CH 16 AIRWAY EMERGENCIES
QUESTIONS AND CORRECT VERIFIED
ANSWERS
TheA2mostA2obviousA2riskA2associatedA2withA2extubationA2is:A2-A2Ans--
overestimatingA2theA2patient'sA2abilityA2toA2protectA2theirA2airway.
NeuromuscularA2blockingA2agents:A2-A2Ans--
convertA2aA2breathingA2patientA2withA2aA2marginalA2airwayA2intoA2anA2apneicA2patientA2wit
hA2noA2airway.
AnA2adultA2patientA2withA2anA2abnormalA2respiratoryA2rateA2should:A2-A2Ans--
beA2evaluatedA2forA2otherA2signsA2ofA2inadequateA2ventilation.
IfA2returnA2ofA2spontaneousA2circulationA2(ROSC)A2occurs,A2whichA2ofA2theA2followingA2ET
CO2A2findingsA2wouldA2youA2expectA2toA2encounter?A2-A2Ans--
AnA2abruptA2andA2sustainedA2increaseA2inA2ETCO2
AA2decreaseA2inA2whichA2ofA2whichA2ofA2theA2followingA2decreasesA2carbonA2dioxideA2elim
ination,A2resultingA2inA2aA2buildingA2ofA2carbonA2dioxideA2inA2theA2blood?A2-A2Ans--
minuteA2volume
CapnographyA2isA2aA2reliableA2methodA2forA2confirmingA2properA2ETA2tubeA2placementA2b
ecause:A2-A2Ans--carbonA2dioxideA2isA2notA2presentA2inA2theA2esophagus.
WhenA2ventilatingA2aA2patientA2withA2facialA2injuries,A2itA2isA2mostA2importantA2to:A2-A2Ans--
beA2alertA2forA2changesA2inA2ventilationA2compliance.
WhichA2ofA2theA2followingA2clinicalA2findingsA2wouldA2beA2significantA2inA2aA2patientA2exper
iencingA2respiratoryA2distress?A2-A2Ans--FeverA2ofA2102.5A2degreesA2Fahrenheit
FentanylA2(Sublimaze)A2isA2a:A2-A2Ans--narcoticA2analgesic.
WhichA2ofA2theA2followingA2isA2anA2indicatorA2ofA2inadequateA2artificialA2ventilationA2whenA
2ventilatingA2anA2apneic,A2tachycardicA2adultA2withA2aA2bag-maskA2device?A2-A2Ans--
AboutA220A2breathsA2perA2minuteA2areA2beingA2delivered.
AA2patientA2withA2aA2suppressedA2coughA2mechanism:A2-A2Ans--
isA2atA2seriousA2riskA2forA2aspiration.
AnA2intubatedA233-year-
oldA2manA2isA2becomingA2agitatedA2andA2beginsA2movingA2hisA2headA2around.A2YourA2esti
, matedA2timeA2ofA2arrivalA2atA2theA2hospitalA2isA215A2minutes.A2YouA2should:A2-A2Ans--
administerA2aA2sedativeA2medication.
AnA2airwayA2obstructionA2secondaryA2toA2aA2severeA2allergicA2reaction:A2-A2Ans--
requiresA2specificA2andA2aggressiveA2treatment.
WhichA2ofA2theA2followingA2isA2properA2procedureA2whenA2insertingA2aA2nasogastricA2tube
A2inA2aA2responsiveA2patient?A2-A2Ans--
AdministeringA2aA2topicalA2alphaA2agonistA2toA2constrictA2theA2nasalA2vasculature
AfterA2placingA2anA2ETA2tube,A2youA2suspectA2thatA2theA2filterA2lineA2fromA2theA2capnograp
hyA2adaptorA2isA2occludedA2byA2bloodA2orA2otherA2secretions.A2WhatA2shouldA2youA2doA2in
A2thisA2situation?A2-A2Ans--ReplaceA2theA2in-lineA2ETCO2A2detector.
