Respiratory acidosis is associated with:
Increased neuromuscular excitability
Increased carbonic acid
Increased pH
Hypokalemia
The Correct Answer is B
Choice A Reason:
Increased neuromuscular excitability is not typically associated with respiratory acidosis. Instead, respiratory acidosis can lead to symptoms such as confusion, fatigue, and shortness of breath due to the buildup of carbon dioxide in the blood. Neuromuscular excitability is more commonly associated with conditions like hypocalcemia.
Choice B Reason:
This is the correct answer. Respiratory acidosis occurs when the lungs cannot remove enough carbon dioxide (CO2) from the body, leading to an accumulation of CO2 in the blood. This increase in CO2 results in the formation of carbonic acid, which lowers the pH of the blood. The elevated levels of carbonic acid are a hallmark of respiratory acidosis.
Choice C Reason:
Increased pH is not associated with respiratory acidosis. In fact, respiratory acidosis is characterized by a decrease in blood pH due to the accumulation of carbon dioxide and the subsequent increase in carbonic acid. Therefore, this choice is incorrect.
Choice D Reason:
Hypokalemia, or low potassium levels, is not typically associated with respiratory acidosis. Instead, respiratory acidosis can sometimes lead to hyperkalemia (high potassium levels) due to the shift of potassium out of cells in response to the acidotic state. Therefore, this choice is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Decreased ATP production is the primary cause of sodium and water accumulation in an injured cell. ATP is essential for the function of the sodium-potassium (Na±K+) pump, which maintains the ionic balance within the cell. When ATP levels drop, the Na±K+ pump fails, leading to an influx of sodium and water into the cell, causing cellular swelling.
Choice B Reason:
Calcification of the cell refers to the abnormal deposition of calcium salts within the cell. While calcification can occur in injured cells, it is not directly responsible for sodium and water accumulation. Calcification is more related to chronic injury and cell death rather than acute cellular swelling.
Choice C Reason:
Ribosome detachment from the endoplasmic reticulum can occur due to cellular stress and injury, leading to reduced protein synthesis. However, this detachment is not the direct cause of sodium and water accumulation. The primary issue is the failure of the Na±K+ pump due to decreased ATP production.
Choice D Reason:
Dehydration refers to the loss of water from the body or cells. While dehydration can affect cellular function, it is not the cause of sodium and water accumulation in injured cells. The accumulation is primarily due to the failure of the Na±K+ pump, which is dependent on ATP.
Correct Answer is D
Explanation
Choice A: Atrophy
Atrophy refers to the reduction in size or wasting away of an organ or tissue due to a decrease in cell size or number. This can occur due to various reasons such as disuse, lack of nutrition, or loss of nerve supply. While atrophy involves the shrinkage of cells, it does not directly result in cellular death. Instead, it is a form of cellular adaptation to adverse conditions.
Choice B: Proliferation
Proliferation is the process by which cells grow and divide to produce more cells. This process is essential for growth, development, and tissue repair. Proliferation leads to an increase in the number of cells and is the opposite of cellular death. It is a tightly regulated process that ensures the maintenance and regeneration of tissues.
Choice C: Mutation
Mutation refers to changes in the DNA sequence of a cell. These changes can occur due to errors during DNA replication, exposure to radiation, or chemical mutagens. While mutations can lead to various outcomes, including cancer, they do not directly cause cellular death. Instead, mutations can alter the function of genes and proteins, potentially leading to uncontrolled cell growth or other cellular dysfunctions.
Choice D: Death
Apoptosis is a form of programmed cell death that occurs in multicellular organisms. It is a highly regulated process that allows the body to remove damaged or unnecessary cells without causing harm to surrounding tissues. Apoptosis involves a series of biochemical events leading to characteristic cell changes and eventual death. This process is crucial for maintaining cellular homeostasis and preventing the development of diseases such as cancer.
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