2207 exam 2 Flashcards
You are managing a 29-year-old male patient who was shot in the head. There is a gurgling noise in the airway.
The patient is breathing spontaneously at 42 breaths per minute and has a heart rate of 110 and a systolic and diastolic pressure of 102/82.
In which of the following situations would you expect end tidal carbon dioxide levels to be very low, despite a patient airway?
-Room air PPV
- Hyperthermia
- Hypoventilation
- Cardiac arrest
Cardiac arrest
When performing tracheobronchial suctioning, what should be the maximum amount of suction time?
15 seconds
20 seconds
10 seconds
5 seconds
20 seconds
A musical, squeaking, or whistling sound that may be heard on inspiration or expiration while auscultating lung fields is known as:
Crackles
Stridor
Rhonchi
Wheezing
Wheezing
Which of the following is a disadvantage of pulse oximetry?
Tissue hypoxia may be present even with a normal SaO2 reading.
Pulse oximetry cannot differentiate between hemoglobin bound to oxygen and hemoglobin bound to carbon monoxide.
Pulse oximetry gives no information about the amount of carbon dioxide in the blood.
All of the above are disadvantages.
All of the above are disadvantages
A portable suction device should generate a flow rate of ________ liters per minute when the tube is open.
20
30
40
5
30
The respiratory rate may be greater than normal because?
Alcoholic beverage ingestion
The use of medications such as diazepam or morphine
Being asleep or nearly asleep
Metabolic acidosis
l because of:
Metabolic acidosis
Physiologically, the term respiration refers to the:
Exchange of gases at the alveolar-capillary interface
Mechanical process that moves air into and out of the lungs
Exchange of all gases, nutrients, and wastes at the cellular level
Exchange of gases at the cellular level
unknown
An attempt at endotracheal intubation must not interrupt ventilations for more than ________ seconds.
10
15
20
30
unknown
The maximum flow rate to be used with a nasal cannula is ________ liters per minute.
10
6
8
4
6
Which of the following is an objective technique to verify proper endotracheal tube placement?
Direct visualization
Esophageal detector device
Tube misting
Auscultation
unknown
Insertion of an endotracheal tube too far is likely to result in ventilation of:
The right lung only
The left lung only
Only the lower lobes of both lungs
Neither lung
The right lung only
At the end of exhalation, the intrathoracic pressure is:
Significantly less than atmospheric pressure
Slightly less than atmospheric pressure
Greater than atmospheric pressure
Equal to atmospheric pressure
Equal to atmospheric pressure
The tip of a curved laryngoscope blade is placed correctly:
At the junction of the hard and soft palates
At the glottic opening
Under the epiglottis
In the vallecula
In the vallecula
Which of the following is the most common cause of airway obstruction?
Foreign bodies
Food
Upper airway edema
The tongue
The tongue
The MOST common indication for a surgical cricothyrotomy is:
Massive facial or neck trauma
Failed rapid sequence intubation
Status seizures with trismus
Foreign body airway obstruction
Massive facial or neck trauma
When you are suctioning an adult patient, the onset of bradycardia is most likely due to:
Hypercarbia
Hypoxia
Stimulation of the vagus nerve
Increased intracranial pressure
Stimulation of the vagus nerve
As the thoracic cavity begins to expand, the intrathoracic pressure:
Does not change
Is greater than atmospheric pressure
Is the same as atmospheric pressure
Is less than atmospheric pressure
Is the same as atmospheric pressure
What airway intervention should be performed first on this patient?
Head-tilt/chin-lift maneuver
Suctioning the airway
Insertion of an oropharyngeal airway
Endotracheal intubation
unknown
Which of the following is the correct order of events after an endotracheal tube has been properly inserted?
Inflate the cuff with 5 to 10 cc of air, secure the tube, listen for equal breath sounds bilaterally, and listen for breath sounds over the epigastrium.
Inflate the cuff with 5 to 10 cc of air, auscultate the epigastrium and then the lungs, and secure the tube.
Secure the tube, listen for breath sounds over the epigastrium, listen for equal breath sounds bilaterally, and inflate the cuff with 5 to 10 cc of air.
Inflate the cuff with 5 to 10 cc of air, listen for breath sounds over the epigastrium, listen for equal breath sounds bilaterally, and secure the tube.
unknown
Which of the following serves as an important visual landmark when performing endotracheal intubation under direct intubation?
Cricothyroid membrane
Cricoid cartilage
Thyroid cartilage
Posterior cartilages
unknown
