Chapter 15 - Respiratory Emergencies Flashcards
A pleural effusion is MOST accurately defined as:
A. a bacterial infection of the lung tissue
B. fluid accumulation outside the lung
C. a unilaterally collapsed lung
D. diffuse collapsing of the alveoli
B. fluid accumulation outside the lung
You are attending to a 54-year-old female patient in a homeless shelter. The patient tells you that she had the flu a couple of weeks ago, and she has not gotten over it. She has been tired and keeps waking up at night, sweating. She has been coughing up green sputum occasionally and has been experiencing episodes of chest pain that get worse when she breathes. Based on this information, your patient is most likely suffering from:
A. influenza Type A
B. chronic obstructive pulmonary disease (COPD)
C. pneumonia
D. tuberculosis
D. tuberculosis
P 593, Causes of Dyspnea
His parents tell you that their son has had a chest infection for the past two days and when they took him to their family doctor, they were told it was likely due to the respiratory syncytial virus (RSV). They have kept him well hydrated, but the infection seems to have gotten worse. On auscultation, you hear decreased air entry bilaterally with fine expiratory wheezes and the occasional coarse wet crackle. Based on this information, your patient is most likely suffering from:
A. bronchiolitis
B. pertussis
C. croup
D. epiglottis
A. bronchiolitis
P 591-592, Causes of Dyspnea
Treatment with continuous positive airway pressure (CPAP) would MOST likely be contraindicated in which of the following situations?
A. Shortness of breath and a blood pressure of 76/56 mm Hg.
B. Pulmonary edema, history of hypertension, and anxiety.
C. Difficulty breathing, two-word dyspnea, and tachycardia.
D. Conscious and alert patient with an oxygen saturation of 85%.
A. Shortness of breath and a blood pressure of 76/56 mm Hg.
P 615, Treatment of Specific Conditions
While auscultating an elderly woman’s breath sounds, you hear low-pitched “rattling” sounds at the bases of both of her lungs. This finding is MOST consistent with which of the following conditions?
A. Aspiration pneumonia
B. Early pulmonary edema
C. Acute asthma attack
D. Widespread atelectasis
A. Aspiration pneumonia
P 618, Patient Assessment
You are assessing an asthma patient with his prescribed metered-dose inhaler. After the patient takes a deep breath and depresses the inhaler, you should:
A. immediately reapply the oxygen mask and reassess his condition
B. instruct him to hold his breath for as long as he comfortably can
C. allow him to breathe room air and assess his oxygen saturation
D. advise him to exhale forcefully to ensure medication absorption
B. instruct him to hold his breath for as long as he comfortably can
P 612, Emergency Medical Care
Which of the following is a genetic disorder that predisposes the patient to repeated lung infections?
A. Severe acute respiratory syndrome
B. Cystic fibrosis
C. Celiac sprue
D. Multiple sclerosis
B. Cystic fibrosis
P 618, Treatment for Specific Conditions
“PASTE” is an alternate assessment tool for ______.
A. seizure patients
B. respiratory patients
C. stroke patients
D. cardiac patients
B. respiratory patients
P 607, Patient Assessment
