Chapter 13 Respiratory Emergencies

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hiker0001
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268290
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Chapter 13 Respiratory Emergencies
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2014-03-29 16:24:28
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Respiratory Emergencies
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Chapter 13 Respiratory Emergencies
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  1. An obstruction to the exchange of gases between the alveoli and capillaries may result from:
    A. epiglottitis
    B. a cold
    C. pneumonia
    D. all of the above
    C. pneumonia
    (this multiple choice question has been scrambled)
  2. Pulmonary edema may be produced by:
    A. cigarette smoking
    B. inhaling toxic chemical fumes
    C. carbon monoxide poisoning
    D. seasonal allergies
    B. inhaling toxic chemical fumes
    (this multiple choice question has been scrambled)
  3. A collection of fluid outside the lungs on one or both sides of the chest is called a:
    pleural effusion
  4. A generic name for a popular inhaled medication is:
    A. atrovent
    B. albuterol
    C. flovent
    D. ventolin
    B. albuterol
    (this multiple choice question has been scrambled)
  5. An acute spasm of the smaller airways associated with excessive mucus production and swelling is characteristic of:
    A. asthma
    B. severe acute respiratory syndrome (SARS)
    C. chronic bronchitis
    D. emphysema
    A. asthma
    (this multiple choice question has been scrambled)
  6. True or false.  Decreased breath sounds in asthma occur because fluid in the pleural space has moved the lung away from the chest wall.
    False.  Air movement cannot be heard due to heavy blockage.
  7. True or false.  Side effects of inhalers used for acute shortness of breath include increased pulse rate, nervousness, and muscle tremors.
    True.
  8. A young female is unconscious after intentionally ingesting a large amount of aspirin. You will MOST likely find her respirations:
    A. slow and shallow.
    B. rapid and shallow.
    C. slow and deep.
    D. deep and rapid.
    D. deep and rapid.
    (this multiple choice question has been scrambled)
  9. A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped
    chest, unilaterally diminished breath sounds, and tachycardia. What is the MOST likely cause of this patient's condition?
    A. spontaneous pneumothorax
    B. acute pulmonary embolism
    C. rupture of the diaphragm
    D. exacerbation of his COPD
    A. spontaneous pneumothorax
    (this multiple choice question has been scrambled)
  10. Patients with congestive heart failure (CHF) often take several medications. In addition to obtaining a list of those medications, be sure to pay special attention to:
    A. respirations of the patient.
    B. both a and c
    C. the skin tone of the patient.
    D. the events that lead up to the present problem.
    D. the events that lead up to the present problem.
    (this multiple choice question has been scrambled)
  11. It is important to establish your patient's baseline status; in other words, his or her usual condition and:
    A. precise vital signs.
    B. what is different.
    C. pertinent past history.
    D. chief complaint.
    B. what is different.
    (this multiple choice question has been scrambled)
  12. Which of the following respiratory conditions is seen primarily in pediatric patients?
    A. asthma
    B. croup
    C. bronchitis
    D. emphysema
    B. croup
    (this multiple choice question has been scrambled)
  13. In the mnemonic PASTE, what does the "A" stand for?
    A. ailment
    B. asthma
    C. associated chest pain
    D. assessment
    C. associated chest pain
    (this multiple choice question has been scrambled)
  14. Feeling short of breath or having trouble breathing.
    Dyspnea
  15. End of the upper airway
    Larynx
  16. Patients with chronic lung disease frequently have high levels of carbon dioxide in the blood.  In these patients, giving too much ____ may actually stop respiration.  Instead, administer low-flow ____.
    oxygen
  17. collapsed alveoli
    atelectasis
  18. Dyspnea is a common complaint in patients with ____ diseases.
    cardiopulmonary
  19. ____ ____ is a condition associated with congestive heart failure.
    Pulmonary edema
  20. In severe cases of ____ ____, a frothy pink sputum forms at the nose and mouth.
    pulmonary edema
  21. ____ ____ to the chest can cause pulmonary edema also.
    Traumatic injuries
  22. ____ is caused by chronic bronchial obstruction.
    COPD
  23. With ____, excessive mucus is constantly produced, obstructing small airways and alveoli.
    bronchitis
  24. Repeated episodes of irritation and pneumonia cause scarring in the lung and some dilation of the obstructed alveoli, leading to ____.
    COPD
  25. ____ is the loss of elastic material around the air spaces as a result of chronic stretching of the alveoli.
    Emphysema
  26. An acute spasm of the smaller air passages (bronchioles).  Associated with excessive mucus production and swelling of the mucous lining of the respiratory passages.  Produces a characteristic wheezing caused by partially obstructed airways.
    Asthma
  27. ____ is indicative of a partial lower airway obstruction.
    Wheezing
  28. ____ is the partial or total accumulation of air in the pleural space.  It is most often caused by trauma.
    A vacuum-like pressure in the pleural space keeps the lungs inflated.  When the lung is disrupted, air escapes into the pleural cavity and the negative vacuum pressure is lost.
    Pneumothorax
  29. A ____ ____ is a collection of fluid outside the lung.
    It compresses the lung and causes dyspnea.
    It can stem from an infection, congestive heart failure, or cancer.
    Patients feel better if they are sitting upright.
    pleural effusion
  30. A ____ is a disruption in the electrical activity in the brain.
    seizure
  31. Formerly called a grand mal seizure
    tonic-clonic seizure
  32. An ____ is anything that moves from its point of origin to another place in the body, obstructing subsequent blood flow.
    embolus
  33. A ____ ____ is the passage of blood clots through the venous system.
    pulmonary embolism
  34. ____ (coughing up blood) is a sign of pulmonary embolism.
    Hemoptysis
  35. The PASTE assessment is a specific alternative assessment for a complaint of shortness of breath or difficulty breathing.  What does it mean?
    • Progression
    • Associated Chest Pain
    • Sputum
    • Talking Tiredness
    • Exercise Tolerance
  36. -Inflammation and swelling of the pharynx, larynx, and trachea
    -Typically seen in children between 6 months and 3 years of age
    -Easily passed between children
    -____ often responds well to the administration of humidified oxygen.
    Croup
  37. -Viral illness that usually affects newborns and toddlers
    -It is often caused by respiratory syncytial virus (RSV)
    -Bronchioles become inflamed, swell, and fill with mucus.
    Bronchiolitis
  38. -Worldwide, the leading cause of death in children
    -Often a secondary infection
    -It begins after an upper respiratory tract infection
    -Bacterial ____ will come on quickly and result in high fevers
    -Viral ____ presents more gradually and is less severe
    Pneumonia
  39. -An airborne bacterial infection that most affects children younger than 6 years
    -Highly contagious and is passed through droplet infection
    Pertussis (whooping cough)
  40. -Genetic disorder that affects the lungs and digestive system
    -Often causes death in childhood
    Cystic fibrosis
  41. An intervention would include positioning in a high ____ position or a position of comfort to facilitate breathing.
    Fowler’s

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