)</p> Signup and view all the answers

What occurs during Phase 3 (ventricular ejection) of the cardiac cycle?

<p>The semilunar valves open fully (B)</p> Signup and view all the answers

What is the function of isovolumetric ventricular systole in Phase 2 of the cardiac cycle?

<p>To begin opening pulmonary and aortic valves by building pressure (C)</p> Signup and view all the answers

Which condition is characterized by peaked T waves on ECG, intestinal cramping, and diarrhea?

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

What is a common cause of hypophosphatemia?

<p>Long-term use of phosphate enemas or laxatives (A)</p> Signup and view all the answers

Which ion is stored in muscle and bones, interacts with calcium, and is involved in neuro excitability?

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

What is the primary function of Calcitonin in the body?

<p>Decreases plasma calcium levels (A)</p> Signup and view all the answers

A patient with muscle weakness, constipation, and kidney stones might be suffering from:

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

What is a common manifestation of hyperphosphatemia?

<p>Calcification of soft tissue (A)</p> Signup and view all the answers

What is the primary role of capillary hydrostatic pressure in the filtration process?

<p>Pushes water from the capillary to interstitial space (D)</p> Signup and view all the answers

Which force opposes reabsorption according to Starling's Hypothesis?

<p>Interstitial oncotic pressure (B)</p> Signup and view all the answers

What causes increased capillary hydrostatic pressure, leading to the pathophysiology of edema?

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

At which point in the capillary does filtration occur due to a higher hydrostatic pressure compared to interstitial oncotic pressure?

<p>Arterial end (A)</p> Signup and view all the answers

What is a common manifestation associated with localized edema?

<p>Sprained ankle (A)</p> Signup and view all the answers

Which ion is primarily responsible for osmotic balance in the extracellular fluid?

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

What hormone acts on the distal tubule of the kidney to promote sodium and water reabsorption?

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

What hormone is secreted in response to increased blood sodium levels and decreased renal perfusion?

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

What do natriuretic peptides like ANP and BNP primarily promote in the body?

<p>Sodium and water loss through urine (D)</p> Signup and view all the answers

What is a common manifestation associated with generalized edema?

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

Which of the following is a common cause of right heart failure?

<p>Hypertensive heart disease (C)</p> Signup and view all the answers

What is the primary difference between systolic and diastolic heart failure?

<p>Compliance of the left ventricle (B)</p> Signup and view all the answers

Which congenital defect allows shunting from aorta to pulmonary artery?

<p>Patent ductus arteriosus (A)</p> Signup and view all the answers

What characterizes cyanotic congenital defects?

<p>Clubbing and squatting symptoms (C)</p> Signup and view all the answers

What is a symptom commonly associated with right heart failure?

<p>Sacral edema and nocturia (C)</p> Signup and view all the answers

Which defect leads to increased workload on the left side of the heart?

<p>Ventricular septal defect (A)</p> Signup and view all the answers

What is a common risk factor for left heart failure?

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

What can prolonged right heart failure lead to as a consequence of left-sided backup?

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

What symptom is unique to cyanotic congenital heart defects?

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

Which type of defect is most likely to result in feeding difficulty and squatting episodes?

<p>Tetralogy of Fallot (C)</p> Signup and view all the answers

What symptom is commonly seen in patients with pulmonary congestion as a result of left heart failure?

<p>Exertional dyspnea and fatigue (A)</p> Signup and view all the answers

Which type of congenital heart defect results in blood flowing from high-pressure left atria to low-pressure right atria?

<p>Atrial septal defect (C)</p> Signup and view all the answers

What is the primary function of atrial natriuretic peptide (ANP) in the body?

<p>increase sodium and water excretion (C)</p> Signup and view all the answers

Which condition can lead to hypernatremia manifesting as convulsions, pulmonary edema, and tachycardia?

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

What causes potassium (K+) to be pulled out of cells?

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

In the Renin-Angiotensin-Aldosterone System (RAAS), what is the role of angiotensin II?

<p>Induces vasoconstriction (A)</p> Signup and view all the answers

What characterizes isotonic solutions in terms of osmotic pressure?

<p>Equal movement of water across membranes without changing solute concentration (A)</p> Signup and view all the answers

What is the purpose of aldosterone in the body?

