Airway Management: Fisdap Questions and Verified Answers, Exams of Nursing

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Fisdap airway Questions with Verified Answers

What is the term for a high-pitched whistling sound heard during expiration

• Solution Wheezing A 42-year-old male complains of shortness of breath after being sprayed with superheated steam he has burns to the face neck and upper chest his vital signs are 112/66 pulse is 124 and respirations are 28 shallow and labored. What should you do - Solution Assist His ventilations An 18-year-old male is cyanotic and complains of sharp chest pain and difficulty breathing after Lifting weights. Vital signs are blood pressure 110/66 pulse is 88 respirations are 22. What is the most likely cause - Solution Spontaneous pneumothorax A 53-year-old male is sleepy, diaphoretic, difficult to arouse, and breathing eight times a minute. What should you suspect? - Solution Respiratory failure The use of accessory muscles and nasal flaring are signs of what type of breathing? - Solution labored A febrile 44-year-old male complains of shortness of breath and has dull chest pain. He has been coughing up "rusty" sputum for the last three days. What is the most likely cause? - Solution Pneumonia Pneumonia is an infection of the lung tissue and the "rusty" sputum (spit) is a sign of lower airway infection. He is febrile (fever) from an immune response to the infection, and the "dull" chest pain is a common symptom at the location of the infection. What is the amount of air that normally reaches the alveoli in an adult? - Solution 350 mL An alert 32-year-old female complains of difficulty breathing. She speaks in 2-3 word sentences and has oxygen saturation of 92%. What should you do? - Solution Apply high flow oxygen.

-She is alert and her respirations are still effective without the need for assisting ventilations. She only complains of shortness of breath, so applying high flow oxygen should be the first treatment. What is the term for abnormal breath sounds that result from an obstructed airway? - Solution stridor What is the normal range of breath per minute for an adult? - Solution 12- 20 A 75 year old female complains of a sudden onset of right sided chest pain and Dyspnea. She is recovering from my recent hip surgery. What should you suspect? - Solution Pulmonary embolism A 77 year old female has dyspnea, speaks in short word bursts, and breathes with pursed lips. Lung sounds are diminished, distant, and clear. Vital signs are blood pressure 152/90, pulse is 86 and irregular, respirations are 23. What should you suspect? - Solution Emphysema A 67 year old male complains mild respiratory distress. He smokes four packs of cigarettes a day and reports a constant cough and frequent respiratory infections. Chest sounds reveal bilateral bronchi. What should you suspect? - Solution Chronic bronchitis How should you insert a nasopharyngeal airway? - Solution Face the bevel towards the septum What are the small air sacs at the end of the airway that are responsible for gas exchange - Solution alveoli What are the structures that branch of the trachea into the lower airway - Solution Bronchi An 82 year old female complains of difficulty breathing. Before you assist her with her personal inhaler, who will you need permission from? - Solution Online medical control A 64 year old male is not breathing. What should you do after initiating ventilations with the bag valve mask? - Solution Look for the rise and fall of his chest

A 56-year-old female has a complete airway obstruction from a piece of food. She becomes unconscious while you assess her. What should you do? - Solution Begin chest compressions. Upper airway structures - Solution nose, pharynx, larynx, trachea lower airway structures - Solution trachea, bronchi, bronchioles, alveoli An unresponsive 43-year-old male is cool peel diaphoretic and breathing six times a minute. Which device should you use to administer oxygen? - Solution Bag valve mask Wheezing suggests what? - Solution There is a lower airway obstruction Stridor occurs in which upper respiratory disorder? - Solution croup, airway obstruction, epiglottitis, anaphylaxis pulmonary embolism cause - Solution blood clot blocking an artery in the lung pulmonary embolism signs - Solution Sudden chest pain, dyspnea, tachycardia, cyanosis, diaphoresis, and hypotension Dyspnea - Solution difficult or labored breathing; shortness of breath Pursed-Lips Breathing is a sign of - Solution Emphysema Emphysema signs and symptoms - Solution Barrel chest "Pink puffers" Pursed lip breathing Dyspnea on exertion Cyanosis Wheezing What is the name of the hollow, semi flexible tube that carries inhaled air from the larynx to the lungs? - Solution trachea What is the name of the Passageway shared by the digestive and respiratory systems for air and food? - Solution pharynx

