Chapter 19 Quiz Flashcards
(43 cards)
You are first on the scene of a 61-year-old female in need of assistance with her respirations. You have a pocket mask with supplemental oxygen. How can you determine that your artificial ventilation is effective?
Patient’s pulse returns to normal.
You are on the scene of a 3-year-old patient who is in respiratory distress. The mother states that the patient has been making a harsh, high-pitched, barking cough for the past 24 hours. The child is very scared and upset. He is crying inconsolably. The patient has tachypnea, but his vital signs are normal otherwise. He is leaning forward in the tripod position and is drooling profusely. What condition do you suspect?
Epiglottitis
You are on the scene of a 5-year-old patient who is in respiratory distress. The mother states that the patient has been making a “seal bark”-sounding cough for the past 24 hours. The child is very scared. The patient has stable vital signs. He is leaning forward in the tripod position and is drooling profusely. After performing your primary assessment, what is your best treatment option?
Calm the child as much as possible and provide high-concentration oxygen.
Which of the following is the primary cause of COPD?
Cigarette smoking
When you hear wheezes while auscultating your patient’s breath sounds, which of the following is most likely the cause?
The lower air passages in the lungs are narrowed.
Contraindications for the use of continuous positive airway pressure (CPAP) can include which of the following?
Nausea and vomiting
What is the primary effect on the body when an EMT assists a patient with a prescribed inhaler if the patient is short of breath?
Dilation of the air passages
In which of the following circumstances is medical direction necessary when assisting a patient with the use of a prescribed inhaler?
Medical control is necessary in all situations in which an EMT assists with a prescribed inhaler.
Which of the following is a benefit of using small-volume nebulizers for the treatment of respiratory problems?
They allow greater exposure of the patient’s lungs to the medication.
Which of the following respiratory rates should be cause for alarm in a 2-month-old child?
16 breaths/min
Which of the following is a possible side effect of a prescribed inhaler for respiratory problems?
Tremors
Which of the following sounds is high pitched and almost musical, and may be heard in lower respiratory obstruction?
Wheezing
Your patient is a 60-year-old female with a sudden onset of severe difficulty breathing. She has no prior history of respiratory problems. Which of the following should be done before applying oxygen by nonrebreather mask?
A.
Listen to the patient’s breath sounds.
B.
Obtain a history of the present illness.
C.
Check the patient’s oxygen saturation level.
D.
None of these
None of these
You are ventilating a 6-year-old child and note that his heart rate has decreased from 70 to 54. Which of the following is not appropriate?
A.
Insert an oropharyngeal airway and continue ventilating.
B.
Check the flow of oxygen reaching the bag-valve mask device.
C.
Increase the force of ventilations.
D.
Notify medical control that the patient’s condition has improved.
D.
Notify medical control that the patient’s condition has improved.
Which of the following statements concerning expiration is true?
A.
The chest cavity increases in size.
B.
The intercostal muscles contract to force air out of the lungs.
C.
The ribs move upward and outward.
D.
The diaphragm moves upward
D.
The diaphragm moves upward
Your patient is a 6-year-old male who appears very anxious, is using increased effort during expiration, and has a fever. He is wheezing and has a respiratory rate of 34. The patient’s skin is very warm and dry. He does not have any cyanosis. The child is drooling and his mother states that he complained of a sore throat and pain on swallowing earlier in the afternoon. Which of the following conditions is most likely causing the patient’s distress?
Epiglottitis
What is not one of the symptoms of a pulmonary embolus?
Sudden calmness
Which of the following is a sign of adequate artificial ventilations in a pediatric patient?
Pulse rate increases.
Today, patients with cystic fibrosis are surviving to:
adulthood
Your patient is a 24-year-old woman with asthma who is struggling to breathe and is very agitated. She has cyanosis of her lips and nail beds, and is cool and clammy to the touch. When you attempt to assist her ventilations with a bag-valve mask device, she becomes combative and repeatedly pushes the mask away from her face. Which of the following is the best option?
Begin transport immediately and contact medical control for advice.
While assessing the airway of a pediatric patient, you will notice that it is different than that of an adult. Which of the following is one of those differences?
The trachea is smaller, softer, and more flexible, allowing it to be more easily obstructed.
Which of the following inhalers would not be used to reverse an asthma attack?
Beclomethasone
Your patient is a 30-year-old female who may have overdosed on antidepressant medications. On your arrival, she is lying supine on her bed with her head on a pillow. She is unresponsive to painful stimuli and is snoring. She appears to be pale and her skin is cool and clammy. What should you do first?
Remove the patient’s pillow.
Which of the following patients does not necessarily have inadequate breathing?
A.
Patient with cyanosis
B.
Patient with an irregular respiratory rhythm
C.
Patient with agonal respirations
D.
Patient’s whose breath sounds cannot be heard
B.
Patient with an irregular respiratory rhythm
