Airway homework 26-50 Flashcards Preview

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Flashcards in Airway homework 26-50 Deck (25)
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1

which of the following PT'S is LEAST likely in need of positive pressure ventillation?
A) confused 46 year old woman with labored respirations, adventitious breath sounds, and pallor
B) conscious 41 Year old woman with two word dyspnea, perioral cyanosis and tachycardia
C) semiconscious 39 year old man with shallow chest wall movement, cyanosis, and bradypnea
D) conscious 36 year old man with difficulty breathing, symmetrical chest rise and fall, and flushed skin

D

2

when inserting a stylet into an ET tube, you must ensure that:
A) the stylet rests at least 1/2 in back from the end of the tube
B) you use a petroleum-based gel to facilitate easy removal
C) the stylet is ridgid and does not allow the ET tube to bend
D) the tube is bent in the form of a U to facilitate placement.

A

3

Digital intubation is absoulutly contraindicated if the PT:
A) has copious airway secreations
B) is unconscious but breathing
C) is trapped in a confinied space
D) is extremely obese or has a short neck

B

4

an increased peak expiratory flow reading in a patient with respiratory distress suggests that the pt is:
A) experiencing worsened hypoxemia
B) no longer experiencing bronchospasm
C) responding to bronchodilator therapy
D) in the need of further bronchodilator therapy

C

5

Multilumen airways are contraindiated in PT with
A) esophageal cancer
B) cervical spine trauma
C) traumatic cardiac arrest
D) a history of gastric ulcers

A

6

compared with an open cricothyrotomy, needle cricothyrotomy:
A) allows for subsequent attempts to intubate the PT
B) requires the paramedic to manipulate the PT'S cervical spine
C) is techically more difficult and takes longer to perform
D) is associated with a higher risk of damage to adjacent structures

A

7

The king LT-D airway features a:
A) straight tube wuth two inflatable cuffs that hol an equal amount of air
B) port through which gastric contents can be suctioned from the stomach
C) curved tube with ventilation ports located between two inflatable cuffs
D) universal size with two inflation ports and is used for PT"S of any age

C

8

Two attempts to ventillate an unconscious 10 year old boy have been unsuccessful. you should next
A) intubate his trachea
B) deliver abdominal thrusts
C) look inside the PT"S mouth
D) perform chest compressions

D

9

what is the alveolar minute volume of a PT with a respiratory rate of 12 breaths/min, a tidal volume of 450mL, and a dead space volume of 135mL?
A) 3650mL
B) 3780mL
C) 4260mL
D) 5400mL

B
(tidal volume-dead space volume)respiratory rate = alveolar minute volume

10

Several cycles of basic life support maneuvers have failed to relieve a severe airway obstruction in an unresponsive 44 year old woman. You should:
A) intubate the patient and attempt to push the foreign body into one of the mainsteam bronchi
B) continue BLS maneuvers and transport the PT to the hospital immediatly
C) perform direct laryngoscopy and attempt to remove the obstruction with Magill forceps
D) place the PT"S head in a neutral position and perform an emergency cricothyrotomy

C

11

Which of the following medications has been shown to blunt the increase in intracranial pressure associated with suctioning and laryngeal stimulation
A) atropine
B) lidocaine
C) amiodarone
D) furosemide

B

12

physiologic effects of CPAP include:
A) increased intrathoracic pressure
B) forcing of fluid into the alveoli
C) increasing alveolar surface tension
D) opening of collapsed alveoli

D

13

the best way to be certain that the ET tube has passed through the vocal cord is to:
A) feel the ridges of the tracheal wall with the ET tube
B) visualize the tube passing between the vocal cords
C)note the appropriate color change of the capnographer
D) ensure the presence of bilaterally equal breath sounds

B

14

Neuromuscular blocking agents:
A are most commonly used as a sole agent to facilitate placement of an ET tube
B) convert a breathing PT with a marginal airway into an apneic PT with no airway
C) induce total body paraysis within 10-15 minutes following administration via IV push
D) have a negative effect on both cardiac and smooth muscle and commonly cause dysrhythmias

B

15

the anterior portion of the palate is formed by the:
A) hyoid bone and mandible
B) union of the facial bones
C) maxilla and palatine bones
D) soft tissues of the posterior pharynx

C

16

which of the following is NOT proper procedure when inserting a nasogastric tube in a responsive PT?
A) administering a topical alpha agonist to constrict the nasal vasculature
B) keeping the PT's head in an extended position while inserting the tube
C) injecting 40mL of air into the tube while auscultating over the epigastrium
D) encouraging the PT to swallow or drink to facilitate passage of the tube

B

17

which of the following is not characteristic of a depolarizing neuromuscular blocking agent?
A) bradycardia
B) tachycardia
C) muscle fasciculations
D) short duration of action

B

18

Normally, an adult male will require an ET tube that ranges from
A) 6.5 - 7.0 mm
B) 7.0-7.5 mm
C) 7.5- 8.5 mm
D) 8.5-9.0 mm

C

19

if used properly and under the correct circumstances, sedation during airway management:
A) chemically paralyzes the PT, thus facilitating placement of an advanced airway device
B) effectively increases PT compliance, thus making definitive airway management safer to perform
C) significantly reduces the pain and discomfort associated with laryngoscopy and ET intubation
D) minimizes the risks of bradycardia and hypotension that occasionally occur during advanced airway management

B

20

The nasal cannula is of the MOST benefit to PT"S
A) who require high O2 concentrations
B) with mild hypoxemia and claustrophobia
C) with an acute exacerbation of emphysema
D) who are hypoxic and are mouth-Breathers

B

21

What point(s) on the capnographic waveform represent(s) a mixture of alveolar gas and dead space gas?
A) A-B
B) B
C) B-C
D) D

B

22

Rigorous tube confirmation protocol must be followed after performing digital intubation because:
A) inadvertent extubation of the PT is very common
B) capnography is unreliable in digitally intubated PT's
C) ET tubes that are placed digitally do not have a pilot balloon
D) the procedure of digital intubation is truly a blind technique

A

23

In contrast to a nasogastric tube, the orogastric tube:
A) is safer to use in PT"S with severe facial trauma
B) should only be used in PT'S who are conscious
C) can be used in PT"S who require gastric lavage
D) is not necessary in PT'S who have been intubated

A

24

The external jugular veins run _____ and are located _____ to the cricothyroid membrane.
A) vertically, lateral
B) vertically, medial
C) horizontally, lateral
D) horizontally, medial

A

25

which of the followin represents the correct sequence for managing a PT'S airway?
A) open, clear, assess, intervene
B) Clear, open, assess,intervene
C) assess, clear, open, intervene
D) Open, assess, clear,intervene

A