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respiratory
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1
The presence of hypoxia in patients with chronic obstructive pulmonary disease is the result of which of the following?
The inability of blood to carry oxygen
The presence of a diminished pulmonary blood flow
Ventilation/perfusion mismatch
inability of the body's tissues to use the oxygen being delivered to them
2
Bilateral crepitation with pinkish frothy sputum indicates?
Long-standing heart failure
Pulmonary edema
pneumonia
Pulmonary emboli
3
Acute respiratory distress syndrome (ARDS) results in which substance accumulating in the lungs?
Fluids
Plaque
Sodium
Calcium
4
A main goal of treatment for patients with chronic obstructive pulmonary disease is to:
Cure the disease and return lung function to normal
Avoid increasing the use of medications
Avoid hospitalizations
Prevent further lung damage
5
Pulse oximetry reading may not be reliable in which of the following scenarios?
Administration of vasoconstrictive medications
Monitoring a patient during a conscious sedation procedure
Monitoring a patient at risk for hypoxia
Evaluating response to an intravenous pain medication
6
child- sudden difficulty in breathing, noisy chest, cyanotic limbs. tachycardic, bp 70/30. After eating almond cake
Ischemic heart disease
Anapylactic shock
Impacted foreign body
Spontaneous Pneumothorax
7
4 month old is into the ED with croup. Which of the following meds will they be given to decrease inflammation?
Albuterol
Antibiotics
Corticosteroids
Ipratropium
8
Primary cause of mortality in the advanced stages of chronic obstructive pulmonary disease is which of the following?
Cardiac-related event
Pneumonia
Blood clot
Pneumothorax
9
which of the following diagnostic procedures are most useful in the diagnosis of pulmonary embolism?
Chest x-ray with 3 views
Helical or spiral CT scan
Arterial blood gas
Ultrasound of the lower extremeties
10
In a tension pneumothorax assessment findings may include which of the following?
Tracheal deviation
Sucking chest wound
Symmetrical chest wall movement
Muffled heart tones
11
Which best describes hypoxemia?
An increase of carbon dioxide in the tissues
A decrease of oxygen in the blood
A decrease of oxygen in the tissues
An increase of carbon dioxide in the blood
12
The most frequent cause of upper airway obstruction in children is?
Pneumonia
Acute larngotracheobronchitis (croup)
Epiglottitis
Foreign body
13
Critically ill patient to ED with exacerbation of COPD is dx. with respiratory acidosis. The priority med should be :
Corticosteroid
Bronchodilators
Diuretic
Antibiotics
14
Which of the following statements regarding inhalation injury in burns is not true?
Hgb has more affinity to combine with oxygen then carbon monoxide
Injury to the respiratory system may prove lethal
Injury is caused by hot and toxic gases
Tracheostomy may be needed
15
If a patient's saturation of hemoglobin by oxygen is less than 85%, what does it indicate?
Adequate tissue oxygenation
Inadequate tissue oxygenation
Impending cardiac arrest
Acute respiratory distress syndrome
16
A pt. with severe acute respiratory distress syndrome will have severe hypoxemia. The best position for the patient is?
On left side with head elevated
High-Fowlers position
Prone positioning
Reverse trendelenburg
17
a 6 year old child comes to the ED with an acute asthma attack. o2 sat is 91%, nursing priority is to?
Prepare for immediate endotracheal intubation
Administer a nebulized albuterol treatment
Administer dexamethasone
Provide supplemental oxygen
18
A charachteristic sign associated with the presence of chronic obstructive pulmonary disease is:
Decreased breath sounds on one side of the chest
Pursed lip breathing
Fever
Pink frothy sputum
19
What assessment finding would best indicate that chest tube insertion is successful in releiving a tension pneumothorax?
Presence of bloody drainage in the chest tube
Decrease in discomfort
Improved ability to deep breath
Improvement in hemodynamics
20
An ABG is drawn on your pt. who is hyperventilating d/t anxiety. What acid base imbalances would you see?
Metabolic acidosis
Respiratory Alkalosis
Respiratory Acidosis
Metabolic alkalosis
