A patient has pneumonia and areas of collapsed alveoli. What is the effect of the pneumonia and collapsed alveoli on breathing?
There are fewer alveoli available for gas exchange
Rapid shallow breathing can compensate for the collapsed alveoli, no further treatment is required
02 levels in the blood will increase
There will be no effect on breathing and 02 levels in the blood
The Correct Answer is A
A. There are fewer alveoli available for gas exchange: Pneumonia causes inflammation and fluid buildup in the lungs, while collapsed alveoli (atelectasis) reduce the surface area available for gas exchange. This results in impaired oxygen absorption and carbon dioxide removal, making breathing less efficient.
B. Rapid shallow breathing can compensate for the collapsed alveoli, no further treatment is required: While rapid, shallow breathing can be a response to decreased oxygen levels, it does not fully compensate for the loss of functional alveoli. Patients with pneumonia and atelectasis often require medical intervention, such as oxygen therapy or breathing exercises, to improve lung function.
C. O₂ levels in the blood will increase: Oxygen levels in the blood decrease, not increase, because fewer alveoli are available to facilitate gas exchange. The impaired alveolar function leads to hypoxemia (low blood oxygen), which can cause symptoms like shortness of breath and cyanosis.
D. There will be no effect on breathing and O₂ levels in the blood: Pneumonia and collapsed alveoli significantly affect breathing and oxygen levels. Patients may experience difficulty breathing, reduced oxygen saturation, and increased respiratory effort as their bodies try to compensate for poor oxygen exchange.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. is responsible for the pumping of O2 from the alveoli into the pulmonary capillaries: gas exchange occurs by diffusion, not nerve stimulation.
B. Is responsible for exhalation: exhalation is a passive process; phrenic nerve controls diaphragm contraction for inhalation.
C. Decreases thoracic volume: diaphragm contraction increases thoracic volume.
D. Causes the diaphragm to contract: the phrenic nerve innervates the diaphragm and stimulates its contraction for inhalation.
Correct Answer is C
Explanation
A. Bronchioles- bronchioles are airways that lead to alveoli but are not where gas exchange occurs.
B. Trachea- this is a conduction pathway for air, not where diffusion of gases happens.
C. Pulmonary capillaries- oxygen diffuses across the alveolar membrane into the pulmonary capillaries for transport in the blood.
D. Lungs- this is too broad; gas exchange occurs specifically at the alveolar-capillary membrane.
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