A person who breathes fast and hyperventilates may develop:
Respiratory alkalosis
Metabolic alkalosis
Metabolic acidosis
Respiratory acidosis
The Correct Answer is A
Choice A Reason:
Respiratory alkalosis occurs when a person breathes rapidly (hyperventilates), causing a decrease in carbon dioxide (CO2) levels in the blood. This reduction in CO2 leads to an increase in blood pH, resulting in alkalosis. Hyperventilation can be triggered by anxiety, fever, or other conditions that increase respiratory rate.
Choice B Reason:
Metabolic alkalosis is caused by an increase in bicarbonate (HCO3-) or a loss of hydrogen ions (H+), often due to vomiting, diuretic use, or excessive bicarbonate intake. It is not directly related to hyperventilation, which primarily affects CO2 levels rather than bicarbonate levels.
Choice C Reason:
Metabolic acidosis occurs when there is an excess of acid in the body or a loss of bicarbonate, often due to conditions like diabetic ketoacidosis, renal failure, or severe diarrhea. Hyperventilation does not cause metabolic acidosis; instead, it can be a compensatory response to metabolic acidosis to help lower CO2 levels and increase pH.
Choice D Reason:
Respiratory acidosis is caused by hypoventilation, where there is inadequate removal of CO2 from the body, leading to an increase in CO2 levels and a decrease in blood pH. This condition is the opposite of what occurs during hyperventilation, making this choice incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Atrophy refers to the reduction in size or wasting away of an organ or tissue due to a decrease in cell size or number. It is not a type of cell death but rather a process of cell shrinkage and loss of function. Therefore, it does not directly relate to the damage caused to nearby cells.
Choice B Reason:
This is the correct answer. Apoptosis is a form of programmed cell death that occurs in a controlled and regulated manner. It allows for the removal of damaged or unnecessary cells without causing an inflammatory response or damage to surrounding tissues. During apoptosis, cellular components are neatly packaged into vesicles called apoptotic bodies, which are then phagocytosed by neighboring cells or immune cells, preventing the release of harmful substances.
Choice C Reason:
Necrosis is a form of traumatic cell death that results from acute cellular injury. It often leads to the uncontrolled release of cellular contents, causing inflammation and damage to surrounding tissues. This process can be detrimental to nearby cells and is generally considered more harmful than apoptosis.
Choice D Reason:
Lysis refers to the breaking down or destruction of cells, often due to external factors such as toxins, infections, or immune responses. Like necrosis, lysis can result in the release of cellular contents into the surrounding environment, leading to inflammation and damage to nearby cells.
Correct Answer is B
Explanation
Choice A Reason:
An increase in HCO3- (bicarbonate) is not typically associated with diarrhea and lower intestinal fluid losses. In fact, the opposite is true. Diarrhea often leads to a loss of bicarbonate, which can result in metabolic acidosis. Therefore, this choice is incorrect.
Choice B Reason:
This is the correct answer. Diarrhea and other lower intestinal fluid losses lead to a decrease in HCO3- levels. The loss of bicarbonate from the body results in a lower pH, contributing to metabolic acidosis. This condition occurs because bicarbonate is a key buffer that helps maintain the acid-base balance in the blood.
Choice C Reason:
An increase in the chance of alkalosis is not typically associated with diarrhea. Alkalosis refers to a condition where the pH of the blood is higher than normal, which can occur due to a loss of hydrogen ions or an increase in bicarbonate. However, diarrhea usually causes a loss of bicarbonate, leading to acidosis rather than alkalosis.
Choice D Reason:
Saying that diarrhea has no effect on the pH of the blood is incorrect. Diarrhea can significantly impact the acid-base balance in the body by causing a loss of bicarbonate, leading to metabolic acidosis. Therefore, this choice is incorrect.
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