Answer to Question 1
ANS: B
A. Incorrect response: See explanation B.
B. Correct response: A helium-oxygen mixture (heliox) is less dense than air. Theoretically, heliox has the capability to flow through partial obstructions with less of a velocity increase than air or 100 O2. Any time any gas flows through a partial obstruction, the velocity of the flow increases as the gas traverses the narrowing. However, with heliox, the velocity increase is less because helium is a less dense gas. Consequently, more of the heliox will flow through the partial obstruction to the area distal to that obstruction. The heliox is expected to deliver more of the bronchodilator throughout the lungs of the asthmatic patient.
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.
Answer to Question 2
ANS: B
A. Incorrect response: See explanation B.
B. Correct response: Increasing flow to a nebulizer creates smaller particles, but shortens the duration of nebulization. At the same time, the increased flow produces the most medication waste because nebulization is continuous and occurs throughout the respiratory cycle.
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.
Nurse-patient interaction; nonverbal communication
Building competency in patient centered care
Patient teaching: lung assessment
Anti-Inflammatory Drugs for Asthma
A patient with goiter due to iodine deficiency.
After multiple injections of a local anesthetic, the patient developed herpetic lesions.