QUESTIONS AND CORRECT VERIFIED ANSWERS BEST
FOR PRACTICE| EMD 197| FINAL| GRADED A+|
GUARANTEED SATISFACTION
A confused 60-year-old female is having an asthma attack. She is unable to sit
upright and keeps leaning to the side. Her chest is silent on auscultation. She is
tachypneic and tachycardic. You should: - ANSWER-Assist her ventilation.
A 47-year-old male complains of a sore throat and drooling. He tells you that it is
too painful to swallow. He has a history of cancer and is receiving chemotherapy.
You auscultate stridor in his upper airway. When transporting him to the hospital,
you should: - ANSWER-Place him in his position of comfort.
A 34-year-old female who is in her third trimester, complains of a sudden onset of
feeling light-headed and short of breath. She tells you she has had pain in her left
leg for two days. You observe 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 should: - ANSWER-Administer oxygen.
A 73-year-old female complains about night sweats and a recent unexplained
weight loss. She denies any past medical problems, other than recently coughing
up a little blood. Her vitals are P 92, R 18, BP 140/68, and SpO2 is 93% on room
air. After donning the proper PPE, you should: - ANSWER-Administer oxygen by
nasal cannula and place a surgical mask over her mouth and nose.
A 65-year-old male who has a history of congestive heart failure is slumped in a
chair not responding to you. His wife tells you that his difficulty breathing started
an hour ago and has been getting worse. He is tachypneic, and you auscultate rales
in all fields. You should first: - ANSWER-Assist his ventilation.
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,Patients who have chronic bronchitis may have which of the following? -
ANSWER-Persistent productive cough, thickening of walls of bronchioles,
excessive mucus production.
A 70-year-old male has difficulty breathing. When assessing him, which of the
following should influence your decision to assist his ventilation with a BVM? -
ANSWER-A decrease in his mental status.
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 88% on
room air. After five minutes of assisted ventilation, her vital signs are P 96, R 18
assisted with slight chest rise, BP 108/80, and SpO2 is 95% on oxygen 15 L/minute
by BVM. You should: - ANSWER-Decrease your ventilation rate.
An 86-year-old female who has a history of emphysema complains of chest pain.
Her initial SpO2 was 92% on home oxygen by nasal cannula, 3 L/minute. You
administered oxygen by non-rebreather, 12 L/minute. Her SpO2 is now 100%, and
her chest pain is resolved after aspirin and nitroglycerin administration. You should
next: - ANSWER-Switch to a simple face mask.
Which of the following prevents the over-inflation of the lungs during normal
respiration? - ANSWER-Stretch receptors.
Which of the following sounds indicates an upper airway obstruction in a child
who is in respiratory distress? - ANSWER-Stridor.
A 16-year-old female complains of a runny nose and a low-grade fever. She has a
burst of rapid coughing with an inspiratory whooping sound. While she is
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,coughing her skin becomes cyanotic. After she stops coughing her skin color
returns to normal. You should suspect: - ANSWER-Pertussis.
What causes the prolonged expiratory phase of the respiratory cycle in a patient
who is having an asthma attack? - ANSWER-Bronchiole constriction.
A 64-year-old male is having an asthma attack. Which class of medication can help
improve his alveolar ventilation? - ANSWER-Beta2 Agonist.
Which of the following respiratory conditions in children over 2 years old has
similar lung sounds to an infant who has
bronchiolitis? - ANSWER-Asthma
A 47-year-old male complains of difficulty breathing, and he cannot stop coughing.
His conjunctivae are pale and moist. He has a 40 pack-year smoking history. You
should first: - ANSWER-Administer oxygen.
A 77-year-old female complains of difficulty breathing. She tells you she has had a
productive cough for several years. You auscultate coarse rhonchi in the bases of
her lungs. You observe her mucous membranes are cyanotic. Her vital signs are P
96, R 26 and labored, BP 148/92, and SpO2 is 88% on home oxygen 3 L/minute by
nasal cannula. You should: - ANSWER-Administer oxygen by non-rebreather
mask.
A febrile 69-year-old male complains of body aches and decreased appetite. He
tells you he has had the flu for a week. His skin is cyanotic and diaphoretic. You
auscultate rhonchi and decreased lung sounds over his left lower lung. His vital
signs are P 102, R 26, BP 116/90, and SpO2 is 91% on room air. You should
suspect: - ANSWER-Pneumonia.
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, Why can pulmonary embolisms cause a V/Q mismatch? - ANSWER-They block
pulmonary arterial blood flow.
Why would a 46-year-old male who inhaled steam from a malfunctioning boiler
have stridor in his upper airway and wheezes in his lower airway? - ANSWER-
Steam can burn both upper and lower airways causing edema.
An unresponsive 88-year-old male was found by nursing home staff having
difficulty breathing. His skin is pale and febrile. You auscultate diminished lung
sounds throughout his chest and faint rhonchi in his upper chest. His vital signs are
P 104, R 26 and shallow, BP 112/86, and SpO2 is 89 % on room air. You should: -
ANSWER-Assist his ventilation.
A 70-year-old male who has a history of emphysema complains of difficulty
breathing. He has four-word dyspnea, and you auscultate a slight wheeze in his
lower lung fields. His vital signs are P 102, R 22, and BP 152/88. His SpO2 is 92%
on home oxygen 2 L/minute by nasal cannula attached to 100 feet of extension
tubing. You should: - ANSWER-Increase his home oxygen flow rate to 4 L/minute.
A 25-year-old female complains of difficulty breathing. She tells you she took her
inhaler without relief. Her mucous membranes are pale. You auscultate 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 air. You should: - ANSWER-
Administer oxygen by non-rebreather mask.
Which process allows gas exchange between the alveoli and capillaries? -
ANSWER-Simple diffusion
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