Kettering ACCS -RT Part B Airway care EXAM WITH ANSWERS

Kettering ACCS/RT Part B Airway care |\ |\ |\ |\ |\ |\




EXAM WITH ANSWERS |\ |\




what are the 3 signs of a mild airway obstruction? - CORRECT
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ANSWERS ✔✔1. Good air exchange |\ |\ |\ |\




2. Responsive and can cough forcefully
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3. May wheeze between coughs
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List 4 of the treatments for a mild airway obstruction. - CORRECT
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ANSWERS ✔✔1. As long as good air exchange continues,
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encourage the victim to continue spontaneous coughing and
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breathing efforts. |\




2. Do not interfere with the victim's attempts to expel the foreign
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body.
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3. stay with the victim and monitor his condition
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4. Call 911 if mild airway obstruction continues
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List 7 signs of a severe airway obstruction - CORRECT ANSWERS
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✔✔1. poor or no air exchange
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2. Weak, ineffective cough or no cough at all
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3. High-pitched noise while inhaling or no noise at all
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4. Increased respiratory difficulty
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5. possible cyanosis
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***6. Unable to speak
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7. Clutching neck with thumb & fingers (universal choking sign)
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,What is the first thing to do if patient is responsive and has a
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severe airway obstruction? - CORRECT ANSWERS ✔✔Perform
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Abdominal thrusts (Heimlich maneuver) |\ |\ |\




What is the technique for a standing or sitting patients with
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severe airway obstruction. - CORRECT ANSWERS ✔✔1. Wrap arms
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around waist with thumb side of one fist against abdomen
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slightly above navel, well below the xiphoid process.
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2. Grab fist with the other hand and administer quick upward
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thrust.
3. Administer each thrust with the intent of relieving the
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obstruction.
4. Repeat as necessary until the obstruction is relieved or the
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victim becomes unresponsive
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What is the technique for a patient is lying on the floor with
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severe airway obstruction. - CORRECT ANSWERS ✔✔1. Place in
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supine position |\




2. Straddle patient with rescuer's hips at patient's knee level,
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place heel of one hand slightly above navel well below xiphoid
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process, overlapping hands |\ |\




3. Administer quick upward thrusts.
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What is the technique for a patient who is obese or in advanced
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stage of pregnancy with severe airway obstruction. - CORRECT
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ANSWERS ✔✔1. Stand or kneel behind patient|\ |\ |\ |\ |\ |\




2. Wrap arms around patient
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,3. Place thumb side of one fist mid -sternum, grab fist with other
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hand
4. Administer quick inward thrusts until obstruction is relieved or
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the victim becomes unresponsive
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What is the technique for a patient that comes unresponsive with
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severe airway obstruction. - CORRECT ANSWERS ✔✔1. Send
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someone to activate emergency response system |\ |\ |\ |\ |\




2. Lower the victim to floor, begin CPR (no pulse check)
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3. Before attempting to ventilate, look for a foreign object in the
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mouth and remove it |\ |\ |\




4. Continue CPR for 5 cycles or about 2 minutes
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|\ a. If alone, activate EMS system
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|\ b. Return and continue CPR
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Serial coughs - CORRECT ANSWERS ✔✔small breath and cough,
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larger breath and cough, |\ |\ |\




then deep breath and hard cough
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Huff Coughing - CORRECT ANSWERS ✔✔Coughing with an open
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glottis. More effective in Patients with COPD and patients with
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head trauma to prevent elevations in intracranial pressure
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Splinting - CORRECT ANSWERS ✔✔Press pillow over incised area
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to enhance better cough
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, List the 3 purposes of postural drainage - CORRECT ANSWERS
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✔✔1. Improve mobilization of secretions
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2. Prevent accumulation of secretions
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3. Improve ventilation
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What are 3 indications for performing postural drainage? -
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CORRECT ANSWERS ✔✔1. Accumulated or retained secretions.
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2. Ineffective cough
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3. Ciliary dysfunction/ciliary dyskinesia
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List 8 pulmonary disorders that disrupt the normal hygiene
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mechanism and could benefit from postural drainage. - CORRECT
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ANSWERS ✔✔1. Bronchiectasis
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2. Cystic fibrosis
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3. COPD
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4. Acute atelectasis
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5. Lung abscess
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6. Pneumonia
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7. Post operative
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8. Prolonged bedrest
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List 4 contraindications/hazards of bronchial hygiene therapy -
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CORRECT ANSWERS ✔✔1. Unstable cardiovascular system
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2. Unstable pulmonary system
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3. Unstable Post-operative
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4. untreated tuberculosis
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