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You are assessing an elderly man with respiratory distress. He is coughing
up bloody sputum and has an oxygen saturation of 85%. You auscultate his
breath sounds and hear coarse crackles in all lung fields. This patient
MOST likely has:
A) congestive heart failure.
B) acute-onset emphysema.
C) decompensated asthma.
D) severe bacterial pneumonia. - ✔✔A) this is indicative of left sided heart
failure which leads to a pooling of blood in the lungs, B is a chronic
condition, C will show diminished lung sounds, and D will show lung
sounds typically localized
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,tidal volume - ✔✔amount of air that is breathed into or out of the lungs in
a single breath
eupnea - ✔✔normal, good, unlabored breathing
minute alveolar volume - ✔✔volume of air that reaches alveoli per minute
A young female experienced massive facial trauma and is unresponsive.
After several attempts, you are unable to adequately open her airway with
the jaw-thrust maneuver. You should:
A) carefully tilt her head back and lift up on her chin.
B) insert a nasopharyngeal airway and apply oxygen.
C) apply oxygen and reattempt the jaw-thrust maneuver.
D) assist her ventilations with a bag-valve-mask device. - ✔✔A) while jaw
thrust is preferred since it minimizes movement of the spine, the head tilt
chin lift is the next best option, avoid NPA with head or face trauma b/c it
may punch through damaged skull into the cranium
You are assessing a 66-year-old man who has emphysema and complains
of worsened shortness of breath. He is confused, has a heart rate of 120
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, beats/min, and has an oxygen saturation of 83%. Which of the following
assessment findings should concern you the MOST?
A) Confusion
B) Tachycardia
C) Low oxygen saturation
D) Worsened shortness of breath - ✔✔A) a sign of possible severe hypoxia
in the brain
contraindicated - ✔✔suggest or indicate that a treatment/technique should
not be used due to the current circumstances
Which of the following devices is contraindicated in patients with blunt
thoracic trauma?
A) Oral airway
B) Nasal airway
C) Bag-valve-mask device
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Katelyn Whitman, All Rights Reserved © 2025