Which of the following demonstrates the pathophysiological process occurring in atelectasis?
Overinflated alveoli leading to air trapping.
Collapse of alveoli impairing ventilation and perfusion.
Activation of the inflammatory response and inflammation of the bronchi.
Activation of the inflammatory response and congestion in the alveoli.
The Correct Answer is B
Choice A reason: Overinflated alveoli and air trapping occur in emphysema or COPD, not atelectasis. Atelectasis involves alveolar collapse, reducing lung volume and gas exchange, not overinflation, making this choice incorrect for the pathophysiology of atelectasis.
Choice B reason: Atelectasis is the collapse of alveoli, often due to obstruction, compression, or surfactant deficiency, impairing ventilation and perfusion. This reduces gas exchange, causing hypoxia, and matches the pathophysiological process, making this the correct choice for atelectasis.
Choice C reason: Inflammation of the bronchi (bronchitis) involves airway inflammation, not alveolar collapse. Atelectasis results from physical collapse of alveoli, not primarily inflammatory processes, making this choice incorrect for atelectasis’s pathophysiology.
Choice D reason: Inflammatory congestion in alveoli describes pneumonia or pulmonary edema, not atelectasis. Atelectasis involves alveolar collapse, reducing ventilation without primary inflammation or fluid accumulation, making this choice incorrect for the described process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Portal hypertension from liver cirrhosis increases pressure in the portal vein, causing fluid leakage into the peritoneal cavity, leading to ascites. This occurs due to impaired liver function, reduced albumin, and increased hydrostatic pressure, making ascites a common manifestation and the correct choice.
Choice B reason: Hypoalbuminemia results from liver cirrhosis due to decreased hepatic protein synthesis but is not a direct manifestation of portal hypertension. It contributes to ascites by reducing oncotic pressure but is a separate consequence of liver dysfunction, making this choice incorrect.
Choice C reason: Hypoglycemia is not typically caused by portal hypertension. Cirrhosis may impair glucose regulation due to reduced glycogen storage, but portal hypertension primarily affects vascular dynamics, leading to ascites or varices, not low blood sugar, making this choice incorrect.
Choice D reason: Hyperkalemia is not a direct result of portal hypertension. Cirrhosis may cause electrolyte imbalances indirectly, but portal hypertension primarily leads to fluid shifts and vascular complications like ascites, not potassium elevation, making this choice incorrect for the described condition.
Correct Answer is A
Explanation
Choice A reason: Prolonged nasogastric suctioning removes gastric acid (HCl), reducing hydrogen ions in the blood, leading to metabolic alkalosis. This is reflected by elevated pH (7.50) and increased HCO3 (28 mEq/L), with normal PaCO2 as the lungs have not yet compensated. This matches the expected acid-base imbalance, making it correct.
Choice B reason: This result shows a slightly acidic pH (7.34) with normal PaCO2 and low HCO3, suggesting metabolic acidosis. Nasogastric suctioning causes loss of acid, not base, so it does not lead to acidosis. This imbalance is inconsistent with the alkalosis expected from gastric acid loss, making it incorrect.
Choice C reason: This result indicates a low pH (7.32) and elevated PaCO2, suggesting respiratory acidosis with partial compensation (normal HCO3). Nasogastric suctioning affects gastric acid, causing metabolic, not respiratory, alkalosis. The respiratory parameters here do not align with the condition’s pathophysiology, making this choice incorrect.
Choice D reason: This result shows an elevated pH (7.46) and low PaCO2, indicating respiratory alkalosis, likely from hyperventilation, with normal HCO3. Nasogastric suctioning causes metabolic alkalosis due to acid loss, not respiratory changes. The low PaCO2 does not fit the expected metabolic profile, making this choice incorrect.
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