TheA2averageA2peakA2expiratoryA2flowA2rateA2inA2aA2healthyA2adultA2isA2approximately:A2-
A2Ans--550A2mL.
AA2constructionA2workerA2fellA2approximatelyA215A2feetA2andA2landedA2onA2hisA2head.A2He
A2isA2semiconscious.A2HisA2respiratoryA2rateA2isA214A2breaths/
minA2withA2adequateA2depth.A2FurtherA2assessmentA2revealsA2bloodA2drainingA2fromA2hisA
2nose.A2YouA2should:A2-A2Ans--
administerA2oxygenA2viaA2nonrebreathingA2maskA2andA2continueA2yourA2assessment.
Normally,A2anA2adultA2maleA2willA2requireA2anA2ETA2tubeA2thatA2rangesA2from:A2-A2Ans--
7.5A2toA28.5A2mm.
WhichA2ofA2theA2followingA2factorsA2increaseA2aA2person'sA2respiratoryA2rate?A2-A2Ans--
TheA2useA2ofA2amphetamines
TheA2KingA2airwayA2isA2contraindicatedA2inA2patients:A2-A2Ans--
withA2knownA2esophagealA2disease.
WhatA2point(s)A2onA2theA2capnographicA2waveformA2represent(s)A2aA2mixtureA2ofA2alveola
rA2gasA2andA2deadA2spaceA2gas?A2-A2Ans--B
AA2Cormack-LehaneA2ClassA23A2airwayA2isA2characterizedA2by:A2-A2Ans--
visualizationA2ofA2theA2epiglottisA2only.
ApproximatelyA210A2secondsA2intoA2anA2intubationA2attempt,A2youA2catchA2aA2glimpseA2ofA
2theA2patient'sA2vocalA2cords,A2butA2quicklyA2loseA2sightA2ofA2them.A2YouA2should:A2-
A2Ans--
askA2yourA2partnerA2toA2applyA2backward,A2upward,A2rightwardA2pressureA2toA2theA2thyroi
d.
QUESTIONS AND CORRECT VERIFIED
ANSWERS
TheA2mostA2obviousA2riskA2associatedA2withA2extubationA2is:A2-A2Ans--
overestimatingA2theA2patient'sA2abilityA2toA2protectA2theirA2airway.
NeuromuscularA2blockingA2agents:A2-A2Ans--
convertA2aA2breathingA2patientA2withA2aA2marginalA2airwayA2intoA2anA2apneicA2patientA2wit
hA2noA2airway.
AnA2adultA2patientA2withA2anA2abnormalA2respiratoryA2rateA2should:A2-A2Ans--
beA2evaluatedA2forA2otherA2signsA2ofA2inadequateA2ventilation.
IfA2returnA2ofA2spontaneousA2circulationA2(ROSC)A2occurs,A2whichA2ofA2theA2followingA2ET
CO2A2findingsA2wouldA2youA2expectA2toA2encounter?A2-A2Ans--
AnA2abruptA2andA2sustainedA2increaseA2inA2ETCO2
AA2decreaseA2inA2whichA2ofA2whichA2ofA2theA2followingA2decreasesA2carbonA2dioxideA2elim
ination,A2resultingA2inA2aA2buildingA2ofA2carbonA2dioxideA2inA2theA2blood?A2-A2Ans--
minuteA2volume
CapnographyA2isA2aA2reliableA2methodA2forA2confirmingA2properA2ETA2tubeA2placementA2b
ecause:A2-A2Ans--carbonA2dioxideA2isA2notA2presentA2inA2theA2esophagus.
WhenA2ventilatingA2aA2patientA2withA2facialA2injuries,A2itA2isA2mostA2importantA2to:A2-A2Ans--
beA2alertA2forA2changesA2inA2ventilationA2compliance.
