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Questions and Answers

What is a primary characteristic of emphysema?

  • Coughing worse in the morning
  • Presence of wheezing
  • Thick mucus production
  • Difficult to breathe out (correct)
  • Which of the following is a sign of tension pneumothorax during visual assessment?

  • Increased heart rate
  • Decreased respiratory rate
  • Asymmetrical chest expansion (correct)
  • Cyanosis in lower extremities
  • What defines chronic bronchitis?

  • Abnormal enlargement of the gas airways
  • Difficulty breathing out CO2
  • Coughing lasting at least three months for two consecutive years (correct)
  • Presence of status asthmaticus
  • Which term describes shortness of breath while lying down?

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

    What is the main cause of emphysema?

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

    How is cor pulmonale primarily caused?

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

    Which of the following techniques helps prevent atelectasis in post-surgical patients?

    <p>Inspiratory respiratory exercises</p> Signup and view all the answers

    What is a common symptom of status asthmaticus?

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

    What mechanism do the kidneys use to help maintain acid-base balance?

    <p>Reabsorbing bicarbonate and excreting hydrogen ions</p> Signup and view all the answers

    How do the lungs compensate during metabolic acidosis?

    <p>Increase respiratory rate to remove CO2</p> Signup and view all the answers

    Which condition is most likely to cause metabolic acidosis?

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

    What occurs in respiratory acidosis due to hypoventilation?

    <p>Increased excretion of metabolic acids by kidneys</p> Signup and view all the answers

    What is a common cause of metabolic alkalosis?

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

    How do increased breathing rates affect blood pH?

    <p>Raise blood pH</p> Signup and view all the answers

    Which of the following statements about respiratory alkalosis is accurate?

    <p>It commonly results from hyperventilation.</p> Signup and view all the answers

    Which of the following strategies would the body use to compensate for metabolic acidosis?

    <p>Increase production of ammonia in the kidneys</p> Signup and view all the answers

    What is the primary cause of cyanosis?

    <p>Low oxygen in the blood</p> Signup and view all the answers

    Which pressure is responsible for drawing water across a semipermeable membrane from a lower to a higher solute concentration?

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

    What occurs during hypertonic adjustment?

    <p>Cells shrink as water leaves</p> Signup and view all the answers

    Which of the following symptoms is associated with hypernatremia?

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

    What is the primary consequence of hyponatremia?

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

    Which condition is characterized by muscle weakness and arrhythmias due to high potassium levels?

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

    What does hypo/hypercalcemia put a patient at risk for?

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

    Which is NOT a symptom of hypokalemia?

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

    Study Notes

    Emphysema

    • A primary characteristic is the destruction of alveolar walls, leading to reduced surface area for gas exchange.

    Tension Pneumothorax

    • A visual sign is tracheal deviation away from the affected side.

    Chronic Bronchitis

    • Defined by a persistent cough with mucus production for at least three months in two consecutive years.

    Shortness of Breath While Lying Down

    • This is called orthopnea.

    Cause of Emphysema

    • Primarily caused by cigarette smoking, leading to alveolar damage.

    Cor Pulmonale

    • Primarily caused by pulmonary hypertension, increasing the workload of the right ventricle.

    Preventing Post-Surgical Atelectasis

    • Techniques include incentive spirometry and deep breathing exercises.

    Status Asthmaticus

    • A common symptom is severe, unremitting bronchospasm.

    Kidney Acid-Base Balance

    • Kidneys maintain acid-base balance by regulating bicarbonate reabsorption and hydrogen ion excretion.

    Lung Compensation in Metabolic Acidosis

    • Lungs compensate by increasing ventilation rate to blow off carbon dioxide.

    Cause of Metabolic Acidosis

    • Conditions like diabetic ketoacidosis and renal failure are common causes.

    Respiratory Acidosis Due to Hypoventilation

    • Hypoventilation leads to increased carbon dioxide levels and decreased blood pH.

    Cause of Metabolic Alkalosis

    • Excessive vomiting or use of diuretics can cause metabolic alkalosis.

    Increased Breathing Rates and Blood pH

    • Increased breathing rates lead to decreased carbon dioxide levels and increased blood pH (alkalosis).

    Respiratory Alkalosis

    • Respiratory alkalosis is characterized by a decreased blood carbon dioxide level and increased blood pH.

    Compensating for Metabolic Acidosis

    • The body compensates by increasing respiratory rate to excrete carbon dioxide.

    Cyanosis Cause

    • Primarily caused by inadequate oxygenation of the blood.

    Osmotic Pressure

    • Osmotic pressure is responsible for drawing water across a semipermeable membrane from a lower to a higher solute concentration.

    Hypertonic Adjustment

    • In hypertonic adjustment, water moves from the intracellular space to the extracellular space to equalize the osmotic pressure.

    Hypernatremia Symptom

    • A symptom is thirst due to increased serum osmolality.

    Hyponatremia Consequence

    • The primary consequence is cellular swelling due to water shifting into cells.

    Hyperkalemia

    • High potassium levels cause muscle weakness and arrhythmias.

    Hypo/Hypercalcemia Risk

    • Hypo/hypercalcemia puts a patient at risk for cardiac arrhythmias (among other things).

    Hypokalemia Symptom

    • Muscle cramping or weakness is NOT a symptom of hypokalemia.

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