What is directly posterior to the nose? - Solution nasopharynx What part of the respiratory system contains the vocal cords? - Solution larynx What is the name of the muscular structure that divides the chest cavity from the abdominal cavity? - Solution diaphragm What is the name of the cartilaginous ridge in the trachea at which of the right and left lung split? - Solution Carina What is the most common location for an airway obstruction? - Solution pharynx What ring shaped structure forms the lower portion of the larynx? - Solution cricoid cartilage Rhonchi caused by - Solution COPD, pneumonia, chronic bronchitis, cystic fibrosis Wheezing indicates - Solution Lower airway obstruction, asthma, lung cancer, CHF head tilt-chin lift maneuver - Solution a technique used to open the airway of a patient with no suspected neck or spine injury The jaw-thrust maneuver is used to open the airway of patients with suspected: - Solution cervical spine injuries apnea - Solution absence of breathing O2 sat norm? - Solution 95-100% Oropharyngeal airways can be used on - Solution Unresponsive patients without a gag reflex and apneic patients being ventilated with a bag mask device nasopharyngeal airway can be used on - Solution Unresponsive or semiconscious and have gag reflex

Contraindications of NPA - Solution severe head injury with blood draining from the nose, history of fractured nasal bone Use the recovery position for a victim who is ________________ and _______________. - Solution breathing and unresponsive. Used to maintain open airway When you anticipate a long transport time.. - Solution Consider using humidification Supplemental oxygen via nonrebreathing mask should be administered to patients: - Solution with difficulty breathing and adequate tidal volume tidal volume - Solution Amount of air that moves in and out of the lungs during a normal breath Nasal cannula flow rate - Solution 1-6 L/min Contraindications for high flow oxygen - Solution Copd Cool, clammy skin is and and indicator - Solution Trauma, shock, and/or heat exhaustion Hypoxic patients should receive - Solution supplemental oxygen acessory muscles - Solution The secondary muscles of respiration. They include the neck muscles (sternocleidomastoids), the chest pectoralis major muscles, and the abdominal muscles. Ventilation rate for adults - Solution 1 breath every 5-6 seconds Ventilation rate for infants and children - Solution 1 breath every 2- seconds respiratory failure - Solution Low MV, shallow/slow breathing (give ventilations) respiratory distress - Solution Normal MV, increased Respiration (give supplemental O2)

CPAP used to treat - Solution Pulmonary emboli Bronchiolitis Sleep apnea Contraindications for CPAP - Solution -severely altered mental status -inability to sit up -lack of normal, spontaneous RR -shock or hypoperfusion -conditions preventing a good mask seal -upper GI bleeding or recent gastric surgery -nausea or vomiting -penetrating chest trauma pneumothorax lung sounds - Solution Decreased on one side If patient has a tracheostomy tube how do you ventilate? - Solution Ventilate through the tube with a bag valve mask device The EMT should assess a patient's tidal volume by - Solution Observing an adequate chest rise In a healthy individual, the primary stimulus to breathe is an - Solution Increased level of carbon dioxide in the blood A patient has found unconscious after falling from a third floor window. His respirations are slow and irregular. You should - Solution Assist his breathing with a BVM A BVM is indicated if the patient's respirations are less than - Solution 8 breaths per min You and your partner events leading apneic adult when you noticed that his stomach is becoming distended. You should - Solution Reposition his head low oxygen in the blood causes - Solution Slower breathing high oxygen levels in blood cause - Solution Rapid and deep breaths

Upper and lower airway infections that cause Dyspnea - Solution Epiglottitis, croup, pneumonia Croup epidemiology - Solution < 6 y Fall, early winter Croup symptoms - Solution Stridor, seal-bark cough Croup treatment - Solution humidified oxygen Epiglottitis treatment - Solution High flow oxygen via NRB Epiglottitis signs and symptoms - Solution - Sore throat, drooling, difficult swallowing

