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LESSON 2: RESPIRATORY EMERGENCIES QUESTIONS WITH CORRECT AND VERIFIED ANSWERS
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Respiratory compromise manifests along a continuum. When a patient is breathing but the respiratory system is unable to meet metabolic demands, the patient is in: - correct answers Respiratory failure While you are in the hospital cafeteria, a person begins choking. The person looks panicked and frightened. You go over to help and note that the person is not able to breathe, speak or cough. You call for additional resources and obtain consent. Which action would you do next? - correct answers Perform back blows. An adult patient becomes unresponsive while you are attempting to clear their obstructed airway. After providing 30 compressions, you open the patient's mouth and look for an object. If you do not see the object, which action should you attempt next? - correct answers 2 ventilations If not addressed, respiratory arrest leads to: - correct answers Cardiac arrest Changes in which of the following can affect the rate and depth of breathing? - correct answers Arterial carbon dioxide levels Arterial oxygen levels Arterial pH
What ETCO2 value would you expect to see in the presence of hypoventilation? - correct answers 50 mmHg Which non-respiratory differential diagnoses would you consider when assessing a patient with respiratory compromise? - correct answers Cardiogenic pulmonary edema Acute valvular insufficiency Cardiac tamponade On rapid assessment, you note that your patient has increased work of breathing, as evidenced by tripod positioning, an inability to speak more than one or two words at a time and diaphoresis. What assessments should you obtain as part of your primary assessment? - correct answers Pulse oximetry Airway patency Vital signs What is the capnography waveform a graphical representation of? - correct answers The movement of carbon dioxide through the respiratory system
Nina Park is a 60-year-old executive assistant with a history of chronic bronchitis who was admitted to the hospital for treatment of an acute exacerbation of COPD and ongoing shortness of breath. She is receiving a small-volume nebulizer treatment from the respiratory therapist when she begins to cough forcefully. What interventions would be appropriate at this time? - correct answers What interventions would be appropriate at this time? - correct answers Administer supplemental oxygen. Prepare to suction. What primary assessment data should the team gather at this time? - correct answers
Initial assessment findings are as follows: Respirations: 24 breaths/min, labored Lung sounds: coarse crackles (rhonchi), upper lobes Heart rate: 106 bpm Blood pressure: 150/88 mmHg Oxygen saturation (SpO2): 88% End-tidal carbon dioxide (ETCO2): 62 mmHg Based on these assessment findings, how would you describe Mrs. Park's respiratory status at this time? - correct answers Respiratory failure What interventions are appropriate at this time? - correct answers Administer bilevel positive airway pressure (BiPAP). What should the team do next? - correct answers Check for responsiveness, breathing and a pulse. What actions are appropriate at this time? - correct answers Support ventilations with a bag-valve-mask (BVM) resuscitator.
Ventilation to reduce ETCO2 to 35 to 40 mmHg