Which sequence correctly traces the path that oxygen takes from the atmosphere t

Question

Which sequence correctly traces the path that oxygen takes from the atmosphere to the lungs

Mouth pharynx, trachea, bronchi, alveoli

Larynx, esophagus, trachea, bronchi, alveoli

Nose, bronchi, larynx, trachea, lung

Epiglottis, trachea, cricoid, bronchi, alveoli

A 19-year-old female began chocking after eating a hot dog. When you first arrived on scene , she was coughing and drooling. Now, she is drowsy, slow to respond, and unable to cough

Perform abdominal thrusts

Perform back blows

Coach her to cough again

Perform chest thrusts

A 68-year-old female complains of shortness of breath and fatigue. Symptoms worsen at night when she tries to rest. Lung sounds are diminished in all lobes. Which statement indicates the patient is suffering from CHF rather than pneumonia

“I have had a fever the past several days.”

“I take nebulized treatments to help me breathe.”

I have been coughing up green phlegm

I feel like I’m drowning when I lie down.

Proper technique to suction your patient’s air way includes

Suctioning while gently inserting the catheter

Inserting the suction catheter as deeply as possible

Applying suction continuously until the airway is clear

Oxygenating and ventilating before and after suctioning.

A patient has a history of chronic pulmonary disease. Before assisting him in self-administering his inhaler, you

Have the patient cough forcefully

Check his blood pressure

Spray some medication in the air

Shake the medication vigorously

A 65 year old male is having trouble breathing. He is moderately overweight and has been coughing up yellowish phlegm. He smokes two packs of cigarettes a ay and reports having episodes like this for many years

Whooping cough

Chronic bronchitis

Pulmonary edema

Status ashmaticus

A 64 year old male complains about dyspnea and is coughing up blood tinged sputum. Upon auscultation, you notice crackles bilaterally.

Emphysema exacerbation

Pulmonary edema

Pulmonary embolism

Esophageal varices

What nerve primarily controls respiration

Phrenic

Intercostal

Vagus

Thoracic

Which of he following can be present with a sudden onset of difficult breathing and diminished breath sounds

Pertussis

Emphysema

Pneumothorax

Pneumonia

A semi-conscious 34 year old male begins to gag after insertion of an OPA

Suction his air way

Encourage him to cough

Remove the airway and attempt a nasal airway

Remove the airway and insert a smaller size airway

Explanation / Answer

1) The air from the atmosphere enters through nose or mouth. Entry through nose is preferred as the impurities present in the air gets filtered. Then the air enters pharynx. Pharynx is divided into three parts: nasopharynx, oropharynx and laryngopharynx. Laryngopharynx contains the opening of oesophagus and trachea. Food enters through oesophagus into stomach and air enters into trachea. The tracheal opening is closed by epiglottis which prevents entry of food particles into trachea thereby preventing chocking. Trachea bifurcates into right and left bronchi. Brochi further branch into bronchioles and end up in alveoli. So, the correct sequence of air passage from the options provided here are mouth, pharynx, trachea, bronchi, alveoli.

2) Abdominal thrusts are done in cases of chocking. This is called as Heimlich maneuver.

3) The statement which suggests the patient is suffering from CHF rather than pneumonia is, "I feel like I'm drowning when I lie down".

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