• tripod position
• Sick appearance
• Muffled voice
• Fever
• Stridor Epiglottitis lung sounds - Solution stridor Epiglottitis epidemiology - Solution Tends to affect kids 6-12 and adults most often *used to be only kids but now we have vaccine that has caused shift to the non-typable H. influenza Bronchiolitis symptoms - Solution -Cough -Tachypnea -Respiratory distress -Crackles/wheezes -Fever (1-2 days) -Rhinorrhea Bronchiolitis lung sounds - Solution wheezing and crackles Bronchiolitis usually affects what age group - Solution Newborns and toddlers

Bronchiolitis - Solution Infection of the bronchioles (smaller air-tubes in the lungs) acute pulmonary edema - Solution occurs when an excessive amount of fluid collects in the spaces between the alveoli and capillaries, disturbs normal gas exchange Severe Acute pulmonary edema signs and symptoms - Solution Frothy pink sputum formed at the nose and mouth Frothy pink sputum is a sign of? - Solution Pulmonary Edema as a result of Left sided heart failure. Acute pulmonary edema is usually a result of - Solution Congestive heart failure Treatment for acute pulmonary edema - Solution Provide 100% oxygen. Suction if necessary. Position comfortably. Transport promptly. Acute pulmonary edema happens when - Solution The left side of the heart cannot remove blood from the lungs as fast as of right side delivers it chronic obstructive pulmonary disease (COPD) - Solution Umbrella term used to describe a few long diseases including emphysema and chronic bronchitis COPD is caused by - Solution Chronic bronchial obstruction of lung airflow that interferes with normal breathing Patients with pulmonary edema will have what type of lung sounds - Solution Wet lung sounds such as rhonchi and crackles Patients with COPD will have what type of lung sounds - Solution Dry lung sounds such as wheezes Asthma is characterized by - Solution bronchospasm and a mucus plug that has formed and partially obstructed the bronchiole

Asthma produces what lung sound - Solution Wheezing spontaneous pneumothorax signs and symptoms - Solution Short duration of sudden pain, SOB, Knife like pain cystic fibrosis (CF) - Solution inherited disorder of exocrine glands resulting in thick mucinous secretions in the respiratory tract that do not drain normally Cystic Fibrosis Treatment - Solution suction and oxygenate as needed Beta 2 receptors used to treat - Solution Asthma and copd Pleural effusion causes - Solution CHF, pneumonia, cancer What position eases pain from pleural effusion - Solution Upright position pleural effusion - Solution fluid in the pleural space pleural effusion lung sounds - Solution absent lung sounds in affected area or mild crackles where fluid is pressent pulmonary embolism - Solution A blood clot that circulates through the Venous system in the right side of the heart and lodges in the pulmonary artery pulmonary embolism causes - Solution -prolonged immobility -obesity -sx -old age -smoking -HF -hx of DVT barrell chest could be a sign of? - Solution emphysema pulomonary embolism treatment - Solution Supplemental oxygen is mandatory

The process in which oxygen and carbon dioxide exchange in the lungs is called - Solution Respiration Which of the following respiratory diseases cause obstruction of the lower airway? Croup Asthma Epiglottitis Laryngitis - Solution Asthma All of the following are causes of a cute Dyspnea EXCEPT Asthma Emphysema Pneumothorax Pulmonary embolism - Solution Emphysema because it presents with progressively worsening Dyspnea A sudden onset of difficulty breathing, sharp chest pain, and sinuses that persist despite supplemental oxygen is mostly consistent with - Solution pulmonary embolism Albuterol, a beta-2 agonist, is the generic name for - Solution Ventolin A 70-year-old man recently had a heart attack and now complains of severe difficulty breathing, especially when laying flat. He is coughing up pink, frothy secretions. This patient is most likely experiencing - Solution Severe left heart failure. Pulmonary edema Cyanosis is a sign of - Solution hypoxia After —- Minutes without oxygen brain damage is very likely - Solution 6- 10 The technique for suctioning the oropharynx of an adult patient includes - Solution Suctioning While withdrawing the catheter from the oropharynx Where the upper airway ends and the lower airway begins - Solution larynx

