EMR chapter 6 review

While delivering your first rescue breaths an unconscious not breathing child, you see the chest visible rise. You should next

Allow the lungs to deflate before delivering the next breath

The highest concentration of oxygen can be delivered to a patient with a bag mask device if

And oxygen reservoir is attached

The FIRST step in caring for a conscious person who may have an obstructed airway is to

Ask the pt. If he or she is choking

A young womans 11 month old infants presents with a sudden onset of difficulty breathing. The infant has an audible cry and normal skin color. Care for this infant includes

Asking the mother what happened before the episode began

You are the first medically trained person to arrive at the scene of a sick infant. As you enter the residence, a frantic woman hands you her pale, limp 6- month old son. You tap the infants foot and determine that he is unresponsive. You should next

Assess for signs of adequate breathing and then check the brachial pulse

Pulse oximetry is used to:

Assess the amount of oxygen saturated in red blood cells

If you are unable to open an injured patients airway with the jaw-thrust maneuver, you should

carefully perform the head tilt-chin lift maneuver.

Air is drawn into the lungs through the trachea when the:

diaphragm contracts and the rib cage expands

When a person is swallows food or liquid it does not enter the trachea because the

epiglottis covers the trachea while swallowing

The most sensitive cells in the human body or in the

Brain

Which of the following statements regarding the brains oxygen needs is correct?

Brain cells cannot be replaced once they have been destroyed

You are providing mouth to mask rescue breathing on a 17 year old boy when you note that his abdomen appears to be distending. You should :

Breathe slowly into the pt.'s mouth until the cheat rises visibly

The alveoli in the lungs are surrounded by very small blood vessel called

Capillaries

Which of the following conditions would MOST likely require high-flow(90% or higher) oxygen?

Carbon monoxide poisoning

Which of the following regarding infants and children is FALSE?

Cardiac arrest in infants and children is often the result of heart disease

After manually opening an unconscious patient airway, you should

Check the mouth for secretions, foreign bodies, or dentures

When performing abdominal thrusts on a conscious pt. With a sever airway obstruction, you ahould

Continue the thrusts until the pt. Becomes unresponsive

a patient with __________ May appear to be in respiratory arrest, even though he or she is breathing.

hypothermia

Nasal airways can be used:

in both conscious and unconscious patients

Common causes of respiratory arrest include all the following, EXCEPT

mild dehydration

Suctioning of an adult patient's mouth is limited to 15 seconds at a time because:

oxygen is being removed from the patient as well as secretions.

If a patient speaks to you when you ask if he or she can hear you:

you may assume that the airway is patent.

For purposes of rescue breathing, a child is a person between

1 and 12 years of age

What are the appropriate ventilation duration and rate for an adult patient who is not breathing but has a puls e

1 second, 10-20 BPM

A child's airway should be suction for no longer than ___________ seconds at a time

10

A normal adult resting respiratory rate typically ranges between

12 and 20 breaths per minute

The appropriate ventilation rate for a non-breathing 10 year old child is

12 to 20 breaths per minute

Which of the following is an appropriate ventila rate for an infant or child

15 BPM

The dome shaped muscle between the chest and the abdomen is called the

Diaphragm

A distinct disadvantage of a one rescuer bag mask technique is

Difficulty in maintaining adequate mask-to-face seal

Which of the following statements regarding dental appliances is correct?

Do not remove dental appliances that are firmly attached in the pt.'s mouth

When determining the correct size of oral airway, you should measure from the

Earlobe to the corner of the mouth

At a minimum, the EMR life support kit should contain a ventilation device that:

Enables you to deliver rescue breaths without month-to-month contact

Whole eating at a rest, you see a man sitting at a nearby table suddenly stand up and begin coughing forcefully. His wife frantically screams, He's choking and begs for someone to help. You should

Encourage the man to keep coughing and ask an employee to call 911

After adjusting the oxygen flow rate on the nonrebreathing mask to the desired setting, you should next:

Ensure the reservoir bag is completely full

Generally speaking, the MOST common foreign object that causes an airway obstruction is

Food or candy

If an adult with an airway obstruction becomes unresponsive, you should lay him or her on the ground and:

Immediately begin chest compressions

Which of the following occurs during aveolar ventilation?

Incoming O2 passes from the alveoli into the blood, and outgoing CO2 passes from the blood into the alveoli

The MOST immediate threat associated with gastric distension is:

Increased risk of vomiting

When ventilating unconscious not breathing adult with a bag mask device, you should

Insert in oral or nasal airway

When inserting a nasal airway, you should

Insert the airways into the largest nostril first

When using a nonrebreathing mask, you should adjust the liter flow to:

Keep the bag partially inflated when the pt. Inhales

When opening the airway of a pt. Who has a stoma, you should:

Keep the pt.'s neck straight

Adams apple and voicebox are the terms used to describe the

Larynx

The main purpose of an oral airway is to

Maintain the airway after it has been opened manually

The oropharynx is also known as the

Mouth

Air normally enters the body through the

Nasopharynx and oropharynx

The purpose of the Jaw-Thrust maneuver is to

Open a patient's airway without manipulating the neck

A 40 year old woman struck a tree with her car at a high rate of speed. You arrive at the scene, ensure that is safe, and gain access to the pt. The woman is lying motionless across the front seat of her vehicle. You should:

Open her airway with the jaw-thrust maneuver

A person could survive for several days to weeks without all of the following EXCEPT

Oxygen

When administering supplemental oxygen to a pt., it is important to remember that:

Oxygen actively supports combustion

A snoring sound heard when an unconscious patient is breathing is MOST often the result of

Partial blockage of the airway by the tongue

If you are by yourself and a child with an airway obstruction becomes unresponsive, you should

Perform five cycles of CPR and then activate EMS

Which of the following represents the MOST appropriate order for managing the airway of an unconscious, and injured patient with adequate breathing?