WhichA2ofA2theA2followingA2clinicalA2findingsA2wouldA2beA2significantA2inA2aA2patientA2exper
iencingA2respiratoryA2distress?A2-A2Ans--FeverA2ofA2102.5A2degreesA2Fahrenheit
FentanylA2(Sublimaze)A2isA2a:A2-A2Ans--narcoticA2analgesic.
WhichA2ofA2theA2followingA2isA2anA2indicatorA2ofA2inadequateA2artificialA2ventilationA2whenA
2ventilatingA2anA2apneic,A2tachycardicA2adultA2withA2aA2bag-maskA2device?A2-A2Ans--
AboutA220A2breathsA2perA2minuteA2areA2beingA2delivered.
AA2patientA2withA2aA2suppressedA2coughA2mechanism:A2-A2Ans--
isA2atA2seriousA2riskA2forA2aspiration.
AnA2intubatedA233-year-
oldA2manA2isA2becomingA2agitatedA2andA2beginsA2movingA2hisA2headA2around.A2YourA2esti
, matedA2timeA2ofA2arrivalA2atA2theA2hospitalA2isA215A2minutes.A2YouA2should:A2-A2Ans--
administerA2aA2sedativeA2medication.
AnA2airwayA2obstructionA2secondaryA2toA2aA2severeA2allergicA2reaction:A2-A2Ans--
requiresA2specificA2andA2aggressiveA2treatment.
WhichA2ofA2theA2followingA2isA2properA2procedureA2whenA2insertingA2aA2nasogastricA2tube
A2inA2aA2responsiveA2patient?A2-A2Ans--
AdministeringA2aA2topicalA2alphaA2agonistA2toA2constrictA2theA2nasalA2vasculature
AfterA2placingA2anA2ETA2tube,A2youA2suspectA2thatA2theA2filterA2lineA2fromA2theA2capnograp
hyA2adaptorA2isA2occludedA2byA2bloodA2orA2otherA2secretions.A2WhatA2shouldA2youA2doA2in
A2thisA2situation?A2-A2Ans--ReplaceA2theA2in-lineA2ETCO2A2detector.
TheA2averageA2peakA2expiratoryA2flowA2rateA2inA2aA2healthyA2adultA2isA2approximately:A2-
A2Ans--550A2mL.
AA2constructionA2workerA2fellA2approximatelyA215A2feetA2andA2landedA2onA2hisA2head.A2He
A2isA2semiconscious.A2HisA2respiratoryA2rateA2isA214A2breaths/
minA2withA2adequateA2depth.A2FurtherA2assessmentA2revealsA2bloodA2drainingA2fromA2hisA
2nose.A2YouA2should:A2-A2Ans--
administerA2oxygenA2viaA2nonrebreathingA2maskA2andA2continueA2yourA2assessment.
Normally,A2anA2adultA2maleA2willA2requireA2anA2ETA2tubeA2thatA2rangesA2from:A2-A2Ans--
7.5A2toA28.5A2mm.
WhichA2ofA2theA2followingA2factorsA2increaseA2aA2person'sA2respiratoryA2rate?A2-A2Ans--
TheA2useA2ofA2amphetamines
TheA2KingA2airwayA2isA2contraindicatedA2inA2patients:A2-A2Ans--
withA2knownA2esophagealA2disease.
WhatA2point(s)A2onA2theA2capnographicA2waveformA2represent(s)A2aA2mixtureA2ofA2alveola
rA2gasA2andA2deadA2spaceA2gas?A2-A2Ans--B
AA2Cormack-LehaneA2ClassA23A2airwayA2isA2characterizedA2by:A2-A2Ans--
visualizationA2ofA2theA2epiglottisA2only.
ApproximatelyA210A2secondsA2intoA2anA2intubationA2attempt,A2youA2catchA2aA2glimpseA2ofA
2theA2patient'sA2vocalA2cords,A2butA2quicklyA2loseA2sightA2ofA2them.A2YouA2should:A2-
A2Ans--
askA2yourA2partnerA2toA2applyA2backward,A2upward,A2rightwardA2pressureA2toA2theA2thyroi
d.