The nurse is reviewing with the client ways in which the ...

[renzo156]

The nurse is reviewing with the client ways in which the respiratory system is protected. The walls of the alveoli are composed of a single layer of cells and are lined with a chemical called surfactant.
 
  Based on this information, what is the role of surfactant in the lungs?
  1 . Preserves the elastic property of lung tissue
  2 . Reduces friction of lung tissue
  3 . Maintains the surface tension in the pulmonary lung fields
  4 . Prevents collapse of the alveolar walls on inspiration
  A) 1, 2,
  B) 1, 3
  C) 2, 4
  D) 3, 4

Question 2

A client is admitted to the unit following a motor vehicle accident. The nurse is reviewing the chart for any possible restrictions that could impact client care. The nurse notices that this client has an ordered blood transfusion.
 
  Which factor in the review of the client could most likely affect competent care? A) Dietary restrictions
  B) Language
  C) Nationality
  D) Religious beliefs

[dominiqueenicolee]

Answer to Question 1

A
Feedback:
The surfactant in the lungs acts to break up the surface tension in the pulmonary (lung) fluids, much like laundry detergent breaks up dirt and grease particles. This reduces friction and preserves the elastic property of lung tissue, thus preventing collapse of the alveolar walls between breaths.

Answer to Question 2

D
Feedback:
Religious beliefs could affect competent care in this case, if the client belongs to the religious group, Jehovah's Witnesses. This group prohibits blood transfusions and they will never eat anything that has ever contained blood. Dietary restrictions can be overcome by asking the family to bring food prepared at home, and language barriers can be overcome with the help of an interpreter. Nationality does not interfere with competent care.