<p>Stimulates fluid balance restoration (C)</p> Signup and view all the answers

What primarily stimulates the release of antidiuretic hormone (ADH)?

<p>Decreased blood pressure (B)</p> Signup and view all the answers

Which electrolyte abnormality can be caused by hypoaldosteronism?

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

What is the effect of hyperchloremia on the body?

<p>No specific symptoms (C)</p> Signup and view all the answers

What is the primary effect of hypernatremia in the body?

<p>Decreased blood volume (A)</p> Signup and view all the answers

What characterizes isotonic alterations in the body?

<p>No change in solute concentration (D)</p> Signup and view all the answers

Which congenital heart defect results in desaturated systemic blood flow and cyanosis?

<p>Transposition of the great arteries (C)</p> Signup and view all the answers

What is the primary cause of acquired systemic hypertension in children?

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

What is the purpose of the RAAS system in the cardiovascular system?

<p>Increase blood volume and blood pressure (C)</p> Signup and view all the answers

What is the pathophysiology behind hypoplastic left heart syndrome?

<p>Left ventricle and aorta are underdeveloped (C)</p> Signup and view all the answers

Which condition results in desaturated blood entering the left atrium and mixing with desaturated blood in the right atrium?

<p>Hypoplastic left heart syndrome (D)</p> Signup and view all the answers

In what condition does oxygenated blood continuously circulate through the pulmonary circulation?

<p>Transposition of the great arteries (B)</p> Signup and view all the answers

What is a common manifestation of systemic hypertension in children?

<p>Decreased or absent pulses in lower extremities (C)</p> Signup and view all the answers

What results in increased pulmonary venous return to the left side of the heart and subsequent hypertrophy of LV?

<p>Hypoplastic left heart syndrome (D)</p> Signup and view all the answers

What is a distinguishing feature of tranposition of the great arteries regarding circulation?

<p>Mild cyanosis that worsens after birth (B)</p> Signup and view all the answers

What results in two separate parallel circuits for circulation with continuous flow of oxygenated and unoxygenated blood?

<p>transposition of the main arteries (A)</p> Signup and view all the answers

In hypoplastic left heart syndrome, which of the following structures are underdeveloped?

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

What is the primary cause of cyanosis in mixed defects of the heart?

<p>Desaturated systemic blood flow (D)</p> Signup and view all the answers

Which vasculature anomaly results in two separate parallel circuits for oxygenated and unoxygenated blood?

<p>Transposition of the great arteries (B)</p> Signup and view all the answers

Systemic hypertension in children is often associated with which underlying condition?

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

What is the pathophysiological outcome when systemic perfusion decreases as the patent ductus arteriosus closes?

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

Which hormone is released when there is an increase in plasma osmolality, decrease in blood volume, or decrease in blood pressure?

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

What is the primary function of aldosterone in the body?

<p>Promotes reabsorption of sodium and water (C)</p> Signup and view all the answers

What is the primary function of osmoreceptors in the hypothalamus?

<p>Cause thirst sensation (B)</p> Signup and view all the answers

What is the primary role of angiotensin II in the renin-angiotensin-aldosterone system (RAAS)?

<p>Increases systemic blood pressure (A)</p> Signup and view all the answers

What electrolyte imbalance is associated with manifestations such as convulsions, pulmonary edema, and hypotension?

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

In which conditions would there be isotonic alterations in the body?

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

What is a key function of potassium in the body?

<p>Regulates ICF osmolality (D)</p> Signup and view all the answers

Which hormone stimulates the reabsorption of sodium and water by the kidneys?

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

What causes hypernatremia?

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

What is a key manifestation of water deficits in the body?

<p>Headache, dry skin, dry mucous membranes (C)</p> Signup and view all the answers

What is the primary function of potassium in the body?

<p>Essential for smooth muscle contraction and cardiac rhythms (D)</p> Signup and view all the answers

What electrolyte imbalance can result from shifts between extracellular and intracellular compartments?

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

Which condition involves the inability of the heart to supply the metabolism with adequate circulatory volume and pressure?

<p>Left heart failure (C)</p> Signup and view all the answers

What is a common risk factor for left heart failure?

