COMPREHENSIVE QUESTIONS AND FULL
SOLUTIONS GRADED A+
⩥ Chronic carbon dioxide retention, as seen in patients with certain lung
diseases, may cause the patient to:
Answer: breathe on the basis of decreased oxygen.
⩥ A 59-year-old female with a history of poorly controlled hypertension
becomes acutely dyspneic, develops profound cyanosis to the upper
chest, and becomes unresponsive. She is pulseless and apneic upon your
arrival. As you and your partner are performing the appropriate
treatment interventions, you discuss the possible cause of her condition,
which is most likely a(n):
Answer: massive pulmonary embolism.
⩥ A 61-year-old female called EMS after suddenly being awakened in
the middle of the night with a feeling that she was "smothering." You
arrive to find the patient, very apprehensive and restless, sitting on the
living room couch in obvious respiratory distress. Her BP is 160/90 mm
Hg, pulse is 110 beats/min and irregular, and respirations are 24
breaths/min and labored. Auscultation of her lungs reveals diffuse
rhonchi in all fields. Treatment for this patient should include:
Answer: continuous positive airway pressure and an IV line set to keep
the vein open.
,⩥ In a patient experiencing ___________________ a common sign is
drooling; where in croup your patient will more than likely not
experience this.
Answer: Epiglottitis
⩥ You are transporting a 60-year-old male to the hospital for suspected
COPD exacerbation. He is receiving 100% oxygen via a nonrebreathing
mask. As you reassess him, you note that his respirations have decreased
and have become shallow. You should:
Answer: begin assisting his ventilations.
⩥ The Hering-Breuer reflex is defined as:
Answer: feedback loop that inhibits the inspiratory center, which
prevents overexpansion of the lungs.
⩥ Common side effects of inhaled medications used for acute shortness
of breath include all of the following, except:
Answer: Hypotension
⩥ Which of the following is the most accurate clinical definition of
chronic bronchitis?
Answer: Productive cough for 3 months per year for 2 or more
consecutive years
, ⩥ The exchange of oxygen and carbon dioxide, at the cellular level or in
the lungs, is called:
Answer: respiration
⩥ You are dispatched for an elderly male with dyspnea. When you
arrive, you find the patient sitting in a chair. He is semiconscious and
unable to effectively communicate with you. As you perform a primary
survey, your partner applies 100% oxygen and a pulse oximeter, which
reads 85%. The most reliable indicator of cerebral hypoxia in this patient
is his:
Answer: mental status alteration.
⩥ Approximately 20 minutes after receiving a penicillin injection at the
doctor's office, a 41-year-old female presents with acute respiratory
distress, facial swelling, and intense itching to her entire body. Her level
of consciousness is decreased and her breathing is labored with minimal
chest rise. The most appropriate treatment for this patient should
include:
Answer: assisted ventilations, IV of normal saline, and epinephrine.
⩥ A 70-year-old male presents with an acute onset of difficulty breathing
that woke him from his sleep. He has a history of hypertension, atrial
fibrillation, and several heart attacks. During your assessment, you note
dried blood around his mouth. The patient tells you that he cannot lie