NURS 5355 Final Exam Questions And Answers

NURS 5355 Final Exam Questions And
Answers



determine difficult intubation with? - (correct answer) -LEMONS
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size of tongue to oral cavity? - (correct answer) -Mallampati Classification Score
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absolute CI in endotracheal intubation? - (correct answer) -total upper airway obstruction or loss of
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oropharyngeal landmarks from trauma or burns
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pressure on cricoid cartilage to compress esophagus to prevent regurg during intubation? - (correct
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answer) -Sellick's Maneuver
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insert blade with ? hand on ? of the mouth? - (correct answer) -left hand & on right side of the
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mouth to displace tongue to the left
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aligns the oral, pharyngeal, and laryngeal axes? - (correct answer) -sniffing position for intubation
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goal of preoxygenation? - (correct answer) -maximize arterial PaO2 & denitrogenation of functional
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residual capacity
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maximizes time for intubation w/o O2 desaturation (7-9 min in healthy adult)
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Room Air is? - (correct answer) -primarily 21% oxygen and 78% nitrogen
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rapid onset and short duration paralytic? - (correct answer) -Succinylcholine: 30-45 sec; 5-10 mins
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Increases K levels gk gk

, rescue breaths during CPR? - (correct answer) -less important; interrupts chest compressions and
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increases intrathoracic pressure
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see base of the uvula? - (correct answer) -Class III Mallampati
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soft palate not visible? - (correct answer) -Class IV Mallampati
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difficult BVM ventilation? - (correct answer) -MOANS
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oxygenation versus ventilation? - (correct answer) -O2 to blood and tissues versus air in and out of
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the lungs
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precludes apneic patient requiring crash airway? - (correct answer) -RSI
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steps to RSI? - (correct answer) -prepare, assess (LEMONS) & preoxygenate (MOANS), medications
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Crash intubation? - (correct answer) -no RSI in unconscious or apneic patient due to cardiac arrest
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occurs with inspiratory effort- inspiratory stridor? - (correct answer) -Laryngospasm- forced glottic
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closure but with inspiration
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induce amnesia, reduces autonomic reflex activity, no analgesia? - (correct answer) -Sedatives
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Mimics Acetylcholine? (depolarizing) - (correct answer) -Succinylcholine- allows sodium to rush in and
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potassium out
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reversal for Roc & Vec (non-depolarizing)? - (correct answer) -Neostigmine (anticholinesterase)
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ETT ? into trachea and ? above carina? - (correct answer) -2.5cm into trachea, below clavicle, and 3-5
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cm above carina (T5)
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