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NURS 5355 Final Exam Questions With
Verified Answers
Determine difficult intubation with? - Answers✔LEMONS
size of tongue to oral cavity? - Answers✔Mallampati Classification Score
absolute CI in endotracheal intubation? - Answers✔total upper airway obstruction or loss of
oropharyngeal landmarks from trauma or burns
pressure on cricoid cartilage to compress esophagus to prevent regurg during intubation? -
Answers✔Sellick's Maneuver
insert blade with ? hand on ? of the mouth? - Answers✔left hand & on right side of the mouth to
displace tongue to the left
aligns the oral, pharyngeal, and laryngeal axes? - Answers✔sniffing position for intubation
goal of preoxygenation? - Answers✔maximize arterial PaO2 & denitrogenation of functional
residual capacity
maximizes time for intubation w/o O2 desaturation (7-9 min in healthy adult)
Room Air is? - Answers✔primarily 21% oxygen and 78% nitrogen
rapid onset and short duration paralytic? - Answers✔Succinylcholine: 30-45 sec; 5-10 mins
Increases K levels
rescue breaths during CPR? - Answers✔less important; interrupts chest compressions and
increases intrathoracic pressure
see base of the uvula? - Answers✔Class III Mallampati
soft palate not visible? - Answers✔Class IV Mallampati
difficult BVM ventilation? - Answers✔MOANS
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oxygenation versus ventilation? - Answers✔O2 to blood and tissues versus air in and out of the
lungs
precludes apneic patient requiring crash airway? - Answers✔RSI
steps to RSI? - Answers✔prepare, assess (LEMONS) & preoxygenate (MOANS), medications
Crash intubation? - Answers✔no RSI in unconscious or apneic patient due to cardiac arrest
occurs with inspiratory effort- inspiratory stridor? - Answers✔Laryngospasm- forced glottic
closure but with inspiration
induce amnesia, reduces autonomic reflex activity, no analgesia? - Answers✔Sedatives
Mimics Acetylcholine? (depolarizing) - Answers✔Succinylcholine- allows sodium to rush in and
potassium out
reversal for Roc & Vec (non-depolarizing)? - Answers✔Neostigmine (anticholinesterase)
ETT ? into trachea and ? above carina? - Answers✔2.5cm into trachea, below clavicle, and 3-5
cm above carina (T5)
aseptic technique? - Answers✔reduce/prevention of flora and re-growth
LP in the emergency department? - Answers✔diagnose or exclude meningitis & suspected SAH
sensitivity of CT in SAH decreases after? - Answers✔24 hours following event
mark? in LP procedure- parallel to iliac crests? - Answers✔L3-4 or L4-5
needle insertion during LP? - Answers✔pop = entrance into dura mater
target for LP to collect CSF? - Answers✔SAH below end of the spinal cord (lumbar cistern)
LP should be done prior to abx but shouldn't delay abx therapy in? - Answers✔Bacterial
meningitis
decreasing # of RBCs in subsequent tubes and normal CSF? - Answers✔traumatic tap
xanthochromia and elevated CSF pressure > 14mmHg? - Answers✔SAH
CSF glucose in bacterial infection? - Answers✔20-50mg- half of blood glucose level
signature? - Answers✔RN, AG ACNP-S
consistent features in procedural documentation? - Answers✔indication, time out, consent, and
anesthesia
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