Airway Management - Chapter Ten

24 July 2022
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question
When testing a mechanical suctioning unit, you should turn on the device, clamp the tubing, and ensure that it generates a vacuum pressure of more than ___.
answer
300 mm Hg
question
You are performing mouth-to-mask ventilations with oxygen connected and set a flow rate of 15 L/min. What percentage oxygen is your patient receiving?
answer
55%
question
Which of the following structures is not found in the upper airway: oropharynx, pharynx, larynx, bronchus.
answer
bronchus
question
Which of the following patients should you place in the recovery position: 1 19-year-old male conscious with a closed head injury and normal respirations, a 31-year-old male semi-conscious with low blood sugar and adequate breathing, a 40-year-old female with a possible neck injury and regular respirations, a 24-year-old female unconscious who overdosed and has reduced tidal volume.
answer
a 31-year-old male semi-conscious with low blood sugar and adequate breathing
question
Which of the following statements regarding normal gas exchange in the lungs is correct: the actual exchange of oxygen and carbon dioxide occurs in the capillaries, blood that returns to the lungs from the body has low levels of carbon dioxide, the oxygen content in aveoli is highest during the exhalation phase, oxygen and carbon dioxide diffuse across the alveolar walls can capillaries.
answer
oxygen and carbon dioxide diffuse across the alveolar walls and capillaries
question
You are ventilating a patient with a stoma, however, air is escaping from the mouth and nose. To prevent this, you should ___.
answer
seal the mouth and nose
question
The physical act of moving air into and out of the lungs is called ___.
answer
ventilation
question
During the assessment of a patient with respiratory distress, you hear wheezing when listening to breath sounds. This indicates ___.
answer
a lower airway obstruction
question
Which of the following statements regarding breathing adequacy is correct?
answer
patients breathing shallowly may require assisted ventilation despite a normal respiratory rate
question
A 19-year-old female is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an oropharyngeal airway, she begins to gag violently. You should ___.
answer
remove the airway and be prepared to suction the oropharynx
question
Which of the following patients is breathing adequately: a conscious male with respirations of 18 breaths/min and reduced tidal volume, a conscious female with facial cyanosis and rapid shallow respirations, an unconscious 52-year-old female with snoring respirations and cool pale skin, a conscious ale with respirations of 19 breaths/min and pink skin.
answer
a conscious male with respirations of 19 breaths/min and pink skin
question
How does CPAP improve oxygenation and ventilation in patients with certain respiratory problems?
answer
It forces the alveoli open and pushes oxygen across the alveolar membrane
question
Which of the following id the most reliable indicator of adequately performed bag-valve mask ventilations in an apneic adult with a pulse: adequate rise of the chest when squeezing the bag, twenty, breaths/min being delivered to the adult, consistently increasing heart rate, decreased compliance when squeezing the bag.
answer
adequate rise of the chest when squeezing the bag
question
A man was found unresponsive in his bed at home. There is no evidence of injury and the patient's medical history is not known. The patient's face is cyanotic, yet the pulse oximeter reads 98%. Which of the following would most likely explain this: his extremities are cold, carbon monoxide poisoning, increased body temperature, severe pulmonary edema.
answer
carbon monoxide poisoning
question
Which of the following statement regarding oxygen is correct: oxygen supports the combustion process and may cause a fire, oxygen is most safely administered in an enclosed environment, oxygen if flammable and may explode if under high pressure, oxygen cylinders must always remain in an upright position.
answer
oxygen supports the combustion process and may cause a fire
question
A patient who is suspected of being hypoxic and is breathing adequately should be given supplemental oxygen with a ___.
answer
nonrebreathing mask.
question
The nasopharyngeal airway is most beneficial because it ___.
answer
can maintain a patient airway in a semiconscious patient with a gag reflex
question
In which of the following patients would the head tilt-chin lift maneuver be the most appropriate method of opening the airway: a 24-year-old male who is found unconscious at the base of s tree, a 50-year-old male who is unconscious following head trauma, a 45-year-old male who is semi-conscious after falling 20 feet, a 37-year-old female who is found unconscious in her bed.
answer
a 37-year-old female who is found unconscious in her bed
question
What occurs when a patient is breathing rapidly and shallowly?
answer
air moves primarily in the automatic dead space and does not participate in pulmonary gas exchange
question
Irregular respirations characterized by an increased rate and depth of breathing followed by periods of apnea are called ___.
answer
Cheyne-Stokes respirations