Why does the color of blood change from bright red to burgundy during internal respiration?
Red blood cells break down in the capillaries
The pH of the blood decreases
Oxygen dissociates from hemoglobin as it diffuses into tissues
Hemoglobin binds more carbon dioxide than oxygen
The Correct Answer is C
A. Red blood cells break down in the capillaries: Red blood cells remain intact during internal respiration. Hemolysis does not normally occur in capillaries, and the color change of blood is not due to cellular breakdown but rather changes in hemoglobin’s oxygenation state.
B. The pH of the blood decreases: Although tissue metabolism produces acids that can slightly lower blood pH, the primary cause of color change is not pH itself. Blood color is determined by the oxygen saturation of hemoglobin rather than minor pH fluctuations.
C. Oxygen dissociates from hemoglobin as it diffuses into tissues: As oxygen leaves hemoglobin to enter cells during internal respiration, the hemoglobin transitions from oxyhemoglobin (bright red) to deoxyhemoglobin (darker, burgundy color). This shift in oxygen saturation directly causes the observed color change in venous blood.
D. Hemoglobin binds more carbon dioxide than oxygen: While hemoglobin does carry carbon dioxide, the binding of CO₂ does not cause the immediate color change seen during internal respiration. The color change is primarily due to the release of oxygen from hemoglobin, not CO₂ binding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Prostaglandins: Prostaglandins are lipid mediators released during inflammation that contribute to vasodilation, pain, and fever. While they play a role in inflammatory responses in the airways, they are not the primary mediator responsible for acute bronchoconstriction during an allergic reaction.
B. Histamine: Histamine is the central mediator released from mast cells during an allergic reaction. It binds to H₁ receptors in the respiratory tract, causing bronchoconstriction, increased vascular permeability, and mucus production, all of which contribute directly to airway obstruction and the clinical manifestations of allergic asthma.
C. Eicosanoid: Eicosanoids, such as leukotrienes and prostaglandins, are involved in the later stages of inflammation and contribute to sustained bronchoconstriction and edema. However, they are secondary mediators compared to histamine in the immediate airway response.
D. Bradykinin: Bradykinin is a peptide that promotes vasodilation, increased vascular permeability, and pain. It plays a minor role in airway inflammation but is not the central mediator responsible for acute airway obstruction in allergic reactions.
E. Omega-3: Omega-3 fatty acids are dietary components with anti-inflammatory properties. They do not function as mediators in allergic responses or cause airway obstruction, and their presence does not trigger mast cell–mediated bronchoconstriction.
Correct Answer is {"dropdown-group-1":"A"}
Explanation
A. Accessory muscles: Accessory muscles of respiration, including the sternocleidomastoid, scalene, and pectoralis minor, are recruited when increased ventilatory effort is needed, such as during exercise, respiratory distress, or lung diseases like COPD. They assist in elevating the thoracic cage, increasing lung expansion, and enhancing air movement into the lungs beyond what the primary muscles can achieve.
B. Vocal cords: Vocal cords are structures within the larynx that produce sound and regulate airflow through the glottis. They do not participate in the mechanics of breathing or provide supplemental respiratory power.
C. Bronchioles: Bronchioles are small airways that conduct air to the alveoli and regulate airflow through smooth muscle constriction or dilation. They are not muscles and do not contribute mechanical force to ventilation.
D. Primary muscles: The primary muscles of respiration, mainly the diaphragm and intercostal muscles, perform the bulk of normal, restful breathing. While essential for ventilation, they are supplemented by accessory muscles only when additional respiratory effort is required.
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