Perform the jaw-thrust maneuver, enter a nasal airway, check the airway for secretions, and place the patient in the recovery position

Which of the following techniques will likely enable you to deliver adequate volume when ventilating a patient with a bag-mask device?

Place the middle, ring and little fingers of one hand under the angle of the jaw and lift up on the jaw

During your assessment of a semi conscious injured 19-year-old man, you notice that his airway is open and his respirations are 14 breaths per minute with adequate depth. You should

Place the patient in the recovery position closely monitoring his breathing rate and depth

The purpose of the recovery position is to

Prevent secretions from entering the trachea

The main purpose of the respiratory system is to

Provide oxygen to and remove carbon dioxide from that red blood cells

The proper oxygen flow rate is determined by the

Pt.'s condition and type of oxygen delivery device used

The pulse oximeter may not provide an accurate reading if the:

Pt.'s earlobes or fingers are cold

Chest thrusts should be performed on:

Pt.'s who are in later stages of pregnancy

Which of the following, statements regarding pulse oximeter is correct?

Pulse oximeter should not replace a thorough pt. Assessment

Your assessment of a nine-year-old girl review that she is unresponsive. What should you do?

Quickly visualize her chest for obvious movement and then assess for carotid pulse

While managing the airway of a semi conscious 50-year-old woman, you attempt to insert a nasal airway but you meet resistance. You should

Remove the airway and try to insert it into the other nostril

You are having difficulty providing rescue breaths to a non breathing elderly woman. You look in her mouth and note that she has loosely fitting dentures. You should

Remove the dentures and continue providing rescue breaths

A 70-year-old woman was found unconscious in her bed she has a pulse, but is gurgling when she breaths. You should

Roll the patient onto her side, carefully sweep out her mouth with your finger, and reassess her breathing

When inserting an oral airway in an adult, you should

Rotate the airway 180 until the flange rest on the patient's teeth

What should you do if the chest of a pt. does not rise during your attempt to ventilate?

Seal the mouth and nose and reattempt to ventilate

A person who has an obstruction from his or her airway removed by the Heimlich maneuver

Should be transported to the hospital for evaluation

A car screeches up to your station shortly before you hear a frantic knock at the door. When you answer the door, a young woman tells you that her father is choking. The pt., a 60 year old man, is clutching his throat. You ask him if he is choking, but he does not respond to your question. You should

Stand behind the man and deliver abdominal thrusts

The lungs are protected by the________ at the front and by the _____________At the sides and back

Sternum, rib cage

A nonrebreathing mask works by:

Storing oxygen in the reservoir bag, which the pt. Inhales during each breath

Which of the following statements regarding oxygen is correct?

Stroke pt.'s may be unable to get sufficient oxygen from room air

You are assessing a conscious 5 year old child who experienced a sudden inability to speak or cough whole playing with a small toy. The child appears sleepy and has pale skin. You should

Suspect a severe airway obstruction

Initial attempts to clear patient's airway of foreign material should be performed by

Sweeping the mouth with your finger

You have just pulled your neighbor's 3 year old daughter from a swimming pool. The childs father does not know how long she was submerged in the water. Your assessment reveals that the child is unresponsive, is not breathing, and has a weak pulse. You should

Tell the father to activate EMS system as you initiate rescue breathing

Which of the following statements regarding the nasal cannula is correct?

The flow rate should not exceed 6L/min

Which of the following statements regarding the nasal airway is correct?

The nasal airway does not allow suctioning of the nose.

Pt.'s who have experienced carbon monoxide poisoning may have false pulse oximeter readings because:

Their red blood cells are not saturated with oxygen

A self-inflating bag mask device will deliver________ oxygen without supplemental oxygen attached

21%

The appropriate rescue breath rate for a 6 month old infant is one breath every

3-5 seconds

In which of the following situations should you perform the jaw-thrust maneuver

40-year-old unresponsive patient who fell from a ladder

When assessing for an unconscious patient's breathing, you should take at least______seconds but no more than _______seconds

5,10

If an oxygen cylinder contains less than_________psi, it should be replaced with a full cylinder

500

In healthy pt., the oxygen saturation should he atleast _________\ when breathing room air

95%

Once the pressure in an oxygen cylinder has been regulated to about 50 pounds per square inch(psi)

A flowmeter is then used to deliver the Appropriate oxygen rate

A mild airway obstruction is characterized by all the following, EXCEPT

Unconsciousness

Which of the following statements regarding the oral airway is correct?

Use of an oral airway is contraindicated in patients are conscious

You should an NOT insert a nasal airway in a patient

With a possible head injury

Adequate ventilation of an adult patient with a bag mask device is BEST accomplished

as a two-person operation, if additional rescuers are available.

Airway obstruction removal attempts in a conscious infant consist of

back slaps and chests thrusts

Rescue breathing in the adult is adequate if

breaths are delivered over 1 second and the chest rises.

The appropriate landmark for performing abdominal thrusts on a conscious pt. With a severe airway obstruction is

Above the naval and below the xiphoid process

We're working in the yard when you see your neighbor, a middle-aged woman, collapse in front of her yard. You should

Activate EMS and assessing the patient's level of responsiveness

When ventilating a non-breathing patient with a bag mask device, you should not see the chest rise. Which of the following is the MOST likely cause of this?

Air is leaking around the mask