The term "tachypnea" refers to:
A normal breathing rate.
A slow respiratory rate.
Cessation of breathing.
Rapid breathing
The Correct Answer is D
A. A normal breathing rate is incorrect because the normal adult respiratory rate is 12–20 breaths per minute at rest. Tachypnea exceeds this normal range, indicating an abnormally fast breathing pattern rather than normal respiration.
B. A slow respiratory rate is incorrect because a slow respiratory rate is termed bradypnea, not tachypnea. Bradypnea occurs when respiration falls below 12 breaths per minute in adults and may be caused by drug overdose, neurological injury, metabolic disorders, or severe hypothyroidism.
C. Cessation of breathing is incorrect because the absence of breathing is called apnea. Apnea can occur during sleep, respiratory arrest, or severe neurological compromise, and it is distinct from the rapid breathing seen in tachypnea.
D. Rapid breathing is correct because tachypnea is defined as an abnormally high respiratory rate, typically greater than 20 breaths per minute in adults at rest. Tachypnea is a compensatory mechanism that allows the body to increase oxygen intake and enhance carbon dioxide elimination in response to physiological stress or disease. Common causes include hypoxia, fever, metabolic acidosis, anxiety, pulmonary conditions (such as pneumonia or pulmonary embolism), heart failure, and pain. Clinically, tachypnea is an important early indicator of respiratory or systemic compromise and warrants prompt evaluation of underlying causes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Skin grafting eliminates scar formation is incorrect because skin grafting helps cover large or deep burn wounds and promotes healing, but it does not prevent scarring entirely. Scar formation can still occur, and grafted areas may develop hypertrophic or contracture scars.
B. Metabolism is decreased during the healing process is incorrect because burn injuries actually increase metabolic demands. The body requires more energy, protein, and nutrients to repair damaged tissue, fight infection, and support wound healing. Hypermetabolism is a well-documented response in moderate to severe burns.
C. Most burns heal quickly is incorrect because the healing time depends on the depth and extent of the burn. Superficial burns may heal within days, but deep partial-thickness or full-thickness burns take weeks to months to heal and often require surgical interventions, such as debridement or grafting.
D. Restrictive scars may require surgical intervention is correct because burns that result in contractures or hypertrophic scars can limit mobility, function, or cosmetic appearance. Surgical procedures, such as scar revision, release of contractures, or reconstructive grafting, may be necessary to restore function or improve appearance. Physical therapy and splinting are also important in managing restrictive scars.
Correct Answer is B
Explanation
A. Tuberculosis is incorrect because TB primarily produces blood-tinged sputum (hemoptysis). This occurs due to cavitation and erosion of pulmonary blood vessels caused by Mycobacterium tuberculosis infection. TB sputum is typically thick, sometimes streaked with blood, but not frothy, and is associated with chronic cough, night sweats, fever, and weight loss.
B. Pulmonary edema is correct because it involves accumulation of fluid within the alveoli, which interferes with gas exchange. The presence of fluid, particularly protein-rich fluid from increased hydrostatic pressure in cardiogenic pulmonary edema, mixes with air during breathing to produce frothy, often pink-tinged sputum. This frothy sputum is a classic and early clinical indicator of acute pulmonary edema, which may result from left-sided heart failure, myocardial infarction, fluid overload, or acute respiratory distress syndrome (ARDS). Other associated signs include dyspnea, orthopnea, crackles or rales on auscultation, tachypnea, and hypoxemia. Recognizing frothy sputum is critical because pulmonary edema can rapidly progress to respiratory failure if untreated.
C. Cystic fibrosis is incorrect because this genetic disorder leads to thick, sticky, and often purulent or yellow-green mucus due to defective chloride and water transport in epithelial cells. While cystic fibrosis patients produce large amounts of mucus that can cause airway obstruction and recurrent infections, their sputum is viscous rather than frothy. Chronic cough and recurrent respiratory infections are more characteristic of cystic fibrosis.
D. Emphysema is incorrect because emphysema primarily involves alveolar wall destruction, loss of elasticity, and hyperinflation, resulting in airflow obstruction. Sputum production is usually minimal, and when present, it is not frothy, since the disease affects the alveoli rather than causing alveolar fluid accumulation. Patients may present with dyspnea, barrel chest, and prolonged expiration rather than significant sputum production.
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