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

Which congenital heart defect is characterized by an abnormal communication between ventricles leading to shunting from the high-pressure left ventricle to the low-pressure right ventricle?

<p>Ventricular septal defect (C)</p> Signup and view all the answers

What is a symptom associated with pulmonary over-circulation in large ventricular septal defects?

<p>Poor weight gain (B)</p> Signup and view all the answers

In which congenital heart defect does blood flow from the high-pressure left atria to the low-pressure right atria?

<p>Atrial septal defect (C)</p> Signup and view all the answers

Which syndrome includes defects such as VSD, overriding aorta, pulmonary valve stenosis, and right ventricular hypertrophy?

<p>Tetralogy of Fallot (B)</p> Signup and view all the answers

What is a severe symptom associated with Tetralogy of Fallot that can occur with crying or exertion?

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

Which type of defect allows shunting from aorta to pulmonary artery causing a left to right shunt?

<p>Patent ductus arteriosus (B)</p> Signup and view all the answers

What is a consequence of untreated acyanotic defects that allow shunting from the high-pressure left heart to the lower-pressure right heart?

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

What symptom can be seen with right heart failure as a result of backup into the pulmonary system from left-sided heart failure?

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

Which valve type ensures one-way blood flow from the right ventricle to the pulmonary artery in cyanotic defects?

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

What is a common outcome associated with cyanotic defects due to obstruction causing increased right-sided pressure?

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

What is the main manifestation of hypocalcemia?

<p>Muscle weakness and constipation (A)</p> Signup and view all the answers

What is a possible cause of hyperphosphatemia?

<p>Excessive phosphate enemas (A)</p> Signup and view all the answers

Which ion has an inverse relationship with bicarbonate?

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

What is the manifestation of hypomagnesemia?

<p>Neuromuscular irritability and convulsions (D)</p> Signup and view all the answers

What is the compensation mechanism in respiratory alkalosis?

<p>Kidneys conserve H+ ions and absorb bicarb (C)</p> Signup and view all the answers

Which condition is associated with hypocapnia?

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

What is the primary regulator of plasma calcium levels?

<p>PTH increases via kidney reabsorption (B)</p> Signup and view all the answers

Which condition can result from high phosphate enemas or renal failure?

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

What is the primary function of metabolic acidosis in the body?

<p>Causes systemic increase in H+ ion concentration (B)</p> Signup and view all the answers

Which condition can be a consequence of hyperparathyroidism or excess vitamin D intake?

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

What is the main role of Capillary (plasma) oncotic pressure according to Starling's Hypothesis?

<p>Pushes water from the interstitial space back into the capillary (B)</p> Signup and view all the answers

Which force plays a central role in filtration at the arterial end of the capillary?

<p>Capillary hydrostatic pressure (C)</p> Signup and view all the answers

What would be the expected result if Capillary (plasma) oncotic pressure was significantly reduced?

<p>Decreased reabsorption from interstitial space (A)</p> Signup and view all the answers

What is the primary cause of Edema related to sodium retention?

<p>Increased capillary hydrostatic pressure (A)</p> Signup and view all the answers

Which hormone primarily regulates sodium and water reabsorption back into circulation?

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

What would happen to venous end of the capillary if intersitial hydrostatic pressure increased significantly?

<p>Reabsorption would increase (A)</p> Signup and view all the answers

Which condition is specifically associated with inflammation and immune response causing proteins to leak into tissues?

<p>Increased capillary permeability (C)</p> Signup and view all the answers

What is the expected outcome if Interstitial oncotic pressure decreases significantly?

<p>Increased filtration at arterial end of capillary (A)</p> Signup and view all the answers

Which protective mechanism is NOT mentioned in the text for preventing urinary tract infections?

<p>Glomerular filtration rate (B)</p> Signup and view all the answers

What is the most common pathogen associated with uncomplicated cystitis according to the text?

<p>Escherichia coli (E.coli) (B)</p> Signup and view all the answers

What is the primary symptom that differentiates interstitial cystitis from other urinary tract infections?

<p>Chronic pelvic pain (C)</p> Signup and view all the answers

Which type of pyelonephritis primarily affects the renal pelvis and interstitium?

