Quiz 7 (Chapter 10) Flashcards

1
Q

Which of the following statements best describes the exchange of gas in the​ alveoli?

A

Air moves into the​ alveoli, blood is transported by the pulmonary​ capillaries, and diffusion occurs.

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2
Q

Which of the following is acceptable for maintaining a seal between an oxygen cylinder and​ regulator?

A

Gasket

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3
Q

Which patient should definitely be administered supplemental oxygen without positive​ pressure?

A

A patient in mild respiratory distress

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4
Q

Of the three types of oxygen​ flowmeters, which one can only be used​ upright?

A

​Pressure-compensated flowmeter

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5
Q

If your patient has excessive gastric distention due to​ PPV, what piece of equipment is most important to have readily​ available?

A

The suction unit

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6
Q

What is the maximum flow rate that you would administer by nasal​ cannula?

A

6 lpm

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7
Q

The movement of oxygen and carbon dioxide between the alveoli and circulating blood is​ called:

A

pulmonary respiration.

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8
Q

The function of the respiratory system in the respiratory process is​ to:

A

move air in and out of the alveoli.

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9
Q

Forcing air or oxygen into the lungs when a patient has stopped breathing or has inadequate breathing is​ called:

A

artificial ventilation.

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10
Q

At the point at which the​ patient’s body has become acidotic from the retention of too much carbon dioxide and from anaerobic metabolism​ (metabolism without enough oxygen​ present), and he is growing​ tired, the patient is​ in:

A

respiratory failure.

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10
Q

For​ single-rescuer BVM​ ventilation, begin​ by:

A

positioning yourself at the​ patient’s head and opening the airway.

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11
Q

Which of the following is necessary to deliver oxygen to patients at a safe​ pressure?

A

Regulator

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12
Q

Your patient is a motorcyclist who was ejected after striking a guard rail. The patient is unresponsive to painful stimuli and is breathing shallowly six to eight times per minute. Which of the following should you do​ first?

A

Use a​ bag-valve mask with supplemental oxygen.

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13
Q

To inflate the reservoir bag of a nonrebreather​ mask, use your finger to cover​ the:

A

exhaust port.

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14
Q

A permanent surgical opening in the neck through which the patient breathes is​ a:

A

stoma.

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15
Q

Your patient is a​ 65-year-old male with a history of COPD. He is sitting up and complaining of a severe shortness of breath. You​ should:

A

apply a nonrebreather mask giving 15 lpm of oxygen.

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16
Q

What signs and symptoms would indicate inadequate breathing in a​ patient?

A

Increased effort to​ breathe, cyanosis, clammy​ skin, altered mental status

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17
Q

If an oxygen humidifier is going to be used in the ambulance for a long​ trip, the EMT​ should:

A

use fresh water in a clean reservoir.

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18
Q

For life to be​ maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen levels are low is​ called:

A

hypoxia.

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19
Q

When there are two rescuers dedicated to the​ airway, the most appropriate device to use on a nonbreathing patient would​ be:

A

a​ bag-valve-mask device.

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20
Q

The safe residual for an oxygen cylinder is​ ________ psi.

A

200

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21
Q

Which of the following devices should be used by two rescuers whenever​ possible?

A

BVM

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22
Q

By using airway adjuncts while ventilating a patient and using proper​ head-positioning and​ airway-opening techniques, you may​ avoid:

A

gastric distension

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22
Q

A​ ________ is not typically used in the prehospital setting for oxygen administration.

A

partial rebreather mask

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23
Q

The paramedic is intubating a patient and asks you to assist by gently pressing your thumb and index finger to either side of the throat just over the​ patient’s Adam’s apple. As you​ press, you gently direct the throat upward and to the​ patient’s right. What is the purpose of this​ maneuver?

A

It pushes the​ patient’s vocal cords into the​ paramedic’s view.

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24
Q

While ventilating an intubated patient with a​ bag-valve-mask-unit, you notice increased resistance to the ventilations. This may indicate​ that:

A

air is escaping through a hole in the lung and filling the pleural space.

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24
Q

What two measurements are multiplied to calculate the minute​ volume?

A

Tidal volume and respiratory rate

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25
Q

To which of the following patients should you NOT administer supplemental​ oxygen?

A

A patient with adequate breathing and a pulse ox of​ 96%

26
Q

Which of the following complications related to​ bag-valve-mask ventilation is most​ likely?

A

Hyperventilation

27
Q

A​ 16-year-old patient presents with labored breathing and increased respiratory​ rate, increased heart​ rate, and leaning forward with his hands on his knees. His skin is a normal color and his pulse oximetry is 96. This patient is suffering from​ respiratory:

A

distress

28
Q

What is the purpose of a pressure regulator on an oxygen​ tank?

A

It provides a safe working pressure for oxygen administration

29
Q

You have been asked to hyperoxygenate a patient before a paramedic inserts an endotracheal tube. What should you​ do?

A

Ventilate at a normal rate using a​ bag-valve-mask device

30
Q

If there were damage to the​ patient’s alveoli, you would expect the patient to​ experience:

A

difficulty in breathing.

