Author Question: Which of the following conditions are likely to produce hypoventilation and hypercapnic respiratory ... (Read 19 times)

clmills979 · **on:** Jul 16, 2018

Which of the following conditions are likely to produce hypoventilation and hypercapnic respiratory failure? I. inadequate respiratory center drive II. inadequate transmission of impulses to myoneural junctions III. hyperventilation and increased VT IV. respiratory muscle weakness

A. I, IV only
B. II, III only
C. I, II, IV only
D. I, II, III, IV

Question 2

Which of the following factors contribute to malnutrition of a patient with COPD while being mechanically ventilated? I. hypermetabolism II. decreased nutritional intake III. chronic inflammatory state IV. use of 2 agonist medications

A. I, II only
B. II, III only
C. I, II, III only
D. I, II, III, IV

skipfourms123 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: Hypercapnia is caused by hypoventilation, which results from one or more of the following causes: (1) inadequate respiratory center drive, (2) inadequate transmission of respiratory center drive to myoneural junction, and (3) respiratory muscle weakness.
D. Incorrect response: See explanation C.

Answer to Question 2

ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: The following factors contribute to malnutrition of a patient with COPD while being mechanically ventilated: (1) hypermetabolism, (2) chronic inflammatory disease, (3) increased O2 cost of breathing caused by hyperinflation and airway obstruction, (4) increased energy requirements associated with 2 agonist medications, (5) greater activity related to thermogenesis, (6) corticosteroid use leading to protein loss, and (7) decreased intake.