Paramedic Chapter 16 Respiratory Emergencies
According to the AHA's current recommendation, at what levels should oxygen saturation be maintained? A) 90% to 93% B) 96% to 100% C) 100% D) 94% to 99%
D
Which of the following changes in the patient's breath sounds would cause you the most concern? A) Change from wheezing to a silent chest(no breath sounds) B) Change from wheezing to scattered crackles C) Change from wheezing to clear, vesicular breath sounds D) Change from polyphonic to monophonic wheezing
A
Which of the following is NOT a classic sign of emphysema? A) Profound hypoxia B) Tachypnea C) Pursed-lip breathing D) Barrel chest
A
Why is asthma considered a reactive airway disease? A) The asthma attack occurs most often when the patient is exposed to a trigger B) The patient reacts poorly to asthma C) Patients experience asthma only in response to environmental triggers D) Asthma interacts with other diseases the patient has
A
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) ________. A) Pulmonary embolism B) Pneumothorax C) Paroxysmal nocturnal dyspnea D) Plural effusion
A
A condition that causes distention the jugular veins when the liver is gently pressed specific to right-sided heart failure is________________. A) Cor pulmonale B) Hepatojugular reflux C) Hypoxic Drive D) Pulsus paradoxus
B
Inhaling ammonia results in ________. A) Frothy, pink-tinged sputum B) Acute upper airway irritation C) Barotrauma D) Delayed onset pulmonary edema
B
When listening for abnormal breathing sounds, you should listen to the____________. A) Upper lobes at the anterior chest B) Bases of the back C) left-right differentiation at the midaxillary line D) Right middle lobe at the right breast
B
Which of the following is NOT associated with asthma? A) Bronchospasm B) Localized crackles C) Increased mucus production D) Peripheral airway edema
B
Which of the following patients would benefit from intubation? A) 30-year-old woman suffering an acute asthma attack B) A combative 24-year-old adult in respiratory distress C) An unconscious 18-year-old adult with no gag reflex D) A middle-aged man who overdosed on opioids
C
The wheezing you hear during an asthma attack is primarily caused by what? A) Air trapped in the lungs B) Air moving through mucus in the lungs C) Air moving normally in lungs D) Air forced through constricted tubes, which causes them to vibrate.
D
Which of the following statements is true about hyperventilation? A) Hyperventilation is a result of the patient getting too much carbon dioxide B) Hyperventilation is a result of the patient getting too much oxygen C) Hyperventilation is a result of the patient getting too little oxygen D) Hyperventilation is a result of the patient getting too little carbon dioxide.
D
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. A) Asthma B) Pneumonia C) Bronchitis D) Pulmonary edema
D
_______________________is a severe, prolonged attack that cannot be stopped with conventional treatment. A) Atelectasis B) Bronchial edema C) Reactive airway disease D) Status asthmaticus
D