56-year-old female has a complete airway obstruction for a piece of food. She becomes unconscious why you assess her. What should you do? - Solution Begin chest compressions An 18-year-old male is cyanotic and complains of sharp chest pain And difficulty breathing after lifting weights. Vital signs are 110/60 post is 88 respirations are 22 what is most likely the cause - Solution Spontaneous pneumothorax A 77-year-old female has Dyspnea, speaks in short word burst, Breathes with pursed lips. Lung sounds are diminished, distant and clear. Vital signs are BP 152/90 pulse is 86 and irregular respirations are 23. What should you suspect? - Solution Emphysema Pneumonia symptoms - Solution dyspnea, chills, fever, cough, dark sputum febrile - Solution fever signs of respiratory failure - Solution lethargy, difficult to arouse agonal respirations inadequate chest rise/poor excursion inadequate respiratory rate or effort bradycardia diminished muscle tone 53 old Male is sleepy, diaphoretic, difficult to arouse, and breathing eight times a minute. What should you suspect? - Solution Respiratory failure What is the amount of air that normally reaches alveoli in an adult? - Solution 350 mL Hey 67-year-old male complains of mild respiratory distress. He smokes four packs of cigarettes a day and reports a consistent cough and frequent respiratory infections. Just sounds reveal bilateral rhonchi. What should you suspect? - Solution Chronic bronchitis A 75-year-old female complains of a sudden onset of right side of chest pain and Dyspnea. She is recovering from a recent hip surgery, what should you suspect? - Solution Pulmonary embolism

Left heart failure causes - Solution pulmonary edema Right heart failure causes - Solution Jugular vein distention First thing to do for a patient with heat stroke - Solution Remove from hot environment Children with epiglottitis should be given - Solution Blow by oxygen Patient has significant body surface area burn - Solution Wrap with dry dressings How to assist hyperventilation - Solution Verbally instruct patient to slow breathing and if that doesn't work give supplemental O Feeling like you're drowning while laying down is a symptom of - Solution Pulmonary edema Do you have a certain and OPA for a 21-year-old apneic man. How many times per minute should you ventilate him with a BVM - Solution 10- Proper technique to suction patient's airway includes? - Solution Oxygenating and ventilating before and after suctioning Which patient would be classified as immediate during the MCI - Solution 8 year old female with no respirations after 5 positive pressure ventilations. When ventilating patient with a BVM what is the appropriate oxygen flow rate? - Solution 15 liters/min Severe 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? - Solution Apply a nonrebreather mask at 10 L per minute 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? - Solution pneumonia

And 89 year old patient complains of difficulty breathing in a productive cough that has gotten worse over the past 12 hours. You should suspect? - Solution Pneumonia As the diaphragm relaxes, the intercostal muscles in the chest cavity —- - Solution Chest Cavity decreases in size. Diaphragm relaxes and moves upward into chest cavity and the intercostal muscles relax pulling ribs back into neutral position decreasing the size of the chest cavity. Which sequence correctly traces the path oxygen takes from the atmosphere to the lungs? - Solution Mouth, pharynx, trachea, bronchi, alveoli A 34 year old man is saying he was choking, you note the shredder in hoarseness in his voice. What should you do? - Solution Encourage him to cough An unresponsive trauma patient is gurgling. When you suction the oropharynx with a rigid catheter, the patient gags. You should? - Solution Assess insertion depth of the catheter Ethan 54 year old male with a nonproductive cough complaints 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? - Solution Chronic bronchitis Carbon dioxide and oxygen exchange at the alveolar level by which process - Solution diffusion What are primarily controls respiration? - Solution Phrenic What is the sound of a lower airway obstruction? - Solution wheezing Prescribed inhalers are helpful for patients with an obstructive pulmonary disease because they? - Solution Activate Beta 2 receptors

