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You have been called to care for a patient who has a history
of asthma and is now having a lot of trouble breathing.
Bronchi spasms
The patient can barely talk to you. Which of the following
explains the diflculty in speaking?
At a private residence, you are evaluating a 2 year-old child
that has a respiratory illness. You know this is the time of
year a lot respiratory viruses to be seen in children. The
mother states the child sounds like the throat is swollen. Swelling can close the airway
The child hasn't wanted to eat or drink today and has a low
grade fever for three days. What is the type of respiratory
illness in children more significant than adults?
You are caring for a patient who has diflculty breathing.
The patient has a history of asthma and emphysema.
The patient states the inhaler is not helping. You watch
The inhaler goes in the mouth and hold your breath after
the patient administer the inhaler, which is then done by
aerosol spray
spraying in front of the nose. You know this is not correct
procedure. Which of the following would you recommend
to the patient?
What is the name of the tissue that covers the outside of
Visceral pleura
the lungs?
You respond to a 68 year-old patient with a flare-up of - Position the patient in high semi-fowlers position
chronic heart failure. The patient is sitting upright in a - apply high-flow oxygen via non rebreather mask
chair, looks anxious, and says that they are having very - obtain a complete set of baseline vitals
short breaths, which got worse overnight. On exam you - perform focused cardiovascular and respiratory assess-
see swelling on both legs, bulging neck veins, and you ment
hear crackling sounds in the lower parts of the lungs. The - monitor the patient continuously for changes in respira-
patients vitals are BP 160/95, HR 110, breathing rate 28, tory status
oxygen level 88% on room air. The patient medications - prepare for immediate transport to an appropriate facil-
include Furosemide, Lisinopril, and Metoprolol. Put the ity
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following assessment and treatment steps in the correct
order.
Where in the respiratory tract does the most O2/CO2
The alveoli
exchange occur?
While ott duty having lunch at a restaurant with your
family, you see an elderly customer coughing and turning
red in the face. You go to the person and ask if they are
Bronchodilator
choking. You can see the person is having more trouble
breathing as the person indicates no and states asthma.
You are aware that this patient would benefit from:
For which of the following patients showing signs of se-
You should initially provide oxygen for any patient in dis-
vere respiratory distress should you limit the amount of
tress
oxygen you provide?
What is the primary benefit of a metered-dose-inhaler? to provide immediate bronchodilation
You are at the scene of an MVC where you are caring for a
patient who most likely broke their neck when thrown from
the vehicle. The patient has no movement or sensation in
the arms or legs. The patient is conscious and alert when
you arrived, but now is starting to be irritable and moving is experiencing some paralysis of the rib muscles
their head while you are trying to stabilize the head and
neck. The patient keeps saying "air, I need air". Because
the patient has no leg or arm movement, it is possible that
the patient is having:
Which of the following is a common lower airway issue in
Bronchiolitis
the pediatric patient?
You are the first on scene to the high school where a
student is having trouble breathing. The student is sit-
Instruct the student to use the inhaler
ting in the bathroom up against a wall. As you approach
the student, you hear audible expiratory wheezing. The
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student's color is poor and is unable to talk. There is an
inhaler of albuterol present that belongs to the student.
Which of the following actions would you take at this time?
A patient has just taken his metered-dose-inhaler. Which
Increased heart rate
of the following side ettects should you expect?
You are called to evaluate a three-year old that has a
respiratory illness. The child is on his hands and knees
in his bed. The mother says he has had a bad cough but
never like this. The cough, which sounds like inspiratory
stridor to you, came on suddenly tonight. You are aware of prepare the patient for transport and give oxygen
the child's position but also he is drooling, not swallowing,
and has circumorbital cyanosis. The mother says the child
has never used an inhaler and has no chronic problems.
Your best action at this time is to?
Which of the following is most likely to cause stridor? narrowing of the upper airway
Which of the following signs would indicate a lower airway
Crackles
respiratory problem?
Which of the following would be the most likely position
you would transport a patient experiencing breathing dis- Fowlers position
tress?
You are called to the scene of a patient in respiratory dis-
tress with snoring respirations. They are now unrespon-
sive to verbal stimuli but do respond to painful stimuli. Insert an NPA (nasopharyngeal airway)
Which of the following is the most appropriate action for
this case?
Whichever the following describes the action of an inhaler
Dilates the bronchioles
such as albuterol:
You arrive on the scene to find an adult complaining of
diflculty breathing. Their breathing rate is 20 times per