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CCSD Res 115 Week 3

Airway Mgt Week 3 Quiz Review

QuestionAnswer
When coming upon an accident victim outside the hospital setting who appears unconscious, what should a practitioner immediately do? Look for any obvious head or neck injuries.
You enter a man’s room and find him collapsed on the floor in a prone position. He is totally unresponsive, and there is no breathing. To properly institute procedures to secure his airway, what must you do first? Employ the log-roll technique to obtain a proper position.
What is the most common cause of airway obstruction in unconscious patients? A) Foreign body lodged in the upper airway B) Oral or nasal secretions blocking the pharynx C) Tongue falling back into the pharynx D) Severe spasm of the laryngeal muscula C) Tongue falling back into the pharynx
A patient with suspected spinal trauma is admitted to the emergency department and subsequently goes into respiratory arrest. Which of the following would be the appropriate action to initially secure an open airway in this patient? Apply the jaw thrust maneuver.
Should the initial attempt to ventilate fail, which of the following actions would you suggest? Reposition the victim’s head and repeat the effort.
What is the primary indication for tracheal suctioning? A) Presence of pneumonia B) Presence of atelectasis C) Ineffective coughing D) Retention of secretions D) Retention of secretions
What is the most common complication of suctioning? A) Hypoxemia B) Hypotension C) Arrhythmias D) Infection A) Hypoxemia
Complications of tracheal suctioning include all of the following except: A) bronchospasm. B) hyperinflation. C) mucosal trauma. D) elevated intracranial pressure. B) hyperinflation.
How often should patients be suctioned? A) At least once every 2 to 3 hours. B) Whenever they are moved or ambulated. C) When secretions are seen or heard in airways. D) Whenever the charge nurse requests it. C) When secretions are seen or heard in airways.
What is the normal range of negative pressure to use when suctioning an adult patient? A) –100 to –120 mm Hg B) –80 to –100 mm Hg C) –60 to –80 mm Hg D) –20 to –30 mm Hg A) –100 to –120 mm Hg
You are about to suction a 10-year-old patient who has a 6-mm (internal diameter) endotracheal tube in place. What is the maximum size of catheter that you would use in this case? A) 6 Fr B) 8 Fr C) 10 Fr D) 14 Fr C) 10 Fr
You are about to suction a female patient who has an 8-mm (internal diameter) endotracheal tube in place. What is the maximum size of catheter you would use in this case? A) 10 Fr B) 12 Fr C) 14 Fr D) 16 Fr C) 14 Fr
To prevent hypoxemia when suctioning a patient, the respiratory care practitioner should initially do which of the following? Preoxygenate the patient with 100% oxygen.
To maintain positive end-expiratory pressure (PEEP) and high FIO2 when suctioning a mechanically ventilated patient, what would you recommend? Use a closed-system multiuse suction catheter.
Which of the following methods can help to reduce the likelihood of atelectasis due to tracheal suctioning? I. Limit the amount of negative pressure used. II. Hyperinflate the patient before and after the procedure. III. Suction for as short a period of time as possible.
Before the suctioning of a patient, auscultation reveals coarse breath sounds during both inspiration and expiration. After suctioning, the coarseness disappears, but expiratory wheezing is heard over both lung fields. What is most likely the problem? The patient has hyperactive airways and has developed bronchospasm.
What general condition requires airway management? I. Airway compromise II. Respiratory failure III. Need to protect the airway
Which of the following autonomic or protective neural responses represent potential hazards of emergency airway management? I. Hypotension II. Bradycardia III. Cardiac arrhythmias IV. Laryngospasm
What is the standard size for endotracheal or tracheostomy tube adapters? A) 22 mm external diameter B) 15 mm external diameter C) 15 mm internal diameter D) 22 mm internal diameter B) 15 mm external diameter
What is the purpose of the additional side port (Murphy eye) on most modern endotracheal tubes? D) Ensure gas flow if the main port is blocked. Ensure gas flow if the main port is blocked.
What is the primary purpose of a cuff on an artificial tracheal airway? Seal off and protect the lower airway.
Which of the following features incorporated into most modern endotracheal tubes assist in verifying proper tube placement? I. Length markings on the curved body of the tube. II. Imbedded radiopaque indicator near the tube tip.
What is the purpose of a tracheostomy tube obturator? Minimize trauma to the tracheal mucosal during insertion.
What size endotracheal tube would you select to intubate an adult female? A) 6 mm B) 7 mm C) 8 mm D) 9 mm C) 8 mm
What is the purpose of an endotracheal tube stylet? A) Helps ascertain proper tube position. B) Adds rigidity and shape to ease insertion. C) Minimizes mucosal trauma during insertion. D) Protects the airway against aspiration. B) Adds rigidity and shape to ease insertion.
What should be the maximum time devoted to any intubation attempt? A) 30 seconds B) 60 seconds C) 90 seconds D) 2 minutes A) 30 seconds
Ideally, the distal tip of a properly positioned endotracheal tube (in an adult man) should be positioned about how far above the carina? A) 1 to 3 cm B) 4 to 5 cm C) 7 to 9 cm D) 4 to 6 inches B) 4 to 5 cm
After an intubation attempt, an expired capnogram indicates a CO2 level near zero. What does this finding probably indicate? B) Placement of the endotracheal tube in the esophagus.
To provide local anesthesia and vasoconstriction during nasal intubation, what would you recommend? Nasal spray of 0.25% racemic epinephrine/2% lidocaine
What is the primary indication for tracheostomy? B) When a patient has a long-term need for an artificial airway.
Which of the following factors should be considered when deciding to change from an endotracheal tube to a tracheostomy tube? I. Patient’s tolerance of the endotracheal tube. II. Relative risks of continued intubation versus tracheostomy III. Patient’s severity of illness and overall condition. IV. Length of time that the patient will need an artificial airway. V. Patient’s
Created by: mahalynn