A 64-year-old male complains of Dyspnea And is coughing up blood tinged sputum. Upon auscultation you know crackles bilaterally. What should you suspect? - Solution Pulmonary edema A 64 year old with a complete laryngectomy is in respiratory arrest. You should - Solution Suction the stoma completely Which condition could be considered an upper airway obstruction? - Solution Epiglottitis An 18-year-old male complains of shortness of breath. He has a history of asthma self-administered two doses of his prescribe metered dose inhaler with no relief. Vital signs are pulse 104 respirations 22 and SPO2 of 91% what should you do? - Solution Administer oxygen by nonrebreather mask Which statement indicates that the patient is suffering from CHF rather than a pneumonia? - Solution feels like I'm drowning when I sleep A 19-year-old female begin choking after eating a hotdog. When you first arrive on scene, she was coughing and drooling. Now, she is drowsy, slow to respond, and unable to cough. You should? - Solution Perform abdominal thrusts Hey 65-year-old male is having trouble breathing. He is moderately overweight and has been coughing up yellow is phlegm. He smokes two packs of cigarettes a day and reports having episodes like this for many years. What do you suspect he has? - Solution Chronic bronchitis Which of the following can be present with a sudden onset of difficulty breathing and diminished breath sounds - Solution Pneumothorax A semi conscious 34-year-old male begins to gag after insertion of a OPA. What did you do? - Solution Insert an NPA Which of the following assessment findings should Cause you to suspect a history of COPD? - Solution barrel shaped chest Is in 75-year-old male complains of difficulty breathing. He states he has smoke three packs of cigarettes a day for 30 years. He has bilateral wheezes. What do you suspect? - Solution Emphysema

A 16 year old asthmatic female in a tripod position complains of increased shortness of breath. SpO2 is 79%. You should administer oxygen at? - Solution 10 lpm via nonrebreather mask A 45-year-old female is complaining of breathing difficulty. Her lung sounds are clear but she is becoming cyanotic on her lips. What should you do next.? - Solution Deliver oxygen via nonrebreather at 10 L per minute Swelling in the lower region and pale and diaphoretic is a sign of - Solution CHF Red swollen calves and or a recent surgery can be a sign of - Solution Pulmonary embolism An unresponsive patient has snoring respirations caused by - Solution Tongue Block An unconscious patient birds to mid chest any muddy ditch. when you are ventilating you should suspect? - Solution Resistance Interfacility Transport oxygen - Solution Nasal cannula 6 lpm After assisting with beta 2 to you may expect which side effects - Solution Tachycardia Patient is on the couch and you are unable to awaken him. Which maneuver should you use to open their airway? - Solution Head tilt chin lift An eight-year-old male has spontaneous circulation after an AD was used and now has a shallow pulse. You should - Solution Assist with BVM 15-year-old male was in a minor car crash and vitals seem to be normal - Solution Coach for slowing down breathing What is the term for a high-pitched whistling sounds hard during expiration?

• Solution Wheezing Where is the common location for an airway obstruction - Solution Pharynx

What is the name of the passageway shared by the digestive track in the respiratory systems for air and food? - Solution Pharynx An unresponsive 16 year-old male has snoring respirations after diving in a pond in nearly drowning. You should? - Solution Give compression Snoring respirations in an unresponsive patient most likely are the result of A. foreign body airway obstruction. B. upper airway obstruction by the tongue. C. collapse of the trachea during breathing. D. swelling of the larynx and surrounding structures. - Solution upper airway obstruction by the tongue. Which of the following conditions is most likely to cause decreased compliance while ventilating via BVM? - Solution Tension pneumothorax An 18-year-old febrile patient complains of malice for several days. He is taking an oral antibiotic for an upper respiratory infection. Vital signs are blood pressure is 128/72, pulse is 118 and weak, respirations are 22 with Rhonchi. What do you suspect? - Solution Bronchitis Surfactant helps to prevent the alveoli from collapsing by ________. - Solution reducing surface tension What is the amount of air that normally reaches the alveoli in an adult - Solution 350 mL A 14 year-old female Is short of breath. She has a history of cystic fibroids. Lung sounds reveal course bronchi. What is the most likely cause of her condition? - Solution Mucous secretions