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

What is the two-step process involved in bacterial infection leading to pyelonephritis as described in the text?

<p>Attachment and inflammatory response (A)</p> Signup and view all the answers

Which symptom is characteristic of the early stages of chronic pyelonephritis?

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

What is the main pathophysiological process behind the development of glomerulonephritis?

<p>Formation of immune complexes in circulation (A)</p> Signup and view all the answers

Which renal structure is composed of the glomerulus and Bowman's capsule?

<p>Renal corpuscle (A)</p> Signup and view all the answers

What function do the collecting ducts perform in the kidney?

<p>Resorb sodium and water (A)</p> Signup and view all the answers

Which renal function is particularly affected in pediatric and aging populations?

<p>Ability to remove excess water and solutes (C)</p> Signup and view all the answers

In the urinary system, what type of muscle is found in the ureters?

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

What is the main function of the juxtaglomerular apparatus (JGA) in the kidney?

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

Which renal disorder is characterized by the formation of mineral-based obstructions?

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

What is a common risk factor for developing renal cell carcinoma?

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

In renal functions, what does decreased ability to conserve nutrients lead to?

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

What type of epithelium lines the collecting ducts in the kidney?

<p>Simple cuboidal epithelium (D)</p> Signup and view all the answers

What is the function of the urethral sphincters in males and females?

<p>Control urine flow (C)</p> Signup and view all the answers

What is a unique characteristic of midcortical nephrons compared to other nephron types?

<p>They have more juxtaglomerular apparatuses. (D)</p> Signup and view all the answers

What regulatory mechanism helps maintain constant glomerular filtration rate between 80-180 mmHg?

<p>Myogenic mechanism. (C)</p> Signup and view all the answers

Which protective mechanism helps prevent reflux of urine from the bladder to the ureters?

<p>Presence of Tamm-Horsfall protein (A)</p> Signup and view all the answers

What is a characteristic feature of acute pyelonephritis affecting the renal medulla?

<p>Infiltration of subcapsular veins (D)</p> Signup and view all the answers

In chronic pyelonephritis, what process can lead to atrophy, dilation, and diffuse scarring of tubules?

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

Which symptom is typical in older adults with chronic pyelonephritis?

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

What is a key feature of glomerulonephritis that leads to decreased GFR?

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

Which factor contributes to oliguria in severe or progressive glomerular disease?

<p>Low serum albumin (B)</p> Signup and view all the answers

In glomerulonephritis, what is the primary cause of proteinuria leading to low serum albumin levels?

<p>Immune complex formation in circulation (A)</p> Signup and view all the answers

What is a common presenting symptom in individuals with severe or progressive glomerulonephritis?

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

Which structure in the kidney is composed of the glomerulus and Bowman's capsule?

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

What contributes to the decrease in GFR in glomerulonephritis?

<p>Increased permeability resulting in proteinuria (D)</p> Signup and view all the answers

What is the primary function of the loop of Henle in the kidney?

<p>Transports solutes and water (C)</p> Signup and view all the answers

What process leads to activation and recruitment of immune cells and mediators in glomerulonephritis?

<p>Complement system activation (C)</p> Signup and view all the answers

What type of muscle is found in the bladder?

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

What is the main characteristic of neurogenic bladder?

<p>Bladder dysfunction due to neurologic disorders (A)</p> Signup and view all the answers

Which renal tumor is the most common and malignant, with risk factors including smoking, obesity, and hypertension?

<p>Renal cell carcinoma (C)</p> Signup and view all the answers

What type of renal function is decreased in pediatric and aging populations?

<p>Ability to conserve nutrients (D)</p> Signup and view all the answers

GFR is directly related to which factor in the glomerular capillaries?

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

Myogenic mechanism affects GFR by responding to changes in which pressure?

<p>'Systemic' pressure (A)</p> Signup and view all the answers

Urinary obstructive disorders can lead to which condition characterized by anatomic or functional defects?

<p>'Hydronephrosis''; Tubulointerstitial fibrosis' (C)</p> Signup and view all the answers

Renal disorders can result in an increased risk for which condition due to decreased ability to remove excess water?

<p>'Generalized edema' (A)</p> Signup and view all the answers

What is the primary function of the 'renal cortex' in the kidneys?

