Chapter 27 Emergency Measures for Life Support

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Chapter 27  Emergency Measures for Life Support

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The nurse is providing CPR to an unresponsive patient according to the 2010 American Heart Association (AHA) resuscitation guidelines. The nurse is performing chest compressions correctly when she performs them at which rate?
a.
60 to 80 per minute
b.
120 per minute
c.
100 per minute
d.
40 to 60 per minute

ANS: C
The 2010 AHA resuscitation guidelines recommend performing chest compressions at a rate of 100 per minute.

DIF: Cognitive Level: Application REF: Text reference: p. 685
OBJ: Discuss code management. TOP: Chest Compressions
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

2. The nurse is working in the emergency department when an 8-year-old patient is brought in with respiratory distress. The nurse is preparing to insert an oral airway. Which of the following is the appropriate size for this patient?
a.
Size 1
b.
Size 2
c.
Size 3
d.
Size 7

ANS: C
Oral airways vary in length and width. Pediatric sizes are 000, 00, 0, 1, 2, and 3 centimeters. School-age children are usually size 3 or 4. Adult sizes are 4 through 10 or small, medium, and large. The nurse chooses the size of an oral airway on the basis of the patient’s age and the width and length of the patient’s mouth.

DIF: Cognitive Level: Application REF: Text reference: p. 678
OBJ: Demonstrate the following in a laboratory or clinical situation: insertion of an oral airway, use of an AED, and performance of cardiopulmonary resuscitation (CPR).
TOP: Oral Airway KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity

3. While measuring an oral airway for proper fit, the nurse places the airway so that the flange is held parallel to the front teeth with the airway against the patient’s cheek. Where is the end of the curve?
a.
At the angle of the jaw
b.
Above the ear
c.
To the level of the nose
d.
Upside down

ANS: A
Size is correct if, when the flange is held parallel to the front teeth with the airway against the patient’s cheek, the end of the curve reaches the angle of the jaw.

DIF: Cognitive Level: Application REF: Text reference: p. 677
OBJ: Demonstrate the following in a laboratory or clinical situation: insertion of an oral airway, use of an AED, and performance of cardiopulmonary resuscitation (CPR).
TOP: Oral Airway KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity

4. Which sign or symptom of airway compromise may require insertion of an oral airway?
a.
Ability of the patient to speak
b.
Ability of the patient to cough forcefully
c.
Presence of wheezing between coughs
d.
Presence of gurgling with the respiratory cycle

ANS: D
Identify the need to insert an oral airway. Signs and symptoms include upper airway gurgling with breathing, absence of a gag reflex, increased oral secretions, excessive drooling, grinding of teeth, clenched teeth, biting of the orotracheal or gastric tube, labored respirations, and increased respiratory rate. These conditions place the patient at risk for obstruction of the upper airway. Normal response shows no evidence of airway obstruction or compromise. Wheezing may be present as a symptom of allergy but not necessarily of airway obstruction.

DIF: Cognitive Level: Application REF: Text reference: p. 678
OBJ: Demonstrate the following in a laboratory or clinical situation: insertion of an oral airway, use of an AED, and performance of cardiopulmonary resuscitation (CPR).
TOP: Oral Airway KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity

5. The nurse is preparing to insert an oral airway in a patient who is exhibiting signs of potential respiratory distress. The nurse knows that candidates for oral airway placement are those:
a.
with oral trauma.
b.
with loose teeth.
c.
who are unconscious.
d.
who have had recent oral surgery.

ANS: C
Never insert an oral airway in a conscious patient or a patient with recent oral trauma, oral surgery, or loose teeth. Use oral airways only in unconscious patients. Oral airways may stimulate vomiting or laryngospasm if inserted in the semiconscious or conscious patient.

DIF: Cognitive Level: Application REF: Text reference: p. 678
OBJ: Demonstrate the following in a laboratory or clinical situation: insertion of an oral airway, use of an AED, and performance of cardiopulmonary resuscitation (CPR).
TOP: Oral Airway KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity

 

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