The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching?

Correct Answer: C

Rationale: The correct answer is C: Use diaphragmatic breathing. Diaphragmatic breathing involves using the diaphragm to breathe deeply, allowing more air to enter the lungs and improving oxygenation. This is beneficial for clients with chronic bronchitis as it helps improve lung function and efficiency. Making inhalation longer than exhalation (Choice A) may lead to hyperventilation. Exhaling through an open mouth (Choice B) can lead to loss of carbon dioxide. Using chest breathing (Choice D) is less efficient and can exacerbate breathing difficulties in clients with chronic bronchitis. Diaphragmatic breathing is the most effective technique for improving breathing and should be emphasized in teaching.

Correct Answer: C

Rationale: The correct answer is C: Chronic obstructive bronchitis. The term "blue bloater" is a classic descriptor used in the context of chronic obstructive bronchitis. It refers to patients who exhibit cyanosis (blue discoloration of the skin due to lack of oxygen) and are often overweight and edematous. This term is used to differentiate from "pink puffers" who have emphysema. Both conditions are part of chronic obstructive pulmonary disease (COPD), but the "blue bloater" presentation is more characteristic of chronic bronchitis due to the chronic hypoxia and retained carbon dioxide. Now, let's evaluate why the other choices are incorrect: A: Acute respiratory distress syndrome (ARDS) typically presents with severe difficulty breathing and rapid onset of respiratory failure. It is not referred to as a "blue bloater." B: Asthma is characterized by reversible airway obstruction and wheezing, usually triggered by allergens or irrit

Correct Answer: D

Rationale: The correct answer is D because for the integumentary exchange of gases to occur efficiently, the surface of the animal must meet all three criteria: be thin and soft to allow gases to pass through easily, have a high number of blood vessels to facilitate gas exchange, and have a mucus or moist covering to prevent desiccation and aid in gas diffusion. If the surface is not thin and soft, gases cannot diffuse effectively. Without a high number of blood vessels, there wouldn't be sufficient transport of gases to and from the surface. And without a mucus or moist covering, the surface may dry out, hindering gas exchange. Therefore, all of the above factors are essential for the integumentary exchange of gases to function optimally.

Correct Answer: D

Rationale: The correct answer is D because carbon monoxide can indeed arise from cigarette smoke due to incomplete combustion of tobacco. This is supported by scientific evidence. Carbon monoxide has a high affinity for hemoglobin, so choice A is incorrect. It can be transported by the circulatory system, making choice B incorrect. Breathing excessive amounts of automobile exhaust containing carbon monoxide can lead to death, making choice C incorrect.

Correct Answer: B

Rationale: The correct answer is B: Breathing. Pneumatic and inhibitory centers are associated with controlling the process of breathing. The pneumatic center regulates the rate and depth of breathing, while the inhibitory center helps in controlling the duration and intensity of breathing. Therefore, these centers are directly involved in the overall process of breathing. Choices A, C, and D are incorrect as they are specific components or stages of the breathing process, whereas the correct answer encompasses the entire act of breathing, making it the most comprehensive and appropriate choice.