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Exam (elaborations)

AIRWAY, RESPIRATION

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Exam of 23 pages for the course NMRET at NMRET (AIRWAY, RESPIRATION)

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NREMT : AIRWAY, RESPIRATION, AND VENTILATION
VALUATION TEST WITH ALL ANSWERS CORRECT




1. A 29-year-old female complains of difficulty breathing and numbness in
her lips. She tells you that she has a lot of stress and cannot take it anymore
Her vital signs are P 104, R 28 and deep, BP
118/88, and SpO2 100% on roo You should
suspec:ti:ncreased alveolar ventilation.
2. An unresponsive 6-year-old male is taking shallow, irregular
respirations once every 15 seconds. He has a weak carotid pulse. His mother
tells you that he was playing alone in his room and was fine 30 minutes ago.
You should suspect:: respiratory arrest.
3. A 76-year-old male complains of a severe headache that feels like a band
around his head. He tells you he has been cooking with his grill in the garage
because it is raining. His vital signs are P 88, R 14, BP 142/68, and
SpO2 99% on room air. You should administe:ro: xygen by
non-rebreather mask.
4. A 16-year-old female complains of a runny nose and a low-grade fever.
S has a burst of rapid coughing with an inspiratory whooping sound. While
she is coughing her skin becomes cyanotic. After she stops coughing her
skin color returns to normal. You should suspec:tp:
ertussis.
5. You are assisting the ventilation of a
57-year-old female who is in respiratory failure. Her initial vital signs were P
102, R32, BP 142/84, and SpO2 was
on room air. After five minutes of assisted ventilation, her vital signs are P
R 18 assisted with slight chest rise, BP 108/80, and SpO2 is 95% on ox
15 L/minute by BVM. You sho:udlde:crease your ventilation rate.
6. A 55-year-old male complains of difficulty breathing and a cold for a
week. His skin is diaphoretic. His temperature is 102 degrees F. He has a
nonproduc- tive cough. You auscultate rhonchi over his left axilla in the fifth
intercostal space. His vital signs are P 104, P 22, BP


, NREMT : AIRWAY, RESPIRATION, AND VENTILATION
VALUATION TEST WITH ALL ANSWERS CORRECT
128/88, and SpO2 is 89% on ro You should first
administe:ro: xygen by non-rebreather mask.
7. A 16-year-old female states, "Help me...I have...asthma
and...I...can'tbreathe!" She tells you she used her inhaler once without relief.
You auscultate wheezes in all fields. Her vital signs are P 100, R 26 and d
BP 108/68, and SpO2 is 90% on room air. After administering oxygen, y
should nex:ta: ssist with the administration of her inhaler.
8. When assessing lung sounds in an adult who is sitting upright, where
should you place your stethoscope to auscultate alveolar ventilation:?
Sixth intercostal space,
midscapular line
9. A 25-year-old female complains of difficulty breathing. She tells you she
took her inhaler without relief. Her mucous membranes are pale. You
auscul- tate decreased lung sounds in the bases and wheezes in her upper
lungs.
Her vital signs are P 86, R 24, BP 130/72, and SpO2 is 89% on room a
should:: administer oxygen by non-rebreather mask.






, NREMT : AIRWAY, RESPIRATION, AND VENTILATION
VALUATION TEST WITH ALL ANSWERS CORRECT
10.Which of the following prevents the over-inflation of the lungs
during normal respiration:?Stretch receptors
11.A 67-year-old male tells you he has had an upper respiratory infection
for two weeks. Today he started to have an episode of uncontrolled coughing
While he is speaking with you, he has a coughing burst of 15-20 episodes
an inspiratory whooping sound. His SpO2 while coughing is 92% on room a
After he stops coughing his vital signs are P 92, R 18, BP 142/90, and S
94% on room air. After donning an N-95 mask, you sho:ualdd:minister
oxygen by nasal cannula and place a surgical mask over his mouth and
nose.
12.A 10-year-old female complains of difficulty breathing after mixing
bleach with another cleaner. Her skin and clothing are dry. You smell a strong
odor, and your eyes begin to water. What route of exposure should you
suspect is causing her
dyspnea:?Inhalation
13.An 86-year-old male tells you that after a coughing episode, he had a
sudden onset of right-sided chest pain and difficulty breathing. He has a
history of emphysema. He describes a pleuritic-type chest pain that stops
him from taking a deep breath. You auscultate decreased breath sounds over
his right apex. His vital signs are P 76, R 20, BP
130/78, and SpO2 is 92% o air. You shoul:da: dminist
oxygen.
14.Which of the following describes how albuterol helps a patient who
is having an asthma attack:?It relaxes the smooth muscles of the
bronchioles.
15. A 34-year-old female who is in her third trimester, complains
of a sudde onset of feeling light-headed and short of
breath. She tells you she has had pain in her left leg for two days. You observ
it is swollen and tender to palpation. She tells you she has been on bed rest
for the last month for a
high-risk pregnancy. Her lungs are clear to auscultation. Her vital signs
are P 96, R 20, BP 116/74, and SpO2 is 96% on room air. You:
adsmhionuisltde:r oxygen.
16.Coworkers call 9-1-1 for a 22-year-old male who was having an asthm
tack. The patient tells you that he took his albuterol inhaler prior to your
arrival and feels better. You auscultate clear lung sounds. His vital signs are
92, R 18, BP 130/82, and SpO2 is 93% on room
air. You should admin: iosxtyegre: n
by nasal cannula.

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