chapter 16 jbl

Which of the following patients would benefit from intubation? A 30-year-old woman suffering an acute asthma attack An unconscious 18-year-old adult with no gag reflex A middle-aged man who overdosed on opioids A combative 24-year-old adult in respiratory distress

An unconscious 18-year-old person with no gag reflex

Which of the following is NOT associated with asthma? Bronchospasm Increased mucus production Peripheral airway edema Localized crackles

Localized crackles

A condition that causes distention the jugular veins when the liver is gently pressed specific to right-sided heart failure is:

Hepatojugular reflux

Which of the following statements is true about hyperventilation? Hyperventilation is a result of the patient getting too much oxygen. Hyperventilation is a result of the patient getting too little oxygen. Hyperventilation is a result of the patient getting too much carbon dioxide. Hyperventilation is a result of the patient getting too little carbon dioxide.

Hyperventilation is a result of the patient getting too little carbon dioxide.

Inhaling ammonia results in ________. acute upper airway irritation delayed onset pulmonary edema frothy, pink-tinged sputum barotrauma

acute upper airway irritation

The wheezing you hear during an asthma attack is primarily caused by what? Air trapped in the lungs Air forced through constricted tubes, which causes them to vibrate Air moving normally in lungs Air moving through mucus in the lungs

air forced through constricted tubes, which causes them to vibrate.

Why is asthma considered a reactive airway disease? The patient reacts poorly to asthma. The asthma attack occurs most often when the patient is exposed to a trigger. Asthma interacts with other diseases the patient has. Patients experience asthma only in response to environmental triggers.

asthma attacks occur most often when the patient is exposed to a trigger.

When listening for abnormal breathing sounds, you should listen to the:

bases at the back.

According to the AHA's current recommendation, at what levels should oxygen saturation be maintained? 100% 96% to 100% 94% to 99% 90% to 93%

94% and 99%.

Which of the following changes in the patient's breath sounds would cause you the most concern? Change from polyphonic to monophonic wheezing Change from wheezing to clear, vesicular breath sounds Change from wheezing to a silent chest (no breath sounds) Change from wheezing to scattered crackles

Change from wheezing to a silent chest (no breath sounds)

Which of the following is NOT a classic sign of emphysema? Barrel chest Profound hypoxia Pursed-lip breathing Tachypnea

Profound hypoxia

What is a severe, prolonged attack that cannot be stopped with conventional treatment?

Status asthmaticus

You are responding to a 74-year-old man with ashen-gray skin who is diaphoretic and struggling to breathe. The patient lives alone and is speaking in one- to two-word sentences. It's evident to you that this patient is struggling to breathe. He tells you that he woke up suddenly with difficulty breathing and weakness. When you initially listen to the patient's lungs, you hear crackles in the apices and diminished lung sounds in the bases. His pulse is weak and rapid. No medication bottles are in obvious view. What is your working diagnosis? Asthma Bronchitis Pneumonia Pulmonary edema

pulmonary edema

You are treating a 65-year-old man who is cyanotic even though you are providing supplemental oxygen. This is an indication of a(n) ________. paroxysmal nocturnal dyspnea pleural effusion pneumothorax pulmonary embolism

pulmonary embolism