<p>Maintains stable internal environment (D)</p> Signup and view all the answers

What characterizes 'tubuloglomerular feedback' in renal function?

<p>Decrease in GFR when sodium filtration increases (B)</p> Signup and view all the answers

Nephrotic syndrome produces

<p>susceptibility to infections (C)</p> Signup and view all the answers

Individuals with chronic kidney failure have:

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

Which finding will cause the resistance in blood vessels to be increased?

<p>increased blood viscosity (C)</p> Signup and view all the answers

A person's heartrate is reduced. what is happening physiologically?

<p>stim of parasymp nervous system (B)</p> Signup and view all the answers

A person has atherosclerosis, which physiological process has occurred

<p>macrophages release enzymes and toxic oxygen radicals that create oxidative stress. (B)</p> Signup and view all the answers

A person with MI is releasing angiotensin 2, how should the nurse interpret this finding

<p>Counterproductive; it causes the heart to work harder (B)</p> Signup and view all the answers

Flashcards

Diaphragm

The major muscle responsible for 80% of the work of breathing. Contracts to increase the volume of the thoracic cavity during inspiration.

Pulmonary Surfactant

A lipoprotein produced by type II alveolar cells that reduces surface tension in the alveoli, preventing collapse.

Compliance

The ability of the lungs and chest wall to stretch and expand during inspiration.

Alveolocapillary Membrane

The thin membrane where gas exchange occurs between the alveoli and the capillaries.

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Ventilation

The process of moving air into and out of the lungs.

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Pulmonary Circulation

The delivery of blood to and from the lungs.

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Conducting Airways

The structures that form the pathway for air to travel from the nose and mouth to the alveoli.

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Phrenic Nerve

The nerve that innervates the diaphragm, controlling breathing.

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Work Of Breathing

The amount of work required to overcome lung recoil and expand the lungs during breathing.

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Respiratory Center

The area of the brainstem responsible for controlling respiration.

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Cilia and Goblet Cells

The cells that propel foreign material upward toward the pharynx, enabling coughing.

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Carina

The point where the trachea divides into the right and left bronchi.

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Dorsal Respiratory Group

The group of neurons in the brainstem that sets the basic rhythm for respiration.

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Pleura

The membrane that encloses the lungs and lines the thoracic cavity, facilitating breathing movements.

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Alveoli

The tiny air sacs in the lungs where gas exchange occurs.

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Tidal Volume (TV)

The volume of air inhaled or exhaled in one breath.

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Expiratory Reserve Volume (ERV)

The volume of air that can be forcibly exhaled after a normal exhalation.

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Residual Volume (RV)

The volume of air remaining in the lungs after a maximal exhalation.

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Inspiratory Reserve Volume (IRV)

The maximum amount of air that can be inhaled after a normal inhalation.

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Inspiratory Capacity (IC)

The total volume of air that can be inspired after a normal expiration.

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Total Lung Capacity (TLC)

The total volume of air in the lungs after a maximal inhalation.

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Alveolar Ventilation

The volume of air that is effectively involved in gas exchange each minute.

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Minute Volume (MV)

The total volume of air moved in and out of the lungs each minute.

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Ventilation/Perfusion (V/Q) Ratio

The ratio of ventilation to perfusion in the lungs. A mismatch can lead to reduced gas exchange.

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Bronchitis

A condition characterized by chronic mucus production and airway inflammation.

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Hyperventilation

A condition characterized by excessive ventilation and low blood CO2 levels. It can lead to respiratory alkalosis.

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Pulmonary Hypertension

A condition characterized by an abnormally high mean pulmonary artery pressure, often exceeding 25 mmHg.

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Cheyne-Stokes Respiration

A respiratory pattern characterized by periods of gradual increase and decrease in breathing followed by apnea.

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Kussmaul Respiration

A respiratory pattern typically seen in metabolic acidosis, characterized by rapid, deep breathing.

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Hypoxia

The condition of having a low blood oxygen level.

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Hypercapnia

The condition of having a high blood carbon dioxide level.

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Hypocapnia

The condition of having a low blood carbon dioxide level.

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Study Notes

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University of Cincinnati Nurs8022 Spring 2024; based off notes from provided study guide.

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