Chapter 9 Quiz Flashcards
(23 cards)
Which of the following is a sign of an inadequate airway?
Select one:
A.
Equal expansion of both sides of the chest on inhalation
B.
Nasal flaring
C.
Regular chest movements
D.
Movement of air around the mouth and nose
B.
Nasal flaring
What is the sound of the soft tissue of the upper airway creating impedance or partial obstruction to the flow of air?
Select one:
A.
Hoarseness
B.
Gurgling
C.
Stridor
D.
Snoring
D.
Snoring
When suctioning the airway, you should try to limit suctioning to no longer than ________ seconds at a time.
Select one:
A.
60
B.
10
C.
45
D.
30
B.
10
Which of the following is the correct method of suctioning?
Select one:
A.
Suction intermittently, both while inserting and withdrawing the suction tip or catheter.
B.
Suction continuously, both while inserting and withdrawing the suction tip or catheter.
C.
Insert the catheter or tip to the desired depth prior to applying suction.
D.
Begin suctioning as you insert the suction tip or catheter into the mouth.
C.
Insert the catheter or tip to the desired depth prior to applying suction.
The jaw-thrust maneuver is the only ________ airway procedure for an unconscious patient with possible head, neck, or spine injury or an unknown mechanism of injury.
Select one:
A.
discouraged
B.
required
C.
prohibited
D.
recommended
D.
recommended
On which of the following types of calls should you bring your portable suction unit to the patient’s side upon arrival on the scene?
Select one:
A.
Motor vehicle collision
B.
Cardiac arrest
C.
Seizure
D.
All of these
D.
All of these
Your patient is breathing 4 shallow breaths per minute due to overdosing on his pain medication but he has a palpable radial pulse. He vomited prior to your arrival and is choking. You should:
Select one:
A.
move the patient to the ambulance and suction.
B.
perform chest thrusts to clear the lungs.
C.
insert an oropharyngeal airway and ventilate.
D.
roll him onto his side to clear the airway.
D.
roll him onto his side to clear the airway
Which of the following patients should not have their airway opened using a head-tilt, chin-lift maneuver?
Select one:
A.
A 25-year-old man who is still unresponsive after a grand mal seizure.
B.
A 35-year-old diabetic woman in the driver’s seat of the car in her driveway who becomes unresponsive while speaking to her husband.
C.
A homeless person of undetermined age found lying unresponsive in an alley with no bystanders.
D.
A 50-year-old woman who choked on a piece of food while dining in a restaurant and was lowered to the floor by a waiter.
C.
A homeless person of undetermined age found lying unresponsive in an alley with no bystanders.
You are ventilating a cardiac arrest patient when he begins to vomit copious amounts of large pieces of undigested food. Which of the following would be most effective in clearing the airway?
Select one:
A.
Using a 14 French suction catheter
B.
Using a rigid pharyngeal suction tip
C.
Irrigating the mouth with sterile water to dilute the material before suctioning
D.
Using large bore suction tubing without a tip or catheter attached
D.
Using large bore suction tubing without a tip or catheter attached
The trachea branches at the ________ and forms two mainstem bronchi.
Select one:
A.
glottic opening
B.
alveoli
C.
bronchioles
D.
carina
D.
carina
You are ventilating an 85-year-old male without difficulty. A nurse tells you that the patient has dentures. To ensure a good mask seal, you should:
Select one:
A.
leave the dentures in place.
B.
tape the dentures in place.
C.
use an infant mask over the nose.
D.
remove the dentures.
A.
leave the dentures in place.
When inserting an oropharyngeal airway, how many degrees do you need to rotate the airway so the tip is pointing down into the patient’s pharynx?
Select one:
A.
270
B.
90
C.
45
D.
180
D.
180
Which of the following is an advantage of using a nasopharyngeal airway (NPA)?
Select one:
A.
It eliminates the need for manual positioning of the patient’s head to keep the airway open.
B.
It is ideal for patients with a suspected skull fracture.
C.
It may be tolerated by many patients with a gag reflex.
D.
All of these
C.
It may be tolerated by many patients with a gag reflex.
You have performed a head tilt-chin lift maneuver on a 17-month-old boy and are attempting to ventilate him with a bag-valve mask. You are experiencing a lot of resistance with each breath and the chest is barely rising. Prior to attempting ventilations again, you should:
Select one:
A.
perform chest thrusts.
B.
tilt the head back further.
C.
finger sweep the airway.
D.
ease the head forward a little.
D.
ease the head forward a little.
Which of the following structures is found in the lower airway?
Select one:
A.
Pharynx
B.
Uvula
C.
Bronchi
D.
Tonsils
C.
Bronchi
Which of the following should be kept in mind when assessing and managing the airway of a pediatric patient?
Select one:
A.
The trachea is easily obstructed by swelling.
B.
Gastric distention is unlikely.
C.
The tongue is not as likely to obstruct the airway as in an adult.
D.
Due to their short necks, pediatric patients require a greater degree of hyperextension to open the airway than do adults.
A.
The trachea is easily obstructed by swelling.
The high-pitched sound caused by an upper airway obstruction is known as:
Select one:
A.
stridor.
B.
hoarseness.
C.
snoring.
D.
gurgling.
A.
stridor.
All of the following can result in airway obstructions except:
Select one:
A.
infections.
B.
the tongue.
C.
facial trauma.
D.
burns.
B.
the tongue.
Perhaps the simplest way to determine if a patient has a patent airway is to:
Select one:
A.
check for appropriate chest rise.
B.
auscultate for breath sounds.
C.
say “hello.”
D.
determine the respiratory rate.
C.
say “hello.”
Which of the following is a disadvantage of oropharyngeal airways (OPAs)?
Select one:
A.
They cannot be used in a patient with a gag reflex.
B.
They require the use of a water-soluble lubricant.
C.
They do not come in pediatric sizes.
D.
They cannot be used in patients with a suspected skull fracture.
A.
They cannot be used in a patient with a gag reflex.
What is the danger that an altered mental status can pose to a patient’s breathing?
Select one:
A.
Loss of muscle tone and airway collapse
B.
Depressed alveolar function
C.
Bronchospasms
D.
Hyperoxia
A.
Loss of muscle tone and airway collapse
Which of the following is true concerning the procedure for inserting a nasopharyngeal airway (NPA)?
Select one:
A.
The length of the device is not as important as it is with oropharyngeal airways.
B.
The bevel should be turned toward the nasal septum or the base of the nostril.
C.
If a water-soluble lubricant is not available, a silicon spray can be substituted.
D.
It can only be placed in the right nostril.
B.
The bevel should be turned toward the nasal septum or the base of the nostril.
To be effective, a suction unit must be able to generate air flow of at least ________ liters per minute and create a vacuum of no less than ________ mmHg.
Select one:
A.
300; 330
B.
30; 30
C.
300; 30
D.
30; 300
D.
30; 300
