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Respiratory Emergencies - Chapter Fifteen
Terms in this set (20)
Your patient has a chronic respiratory condition. His stimulus to breathe is triggered by low oxygen levels in the blood. This is known as the ___.
Which of the following must be assessed in every respiratory patient: lung sounds; orthostatic vital signs; distal pulse, motor, sensation; blood glucose level;
in what area of the lungs does respiration occur?
You are assisting an asthma patient with his prescribed meter-dosed inhaler. After the patient take a deep breath and depresses the inhaler, you should ___.
instruct him to hold his breath for as long as he can comfortably
Which of the following is a genetic disorder that predisposes the patient to repeated lung infections: severe acute respiratory syndrome, multiple sclerosis, celiac sprue, cystic fibrosis.
You are attending yo a 54-year-old female patient in a homeless shelter. The patient tells you that she has had the flu a couple of weeks ago, and she was not gotten over it. She has been tired and keeps waking up at night, sweating. She has been coughing up green sputum occasionally and has been experiencing episodes of chest pain that gets worse when she breathes. Based on this information, your patient is most likely suffering from ___.
Which of the following is most characteristic of adequate breathing: 30 breathes/min with supraclavicular retractions and clammy skin, 20 breaths/min with shallow movement of the chest wall and pallor, 22 breaths/min with an irregular pattern of breathing and cyanosis, 24 breaths/min with bilaterally equally breath sounds and pink skin.
24 breaths/min with bilaterally equal breath sounds and pink skin
In order for efficient pulmonary gas exchange to occur ___.
oxygen and carbon dioxide must be able to freely diffuse across the alveolar-capillary membrane
Treatment with continuous positive airway pressure (CPAP) would most likely be contraindicated in which of the following situations: shortness of breath and a blood pressure of 76/56 mm Hg; difficulty breathing, two-word dyspnea, and tachycardia; pulmonary edema, history of hypertension, and anxiety; conscious and alert patient with an oxygen saturation of 85%.
shortness of breath and a blood pressure of 76/56 mm Hg
When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. This means the patient has ___.
abnormal breath sounds
When auscultating an elderly woman's breath sounds, you hear low-pitched "rattling" sounds at the base of both her lungs. This finding is most consistent with which of the following conditions: aspiration pneumonia, early pulmonary edema, widespread atelectasis, acute asthma attack.
A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped chest, unilateral diminished breath sounds, and tachycardia. What is the mos likely cause of the patient's condition?
His parents tell you that their son has had a chest infection for the past two days and when they took him to their family doctor, they were told it was likely due to respiratory syncytial virus (RSV). They have kept him well hydrated, but the infection seems to have gotten worse. On auscultation, you hear decreased air entry bilaterally with fine expiratory wheezes and the occasional course wet crackle. Based on this information, you patient is most likely suffering from ___.
A pleural effusion is most accurately defined as ___.
fluid accumulating outside the lung
Crackles (rales) are caused by ___.
air passing through fluid
"PASTE" is an alternate assessment tool for ___.
A 30-year-old male presents with acute shortness of breath, widespread hives, and facial swelling. He denies and past medical history and takes no medications. During your assessment, you hear wheezing over all the lung fields. His blood pressure is 90/50 mm Hg and his heart rate is 110 beats/min. In addition to giving him high-flow oxygen, the most important treatment for the patient is ___.
You are attending to a 3-year-old male patient who is presenting with severe shortness of breath. His parents report that he has had a cough with a low grade fever for the past two days. They became worried today, as his level of distress has increased dramatically. On assessment, the patient is sitting upright and making high-pitched noises with each breath. Based on this information, the patient is most likely suffering from ___.
viral infection of the upper respiratory tract
Asthma is caused by a response of the ___.
Which of the following conditions would be least likely to result in hypoxia: narcotic overdose, severe anxiety, pulmonary edema, pleural effusion,
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