Chapter #7 Airway Management

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Rescue breathing in the adult is adequate if:

breaths are delivered over 1 second and the chest rises.

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

capillaries.

If you are unable to open an injured patient's airway with the jaw-thrust maneuver, you should:

carefully perform the head tilt-chin lift maneuver.

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

Carbon monoxide poisoning

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

immediately begin chest compressions

A person could survive for several days to weeks without all of the following, except:

oxygen

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

oxygen actively supports combustion.

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

suspect a severe airway obstruction.

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

1 and 12 to 14 years of age

A normal adult's resting respiratory rate typically ranges between:

12 and 20 breaths/min

The appropriate ventilation rate for a nonbreahting 10 yoa child is:

12 to 20 breaths/min.

A child's airway should be suctioned for no longer than ______ seconds at a time.

15

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

The flow rate should not exceed 6 L/min.

If an oxygen cylinder contains less than _______ psi, it should be replaced with a full cylinder.

500

Pulse oximetry is used to:

assess the amount of oxygen saturated in red blood cells.

Airway obstruction removal attempts in a conscious infant consist of:

back slaps and chest thrusts

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

breathe slowly into the patient's mouth until the chest rises visibly.

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

keep the bag partially inflated when the patient inhales.

When opening the airway of a patient who has a stoma, you should:

keep the patient's neck straight

The main purpose of the oral airway is to:

maintain the airway after it has been opened manually.

Common causes of respiratory arrest include all of the following, except?

mild dehydration

Air normally enters the body through the:

nasopharynx and oropharynx

When assessing for breathing in an unresponsive patient, you should:

observe the chest for visible rise

The purpose of the jaw-thrust maneuver is to:

open a patient's airway without manipulating the neck.

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

open her airway with the jaw-thrust maneuver.

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.

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

partial blockage of the airway by the tongue.

The proper oxygen flow rate is determined by the:

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

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

patient's fingers or earlobes are cold

Chest thrusts should be performed on:

patients who are in the later stages of pregnancy.

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.

During your assessment of a semiconscious uninjured 19 yoa man, you note that his airway is open and his respirations are 14 breaths/min with adequate depth. You should:

place the patient in the recovery position and closely monitor his breathing rate and depth.

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

sweeping the mouth with your finger.

You have just pulled your neighbor's 3 yoa daughter from a swimming pool. The child's 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 the EMS system as you initiate rescue breathing.

Patients who have experienced carbon monoxide poisoning may have false pulse oximetry readings because:

their red blood cells are not saturated with oxygen.

While ventilating a non breathing patient with a bag-valve mask device, you do not see the chest rise. Which of the following is the most likely cause of this?

Air is leaking around the mask

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

15 breaths/min

A self-inflating beg-valve mask device will deliver _______oxygen without supplemental oxygen attached.

21%

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

3 to 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.

In a healthy patient, the oxygen saturation should be at least ________ 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

Which of the following statements regarding pulse oximetry is correct?

Pulse oximetry should not replace a thorough patient assessment

Your assessment of a 7yoa old girl reveals that she is unresponsive. What should you do?

Quickly visualize her chest for obvious movement while assessing for a carotid pulse.

The appropriate landmark for performing abdominal thrusts on a conscious patient with a severe airway obstruction is:

above the naval and below the xiphoid process.

You are working in your yard when you see your neighbor, a middle-aged woman, collapse in her front yard. You should:

activate EMS after assessing the patient's level of responsiveness.

While delivering your first rescue breath to an unconscious non breathing child, you see the chest visibly 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-valve mask device if:

an oxygen reservoir is attached

Adequate ventilation of an adult patient with a bag-valve mask device is best accomplished:

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

A young woman's 11 month old infant 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 just before the episode began.

When performing abdominal thrusts on a conscious patient with a severe airway obstruction, you should:

continue the thrusts until the patient becomes unresponsive.

The muscle between the chest and abdomen is called the:

diaphragm

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

diaphragm contracts and the rib cage expands.

A distinct disadvantage of the one-rescuer bag-valve mask technique is:

difficulty in maintaining an adequate mask-to-face seal

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

earlobe to the corner of the mouth

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

enables you to deliver rescue breaths without mouth-to-mouth contact.

While eating in a restaurant, you see a man sitting at a nearby table suddenly stand up and begin coughing forcefully. His wife franticly screams, "He's choking!" and begs for someone to help. You should:

encourage the man to keep coughing and ask an employee to call 9-1-1.

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

ensure that the reservoir bag is completely full.

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

food or candy.

A patient with ________ may appear to be in respiratory arrest, even though he is breathing

hypothermia

The most immediate threat associated with gastric distention is:

increased risk of vomiting.

When ventilating an unconscious non breathing adult with a bag-valve-mask device, you should:

insert an oral or nasal airway.

When inserting a nasal airway, you should:

insert the airway into the larger nostril first.

While managing the airway of a semiconscious 50 yoa woman, you attempt to insert a nasal airway but meet resistance. You should:

remove the airway and try to insert it in 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 yoa woman was found unconscious in her bed. She has a pulse, but is gurgling when she breathes. 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 degrees until the flange rests on the patient's teeth.

A person who has had an obstruction from his 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 patient, 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 patient inhales during each breath.

Which of the following statements regarding oxygen is correct?

stroke patients may be unable to get sufficient oxygen from room air.

A mild airway obstruction is characterized by all of the following, except:

unconsciousness

You should not insert a nasal airway in a patient:

with a possible head injury.

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

you may assume that the airway is patent.


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