Exam (elaborations)

FISDAP Final Exam |Complete With A+ Graded Answers

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fisdap final exam complete with a graded answers

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FISDAP Final Exam |Complete With A+ Graded Answers
Which patient would be classified as "immediate" during and MCI?
8 year old female with no respirations after 5 positive pressure ventilations.
A 13 year old female watching a horror movie states she can't catch her breath
and her fingers are numb. Respirations are 30 and deep with Sp02 of %100. She is
speaking in clear sentences, has clear and equal breath sounds. You should?
Calmly reassure her, encouraging her to calmly slow her rate of breathing.
You have inserted an OPA for a 21 year old apneic male. How many times per
minute should you ventilate him with a BVM?
10 to 12
Proper technique to suction patient's airway includes?
Oxygenating and ventilating before and after suctioning.
When ventilating patient with BVM, what is the appropriate oxygen flow rate?
15 liters/min
An obese man complains of sever difficulty breathing. His skin is cool and moist
and breathing 22 times per minute. He indicates he never goes to the doctor and
often feels dizzy after walking. You should?
Apply a nonrebreather mask at 10 liters/min
A 42 year old asthmatic patient complains of chest pain, shortness of breath and
a violent cough that produces brownish sputum. What is the most likely cause?
Pneumonia
An 89 year old patient complains of difficulty breathing and a productive cough
that has gotten worse over the past 12 hours. You should suspect?
Pneumonia
As the diaphragm and intercostal muscles relax, the chest cavity?
Decreases in size, causing exhalation
During initial assessment of an adult's respiratory status, you should?
Evaluate both the respiratory rate and the rise and fall of the chest
In which group of patients are you likely to encounter "see-saw" breathing?
Pediatrics
Which sequence correctly traces the path oxygen takes from the atmosphere to
the lungs?
Mouth, Pharynx, trachea, bronchi, alveoli.
A 16 year old asthmatic female in a tripod position complains of increased
shortness of breath. SpO2 is 79%. You should administer oxygen at?
10 lpm via nonrebreather mask
A 34 year old man is saying he is choking, You note stridor and hoarseness in his
voice. What should you do?
Encourage him to cough
An unresponsive trauma patient is gurgling. When you suction the oropharynx
with a rigid catheter, the patient gags. You should?
Assess insertion depth of the catheter
Thin 54 year old male with a nonproductive cough complains of difficulty
breathing. Sitting upright with hands on his knees and you see retractions. Notice
oxygen tubing around the house. You should suspect medical history of?

,Chronic Bronchitis
Semiconscious patient's dentures completely loosened. You should?
Remove dentures
Carbon dioxide and oxygen exchange at the alveolar level by which process?
Diffusion
20 year old female unable to cath breath after minor car crash, numbness and
tingling to hands and face. Vitals are P 118, R 24. What should you do?
High flow oxygen with a nonrebreather mask
Which term best describes respiratory difficulty?
Dyspnea
What is the amount of air that normally reaches the alveoli in an adult?
350 mL

The average adult ventilation is 500 mL, but there is an area of dead space that traps
150 mL of air. 350 mL effectively reaches the alveoli for oxygen and carbon dioxide
exchange.
A 77 year old female has dyspnea, speaks in short word burst, and breathes with
pursed lips. Lung sounds are diminished, distant, and clear. Vital signs are BP
152/90, P 86 and irregular, R 23. What should you suspect?
Empysema

Emphysema is a chronic destructive process of the alveoli. The alveoli regenerate but
they are misshaped and consist of scar tissue. The scar tissue inhibits gas exchange.
She has pursed lips because she is attempting to keep the alveoli open. Without the
extra effort her alveoli will collapse due to increased surface tension.
An 18 year old male is cyanotic and complains of sharp chest pain and difficulty
breathing after lifting weights. Vital signs are BP 110/66, P 88, R 22. What is the
most likely cause?
Spontaneous pneumothorax

Performing strenuous activites can, on occasion, cause a collapsed (spontaneous
pnemothorax) He has stable vital signs so you should suspect a S.P. If he had been
hypotensive (88/40), you should suspect that the S.P had developed into a tension
pneumothorax.
An unresponsive 43 year old male is cool, pale, diaphoretic, and breathing 6
times a minute. Which device should you use to administer oxygen?
Bag-valve mask

