Deck 27: Emergency Measures for Life Support

Question 1

The patient is brought to the emergency department following a motor vehicle accident.The patient has head and neck trauma and has stopped breathing.What should the nurse do?

A) Open the airway using the head tilt-chin lift method
B) Open the airway using the jaw-thrust method
C) Give 2 breaths using mouth-to-mouth and a barrier device
D) Give 2 breaths using a bag-mask device

Answer 1

Open the airway using the jaw-thrust method

Question 2

The nurse finds a patient lying on the bathroom floor.The patient is unresponsive and has a pulse but is not breathing.What should the nurse do first?

A) Give 2 breaths using mouth-to-mouth without a barrier device
B) Give 2 breaths using a mouth-to-mouth with barrier device and watch for chest movement
C) Give 2 breaths using a bag-mask device
D) Start chest compressions until an AED is available

Answer 2

Give 2 breaths using a bag-mask device

Question 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

Answer 3

At the angle of the jaw

Question 4

What is an advantage of the automated external defibrillator (AED)?

A) Health care providers do not need to learn CPR to use the AED.
B) The health care provider is given a printout of the rhythm change.
C) The health care provider can use both CPR skills and AED skills safely.
D) The health care provider can adjust the level of shock administered.

Question 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

Question 6

The movement of oxygen and carbon dioxide into and out of the lungs is known as _____________________.

Question 7

At what rate do the 2005 American Heart Association (AHA)resuscitation guidelines recommend performing chest compressions?

A) 60 to 80 per minute
B) 120 per minute
C) 100 per minute
D) 40 to 60 per minute

Question 8

Causes of a respiratory arrest include which of the following? (Select all that apply.)

A) Airway obstruction
B) Cardiopulmonary illness
C) Traumatic injury
D) Exposure to toxic substances
E) None of above

Question 9

During the secondary survey of the code event,the nurse realizes that the patient is not breathing on his own.What should the nurse do next?

A) Immediately intubate the patient
B) Have laryngoscope handle and curved blades available
C) Ensure that the light source on the laryngoscope is functional
D) Have laryngoscope handle and straight blades available

Question 10

Causes of dysrhythmia may include which of the following? (Select all that apply.)

A) Electrolyte disturbances
B) Heart damage
C) Medications
D) Respiratory arrest
E) None of above

Question 11

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 a gurgling with respiratory cycle

Question 12

An appropriate technique for a nurse to implement for oral airway insertion is to:

A) Insert the airway with the curved end up, then rotate it 180 degrees at the back of the throat
B) Insert the airway with the curved end down along the curve of the tongue
C) Use a tongue blade to insert and push the airway into position
D) Insert the airway sideways, then rotate it with the curved end up

Question 13

The nurse is caring for an unconscious patient who has an oral airway in place,and who has copious amounts of oral secretions.What may the nurse have to do while caring for this patient? (Select all that apply.)

A) Cleanse the mouth frequently using lemon glycerin swabs
B) Replace or clean the oral airway
C) Suction the oral cavity frequently
D) Keep the airway in place for extended periods of time

Question 14

During a "code" situation,chest compressions should be interrupted for which of the following situations? (Select all that apply.)

A) Ventilation
B) Pulse checks
C) Intubation
D) Defibrillation
E) None of above

Question 15

When performing CPR on an adult patient who has an endotracheal tube in place,at what rate does the single rescuer administer breaths?

A) 8 per minute
B) 12 per minute
C) 20 per minute
D) 24 per minute

Question 16

What should the nurse do immediately after the anesthesiologist has intubated the patient in a code event? (Select all that apply.)

A) Ventilate using a bag-mask device at a rate of 22 breaths per minute
B) Auscultate the epigastric area
C) Auscultate both lungs
D) Call for a chest radiograph

Question 17

How deep should chest compressions be when CPR is administered to a pulseless adult?

A) 1 to 1½ inches in depth
B) 2½ to 3 inches in depth
C) ½ to 1 inch in depth
D) 1½ to 2 inches in depth

Question 18

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 4
D) Size 7

Question 19

_______________ is the movement of oxygen and carbon dioxide into and out of cells and tissues.

Question 20

The patient was defibrillated during a cardiopulmonary arrest and is in a normal heart rhythm but still is not breathing on his own.The patient is placed on a ventilator,and the physician orders that the patient be "cooled down" using an external cooling device to help preserve neurological function.The nurse realizes that the goal is to lower the patient's body temperature to:

A) 37º C (98.6º F)
B) 33º C (91.4º F)
C) 36.5º C (97.7º F)
D) 37.5º C (99.5º F)

Question 21

Many cardiac arrests are caused by irregular heart rhythms known as ________________.

Question 22

In the event of cardiopulmonary arrest,all patients receive CPR unless otherwise indicated in the patient's _________________.

Question 23

When the patient ceases to ventilate,resulting in the absence of oxygen delivery to the alveoli,this is called _________________.

Question 24

A semicircular,minimally flexible,curved piece of hard plastic that is inserted into the mouth so that it extends from just outside the lips to the pharynx is known as an ____________.

Question 25

A physician's order preventing cardiopulmonary resuscitation is known as a ______________ order.

Question 26

The most common cause of airway obstruction in an unresponsive patient is ___________.

Question 27

Blood flow to the tissues to ensure oxygen delivery is referred to as _______________.

Question 28

__________________is the cessation of circulating blood flow,which halts oxygen delivery to the tissue or perfusion.

Question 29

A user-friendly device that provides an automated analysis of the heart's rhythm and recommendation for electrical shock is known as an _________________.