31
Q

What are the signs of​ hypoxia?

A

Cyanosis​ (blue or gray​ skin) and deterioration of the​ patient’s mental status

32
Q

If a patient needs to be ventilated for a long period of time with a constant rate and​ volume, the EMT should consider​ using:

A

an automatic transport ventilator.

33
Q

While administering​ single-rescuer CPR, what device is preferable to deliver supplemental​ oxygen?

A

Pocket face mask

34
Q

During an endotracheal​ intubation, you may be asked to provide manual​ in-line stabilization. When might this be​ necessary?

A

If the patient has a suspected cervical spine injury

35
Q

You are ventilating a patient at the proper rate with a manually triggered ventilator. Why is it important to watch the​ patient’s chest​ closely?

A

Because chest rise and fall indicates the adequacy of ventilations

36
Q

In what structures does the​ oxygen/carbon dioxide exchange take place before the carbon dioxide is exhaled into the​ environment?

A

Alveoli

37
Q

When ventilating a​ patient, an EMT​ must:

A

carefully monitor the rate of ventilations.

38
Q

Which of the following patients is at risk for failure of the cardiopulmonary​ system?

A

A patient who was shot in the chest

39
Q

What is the device that is designed to be placed over a stoma or tracheostomy tube to provide supplemental​ oxygen?

A

Tracheostomy mask

40
Q

How should you position the head of a patient with a stoma during BVM​ ventilation?

A

Leave the head in a neutral position.

41
Q

Vomitus from gastric distension during artificial​ ventilation:

A

indicates an improperly protected airway.

42
Q

You are ventilating your apneic patient without difficulty. Family members tell you that the patient has dentures. You​ should:

A

leave them in place if they are still seated properly.

43
Q

Around oxygen equipment in​ use, smoking:

A

is never allowed.

44
Q

Which of the following colors identifies an oxygen​ cylinder?

A

green

45
Q

Venturi masks are designed to mix oxygen​ with:

A

inhaled air.

46
Q

A​ 21-year-old patient presents with labored breathing and audible​ wheezes, heart rate of​ 124, respiration​ 36; he has significantly altered mentation. What is the treatment for this​ patient?

A

Ventilate with a​ bag-valve mask with high oxygen or FROPVD.

47
Q

Which of the following is the best device to deliver​ high-concentration oxygen to a breathing​ patient?

A

Nonrebreather mask

48
Q

The process of air moving in and out of the chest is​ called:

A

ventilation.

49
Q

Why does a patient involved in an auto crash who has major internal abdominal bleeding require oxygen to maintain internal​ respiration?

A

A lack of circulating volume decreases the oxygen and carbon dioxide transport capability of the blood.

50
Q

Your patient is apneic and has a stoma. How should you ventilate this​ patient?

A

Place a pediatric mask on the adult​ BVM, place the mask over the​ stoma, and ventilate.

51
Q

Which of the following can cause respiratory​ depression?

A

End-stage COPD changes the stimulus to breathe from high carbon dioxide levels to low oxygen​ levels, causing breathing to become depressed when oxygen is administered.

52
Q

You are ventilating a patient manually. Which of the following changes is a negative side effect of positive pressure​ ventilation?

A

A decrease in the blood pressure

53
Q

Which of the following patients is at risk for​ hypoxia?

A

A patient who has emphysema

54
Q

When assessing a​ patient’s breathing, what is your first​ question?

A

Is he​ breathing?

55
Q

Why is inhalation described as an active​ process?

A

It requires chest muscles to contract and use energy to​ move, creating a negative pressure.

56
Q

You are transporting a​ 44-year-old female with chest pain and sudden respiratory distress. She is​ agitated, anxious, and refuses to have a nonrebreather mask applied. Which of the following is the best​ option?

A

Use a nasal cannula instead.

57
Q

A nonrebreather mask at 12 to 15 liters per minute will generally provide the patient what percentage of​ oxygen?

A

​80-90

58
Q

Indications that an adult patient is being adequately ventilated​ include:

A

visible chest rise.

59
Q

How can a​ faster-than-normal breathing rate decrease tidal​ volume?

A

By limiting the amount of time the lungs have to fill

60
Q

What is necessary for oxygen to diffuse from the alveoli to the​ bloodstream?

A

Perfusion

61
Q

What is the active part of​ breathing?

A

Inhalation

62
Q

The patient whose breathing is adequate will​ have:

A

breath sounds that are clear and equal bilaterally.

63
Q

The normal urge to breathe is stimulated by chemoreceptors that measure changing levels of what two​ gases?

A

Carbon dioxide and oxygen

64
Q

What is the percentage of oxygen provided by connecting a high flow of oxygen to the oxygen inlet found on a pocket​ mask?

A

50%

65
Q

Before applying a nonrebreather​ mask, the EMT should take what​ action?

A

Inflate the reservoir bag and make sure the bag does not deflate during inspiration.

66
Q

In patients progressing from respiratory distress to respiratory failure and ultimately to respiratory​ arrest, what is the most common underlying​ cause?

A

Unresolved hypoxia