He is unresponsive and breathing too slow. This is a "Sick" patient and assisting his
ventilations should be the first intervention. You can increase his respiratory rate with a
bag valve mask, which is why it is the most correct choice.
A 42 year old male complains of shortness of breath after being sprayed with
super-heated steam. He has burns to his face, neck and upper chest. Vital signs
are BP 112/66, P 124, R 28 shallow and labored. What should you do?
Assist his ventilations

,He is in respiratory failure. His breathing is ineffective because his respirations are fast
and shallow. Shallow respirations do not allow for adequate oxygen exchange because
the air is not drawn down far enough into the lungs. Assisting his breathing with positive
pressure ventilations will help reduce any pulmonary edemy from the lower airway
burns.
What are the structures that brach off the trachea into the lower airway?
Bronchi

The trachea splits at the carina into the left and right bronchus. The bronchi get smaller
and smaller until it reaches the terminal bronchioles where the alveoli are located.
What is the term for high-pitched whistling sounds heard during expiration?
Wheezing

Wheezing is a high pitched whistling sound heard on EXHALATION. Wheezing suggest
there is a LOWER airway OBSTRUCTION or CONSTRICTION. Exhalation is a passive
process, and the wheezing noise is air passively leaving constricted bronchioles.
The use of accessory muscles and nasal flaring are signs of what type of
breathing?
Labored

The use of accessory muscles is a sign of respiratory distress or failure. Nasal flaring is
the body's response in effort to increase the size of the airway and attempt to draw in
more air with each breath.

Expect to initially see an increased respiratory rate and heart rate with labored
breathing. As the patient begins to tire, the respiratory rate and quality will begin to
decrease, which worsens the problem.
What is the term for abnormal breath sounds that result from an obstructed
airway?
Stridor

Stridor is an UPPER airway obstruction caused by the tissue swelling around the
trachea, larynx, or epiglottis during INSPIRATION.
A 53 year old male is sleepy, diaphoretic, difficult to arouse, and breathing 8
times a minute. What should you suspect?
Respiratory Failure

This rate is too slow and the fact that he is sleepy and difficult to arouse shows that he
is in respiratory failure. An adult with a respiratory of 8 is too slow for adequate gas
exchange.
An alert 32 year old female complains of difficulty breathing. She speaks in 2-3
word sentences and has oxygen saturation of 92%. What should you do?
Apply high flow oxygen.

-She is alert and her respirations are still effective without the need for assisting

, ventilations. She only complains of shortness of breath, so applying high flow oxygen
should be the first treatment.
A 56 year old female has a complete airway obstruction from a piece of food. She
becomes unconscious while you asses her. What should you do?
When a patient has a completely obstructed airway and become unconscious the first
thing you should do is start chest compressions.
A male complains of mild respiratory distress. He smokes 4 packs of cigarettes a
day and reports a consistent cough and frequent respiratory infections. Chest
sounds reveal bilateral rhonci. What should you suspect?
Chronic bronchitis (sounds like snoring, excess mucus)

Excessive mucus and pus production leads to obstructed airways. The consistent cough
is the bodys response to clear the airway obstruction.
A febrile 44 year old male complains of shortness of breath and has dull chest
pain. He has been coughing up "rusty" sputum for the last three days. What is the
most likely cause?
Pneumonia

Pneumonia is an infection of the lung tissue and the "rusty" sputum (spit) is a sign of
lower airway infection. He is febrile (fever) from an immune response to the infection,
and the "dull" chest pain is a common symptom at the location of the infection.
a 75 year old female complains of a sudden onset of right sided chest pain and
dyspnea. She is recovering from a recent hip surgery. What should you expect?
Pulmonary embolism

A pulmonary embolism is typically the result of a clot that has formed in the lower
extremity with poor circulation.

Hip surgery requires a patient to be immobilized for an extended period of time which
can permit a clot to form in the distal portion of an extremity.

The sudden unilateral chest pain is the lung with the clot. Any lung tissue distal of the
clot will not allow for adequate oxygen exchange.
How should you insert a nasopharyngeal airway?
First step is to face the bevel towards the septum. Apply a water soluble lubricant, do
not use an oil based lubricant.
What is the Name of the hollow, semi flexible tube that carries in held air from the
larynx to the lungs?
Trachea

The trachea is a tube like structure that allows air passage from the upper airway into
the lungs
What is the most common location for an airway obstruction
Pharynx

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