Chapter 16 Respiratory Emergencies Quiz and Test

Adjust the rate flow accordingly until you see the symptoms improve but be prepared to assist in ventilation

What administering supplemental oxygen to a hypoxemic patient with a chronic lung disease you should

Increased carbon dioxide levels

In a healthy individual, the brain stem stimulates breathing on the basis of:

Oxygen and carbon dioxide must be able to freely diffuse across the alveolar capillary membrane

In order for efficient pulmonary gas exchange to occur:

Alveoli

In what areas of the lungs does respiration occur

Start at the lower lung fields and determine which level you start hearing clear breath sounds

When assessing for fluid collection in the lungs during auscultation of lung sounds, you should:

provide reassurance and give oxygen as needed.

A 22-year-old female patient is complaining of dyspnea and numbness and tingling in her hands and feet after an argument with her fiancé. Her respirations are 40 breaths/min. You should:

Epiniphrine

A 30-year-old male presents with acute shortness of breath widespread hives and facial swelling he denies any past medical history and takes no medications during your assessment you hear wheezing all over lung fields his blood pressure is 90/50 and his heart rate is 110 bpm in addition to giving him hopeful oxygen the most important treatment for this patient is

Oxygen via nonrebreathing mask and a focused secondary assessment

A 60-year-old male presents with acute respiratory distress. He is conscious and alert, has pink and dry skin, and has respirations of 22 breaths/min with adequate depth. Which of the following treatments is MOST appropriate for this patient?

apply a CPAP device, monitor his blood pressure, and observe him for signs of improvement or deterioration.

A 62-year-old man with a history of congestive heart failure presents with severe respiratory distress and with an oxygen saturation of 82%. When you auscultate his lungs, you hear widespread rales. He is conscious and alert, is able to follow simple commands, and can only speak in two- to three-word sentences at a time. You should:

Determine if here she has been prescribed a beta agonist inhaler

A conscious and alert 29-year-old female with a history of asthma complains of difficulty breathing the begin after her morning jog the temperature outside is 40 Fahrenheit five Celsius on exam you hear bilateral expiratory wheezing after providing supplemental oxygen you should

Fluid accumulation outside the lung

A plural effusion is most accurately defined as

Deep and rapid

A young female is unconscious after intentionally digesting a large amount of aspirin you most likely find her respirations

Toxic chemical inhalation

Acute pulmonary edema would MOST likely develop as the result of:

Ventolin

Albuterol is a generic name for:

Blood acidity is reduce by excessive breathing

Alkalosis is a condition that occurs when

adequate air exchange

An alert patient presents with a regular pattern of inhalation and exhalation and breath sounds that are clear and equal on both sides of the chest. These findings are consistent with:

immune system

Asthma is caused by a response of the

Expiratory wheezing

At the onset of an acute asthma attack, patients commonly experience difficulty breathing and:

tachypnea and tingling in the extremities.

Common signs and symptoms of acute hyperventilation syndrome include:

Shortness of breath or difficulty breathing

Dyspnea is MOST accurately defined as:

Narcotic overdoe

Hyperventilation could be associated with all of the following except

stridor

Harsh or high-pitched respiratory sound, caused by an obstruction of the air passages

chronic stretching of the alveolar walls.

The respiratory distress that accompanies emphysema is caused by:

Inspiration and expiration

The two processes that occur during respiration are

Shortness of breath and blood pressure of 76/56

Treatment with continuous positive airway pressure (CPAP) would most likely to be contraindicated in which of the following situations

Respirations increase in rate and depth

When the level of arterial carbon dioxide rises above normal:

Server anxiety

Which of the following conditions would be the least likely to result in hypoxia

24 breaths/min with bilaterally equal breath sounds and pink skin

Which of the following is MOST characteristic of adequate breathing?

Anaphylaxis is characterized by airways swelling and hypotension

Which of the following statements regarding anaphylaxis is correct

Pulse ox symmetry measures the percentage of hemoglobin that is saturated with oxygen but does not measure the actual hemoglobin contents of the blood

Which of the following statements regarding pulse oximetry is correct

The hypoxic drive stimulates a person to breathe on the basis of low oxygen levels

Which of the following statements regarding the hypoxic drive is correct?

aspiration pneumonia

While auscultating an elderly woman's breath sounds you hear low pitch rattling sounds at the base of both of her lungs this this finding is most consistent with which of the following conditions

instruct him to hold his breath for as long as he comfortably can.

You are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient takes a deep breath and depresses the inhaler, you should:

Acute pulmonary embolism

You are dispatched to a residence for a 67-year-old female who was awakened by shortness of breath and sharp chest pain. Her husband tells you that she was recently discharged from the hospital after having hip surgery. Your assessment reveals dried blood around her mouth, facial cyanosis, and an oxygen saturation of 88%. This patient's presentation is MOST consistent with

insert a nasopharyngeal airway and begin assisted ventilation.

You are dispatched to an apartment complex where a 21-year-old female has apparently overdosed on several narcotic medications. She is semiconscious and has slow, shallow respirations. You should:

Jugular vein distention

You are such a patient with respiratory distress and are unsure if the cause is congestive heart failure or chronic obstructive pulmonary disease which of the following clinical signs would be the most helpful in determining whether the patient has chronic heart failure or COPD

assist her ventilations with a bag-mask device.

You receive a call for a seven-year-old female with respiratory distress her husband tells you that he has congestive heart failure however he does not think that she has been taking her medication as prescribed the patient is laboring to breathe appears tired and has cyanosis around her lips you should