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Which of the following assessment findings should cause you to suspect a history

ID: 92186 • Letter: W

Question

Which of the following assessment findings should cause you to suspect a history of COPD?

Eupneic respirations

Hemophysis

Barrel shaped ches

Chronic swelling

A thin 75 year old male complains of difficulty breathing. He states he has smoked “3 packs of cigarettes a day for 30 years.” He has bilateral wheezes

Lung cancer

Chronic bronchitis

Emphysema

Asthma

A 16 asthmatic female is in tripod position complains of increased shortness of breath. SPO2 is 79%. You should administer oxygen at

4 lmp via venture mask

10 lmp via non-rebreather mask

6lmp via nasal cannula

2 lpm via nasal cannula

During a long transport you are administering oxygen.

Consider using humidified oxygen

Utilize the blow by delivery method

Place a nasal cannula on the patient

Turn down the oxygen flow rate

A 45 year old female is complaining of breathing difficult. Her lung sounds are clear but she is becoming cyanotic on the lips

Assist respiration with artificial ventilation only

Provide oxygen by nasal cannula at 4 lmp

Assist respiration with artificial ventilation and supplemental oxygen

Deliver oxygen via nonrebreather mask at 15 lmp

Prescribed inhalers are helpful for patients with an obstructive pulmonary disease because they

Slow the heart rate

Stimulate beta 2 receptors

Constrict bronchial tubes

Reduce pain

Which of the following is a symptom?

Cyanosis

Shortness of breath

Oxygen saturation

Respiratory rate

A 14 year old female is short of breath. She has a history of cystic fibrosis. Lung sounds reveal course rhonchi. What is most likely the cause of her condition

Blebs on the lung tissue

Aspiration

Bronchoconstriction

Mucous secretions

A properly size oropharyngeal airway should measure from the patient’s

Corner of the mouth to the tip of the earlobe

Corner of the mouth to the nose

Nose to the tip of the chin

Nose to the tip of the earlobe

An 80-year-old male has return of spontaneous circulation after the AED use. Respirations are 8 and shallow.

Assist ventilation with a bvm

Continue cpr for an additional 2 minutes

Transport in recovery position

Place an advanced airway adjunct

Explanation / Answer

Answer: 1:barrel shaped chest

It occurs because the lungs are chronically over inflated with air,so the rib cage stage stays partially expanded all the time.This makes breathing less efficient and exgravates shortness of breath.

2:Lung cancer

Lung cancer and smoking often goes hand in hand .

Lung cancer symptoms include smoking,wheezing,shortness of breath and bloody mucus.

3.4 lmp via venture mask

4.Place a nasal cannula on the patient.

5.Assist respiration with artificial ventilation and supplemental oxygen.

6. Stimulate beta 2 receptors

They engage the beta 2 adrenergic receptors on smooth muscles of bronchial tissue,relieving bronchospasm and reducing airway resistence.

7.Cyanosis

A bluish discolouration of the skin due to poor circulation or indequate oxygenation of the blood.

8.Mucous secretions .

Cystic fibrosis causes the production of abnormally thick mucus leading to the blokage of pancreatic ducts,intestines,bronchi and often results in repiratory infections.

9.Corner of the mouth to the tip of earlobe.

10.Continue cpr for an additional 2 minutes.

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