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Which patient would be classified as "immediate" during and MCI?
8 year old female with no respirations after 5 positive pressure ventilations.
A 13 year old female watching a horror movie states she can't catch her breath
and her fingers are numb. Respirations are 30 and deep with Sp02 of %100. She is
speaking in clear sentences, has clear and equal breath sounds. You should?
Calmly reassure her, encouraging her to calmly slow her rate of breathing.
You have inserted an OPA for a 21 year old apneic male. How many times per
minute should you ventilate him with a BVM?
10 to 12
Proper technique to suction patient's airway includes?
Oxygenating and ventilating before and after suctioning.
When ventilating patient with BVM, what is the appropriate oxygen flow rate?
15 liters/min
An obese man complains of sever difficulty breathing. His skin is cool and moist
and breathing 22 times per minute. He indicates he never goes to the doctor and
often feels dizzy after walking. You should?
Apply a nonrebreather mask at 10 liters/min
A 42 year old asthmatic patient complains of chest pain, shortness of breath and
a violent cough that produces brownish sputum. What is the most likely cause?
Pneumonia
An 89 year old patient complains of difficulty breathing and a productive cough
that has gotten worse over the past 12 hours. You should suspect?
Pneumonia
As the diaphragm and intercostal muscles relax, the chest cavity?
Decreases in size, causing exhalation
During initial assessment of an adult's respiratory status, you should?
Evaluate both the respiratory rate and the rise and fall of the chest
In which group of patients are you likely to encounter "see-saw" breathing?
Pediatrics
Which sequence correctly traces the path oxygen takes from the atmosphere to
the lungs?
Mouth, Pharynx, trachea, bronchi, alveoli.
A 16 year old asthmatic female in a tripod position complains of increased
shortness of breath. SpO2 is 79%. You should administer oxygen at?
10 lpm via nonrebreather mask
A 34 year old man is saying he is choking, You note stridor and hoarseness in his
voice. What should you do?
Encourage him to cough
An unresponsive trauma patient is gurgling. When you suction the oropharynx
with a rigid catheter, the patient gags. You should?
Assess insertion depth of the catheter
, Thin 54 year old male with a nonproductive cough complains of difficulty
breathing. Sitting upright with hands on his knees and you see retractions. Notice
oxygen tubing around the house. You should suspect medical history of?
Chronic Bronchitis
Semiconscious patient's dentures completely loosened. You should?
Remove dentures
Carbon dioxide and oxygen exchange at the alveolar level by which process?
Diffusion
20 year old female unable to cath breath after minor car crash, numbness and
tingling to hands and face. Vitals are P 118, R 24. What should you do?
High flow oxygen with a nonrebreather mask
Which term best describes respiratory difficulty?
Dyspnea
What is the amount of air that normally reaches the alveoli in an adult?
350 mL
The average adult ventilation is 500 mL, but there is an area of dead space that traps
150 mL of air. 350 mL effectively reaches the alveoli for oxygen and carbon dioxide
exchange.
A 77 year old female has dyspnea, speaks in short word burst, and breathes with
pursed lips. Lung sounds are diminished, distant, and clear. Vital signs are BP
152/90, P 86 and irregular, R 23. What should you suspect?
Empysema
Emphysema is a chronic destructive process of the alveoli. The alveoli regenerate but
they are misshaped and consist of scar tissue. The scar tissue inhibits gas exchange.
She has pursed lips because she is attempting to keep the alveoli open. Without the
extra effort her alveoli will collapse due to increased surface tension.
An 18 year old male is cyanotic and complains of sharp chest pain and difficulty
breathing after lifting weights. Vital signs are BP 110/66, P 88, R 22. What is the
most likely cause?
Spontaneous pneumothorax
Performing strenuous activites can, on occasion, cause a collapsed (spontaneous
pnemothorax) He has stable vital signs so you should suspect a S.P. If he had been
hypotensive (88/40), you should suspect that the S.P had developed into a tension
pneumothorax.
An unresponsive 43 year old male is cool, pale, diaphoretic, and breathing 6
times a minute. Which device should you use to administer oxygen?
Bag-valve mask
He is unresponsive and breathing too slow. This is a "Sick" patient and assisting his
ventilations should be the first intervention. You can increase his respiratory rate with a
bag valve mask, which is why it is the most correct choice.