Download RES 235 Test 3 Questions and Correct Answers: Artificial Airways and Intubation and more Exams Advanced Education in PDF only on Docsity!
RES 235 TEST 3 QUESTIONS AND CORRECT ANSWERS
1 00% VERIFIED!!
Complications from an emergency cricothyroidotomy can be prevented by doing which of the following?
a)Using a small scalpel b)Using a large-gauge needle c)Orally intubating the patient d)Converting to a tracheostomy d)Converting to a tracheostomy
After reinsertion of a tracheostomy tube (TT), manual ventilation is difficult. What immediate action should be taken?
a)Reattempt insertion. b)Perform a cricothyroidotomy. c)Remove the tube, and insert another tracheostomy tube. d)Manually ventilate the patient through the upper airway. d)Manually ventilate the patient through the upper airway.
The appropriate device for maintaining a small stoma to facilitate tracheal suctioning is which of the following?
a)Tracheal button b)Luer-Lok system c)Transtracheal needle d)Silastic TT a)Tracheal button
The function of a double-lumen endotracheal tube is to:
a)facilitate speaking. b)protect one lung from the other. c)maintain a tracheostomy stoma. d)assist in weaning a patient from a TT. b)protect one lung from the other.
The size of a suction catheter should be:
a)a 12-French catheter. b)the same as the internal diameter (ID) of the endotracheal tube. c)two thirds the size of the outer diameter of the endotracheal tube. d)less than half of the ID of the artificial airway. d)less than half of the ID of the artificial airway.
Endotracheal tube suctioning should be preceded by:
a)Stylet b)Finger c)Lighted stylet d)Miller laryngoscope b)Finger
After several unsuccessful attempts at endotracheal intubation and an inability to adequately ventilate a patient with a face mask, the most appropriate method to ensure ventilation is with the placement of which of the following?
a)Guedel airway b)Berman airway c)Nasopharyngeal airway d)Laryngeal mask airway d)Laryngeal mask airway
Both the respiratory therapist and the physician have made several attempts to intubate a patient. The patient is becoming more and more cyanotic. Face mask ventilation is inadequate. The most appropriate action to take is which of the following?
a)Administer a paralyzing agent. b)Make another attempt at oral intubation. c)Establish an airway with a tracheostomy. d)Attempt to establish a nasopharyngeal airway. c)Establish an airway with a tracheostomy.
The proper location for transtracheal needle insertion is:
a)into the cricoid cartilage. b)through the cricothyroid membrane. c)between the first and second tracheal cartilage rings. d)under the hyoid bone, through the thyrohyoid ligament. b)through the cricothyroid membrane.
Complications of a cricothyroidotomy include which of the following?
a)Tracheal stenosis b)Laryngeal stenosis c)Ruptured epiglottis d)Vocal cord paralysis b)Laryngeal stenosis
A patient with an Olympic button arrives in the emergency department via ambulance and has a respiratory arrest in the hospital. To establish a secure airway that could be attached to a mechanical ventilator, the respiratory therapist should:
a)insert an laryngeal mask airway. b)place a nasopharyngeal airway in the nose. c)intubate the patient with an uncuffed endotracheal tube. d)replace the Olympic button with a cuffed TT. d)replace the Olympic button with a cuffed TT.
We have an expert-written solution to this problem! What is the most common complication of suctioning?
a) Hypoxemia b) Hypotension c) Arrhythmias d) Infection a) Hypoxemia
We have an expert-written solution to this problem! You are about to suction a female patient who has an 8-mm (internal diameter) endotracheal tube in place. What is the maximum size of catheter you would use in this case?
a) 8 Fr b) 10 Fr c) 12 Fr d) 14 Fr d) 14 Fr
We have an expert-written solution to this problem! Which of the following conditions require emergency tracheal intubation?
- Upper airway or laryngeal edema
- Loss of protective reflexes
- Cardiopulmonary arrest
- Traumatic upper airway obstruction
a) 1 and 4 only b) 3 and 4 only c) 1, 2, and 3 only d) 1, 2, 3, and 4 d) 1, 2, 3, and 4
Compared with translaryngeal intubation, the advantages of tracheostomy include which of the following?
- Greater patient comfort
- Reduced risk of bronchial intubation
- No upper airway complications
- Decreased frequency of aspiration
a) 1 and 3 only b) 1, 2, and 3 only c) 3 and 4 only d) 2, 3, and 4 only b) 1, 2, and 3 only
What is the standard size for endotracheal or tracheostomy tube adapters?
a) 22-mm external diameter
- Aid in routine tube cleaning and tracheostomy care
- Prevent the tube from slipping into the trachea
- Provide a patent airway should it become obstructed
a)1 and 3 only b)2 and 3 only c)3 only d)1, 2, and 3 a)1 and 3 only
What is the purpose of a tracheostomy tube obturator?
a)To minimize trauma to the tracheal mucosal during insertion b)To provide a patent airway should the tube become obstructed c)To help ascertain the proper tube position by radiograph d)To provide a means to inflate and deflate the tube cuff a)To minimize trauma to the tracheal mucosal during insertion
What size endotracheal tube would you select to intubate an adult female?
a)6 mm b)7 mm c)8 mm d)9 mm b)7 mm
What is the purpose of an endotracheal tube stylet?
a)It helps ascertain proper tube position. b)It adds rigidity and shape to ease insertion. c)It minimizes mucosal trauma during insertion. d)It protects the airway against aspiration. b)It adds rigidity and shape to ease insertion.
What should be the maximum time devoted to any intubation attempt?
a)30 sec b)60 sec c)90 sec d)2 min a)30 sec
During oral intubation of an adult, the endotracheal tube should be advanced into the trachea about how far?
a)Until its cuff has passed the cords b)Just far enough so that the tube cuff is no longer visible c)Until its cuff has passed the cords by 2 to 3 in d)Until its tip has passed the cords by 2 to 3 cm
tube position in the trachea?
a)Auscultation b)Observation of chest movement c)Tube length (cm to teeth) d)Fiberoptic laryngoscopy d)Fiberoptic laryngoscopy
Serious complications of oral intubation include which of the following?
- Cardiac arrest
- Acute hypoxemia
- Bradycardia
- Tongue lacerations
a)2 and 4 only b)1, 2, and 3 only c)2, 3, and 4 only d)1, 2, 3, and 4 b)1, 2, and 3 only
What is the primary indication for tracheostomy?
a)When a patient loses pharyngeal or laryngeal reflexes b)When a patient has a long-term need for an artificial airway c)When a patient has been orally intubated for more than 24 hr
d)When a patient has upper airway obstruction due to secretions b)When a patient has a long-term need for an artificial airway
Which of the following factors should be considered when deciding to change from an endotracheal tube to a tracheostomy tube?
- Patient's tolerance of the endotracheal tube
- Relative risks of continued intubation versus tracheostomy
- Patient's severity of illness and overall condition
- Length of time that the patient will need an artificial airway
- Patient's ability to tolerate a surgical procedure
a)1, 3, and 4 only b)3, 4, and 5 only c)2, 3, 4, and 5 only d)1, 2, 3, 4, and 5 d)1, 2, 3, 4, and 5
In a properly performed traditional surgical tracheotomy, entrance to the trachea is made through an incision in what area?
a)Through or between the first and second tracheal rings b)Through the ligament between the thyroid and cricoid cartilages c)Through or between the second and third tracheal rings d)Between the cricoid cartilage and the first tracheal ring c)Through or between the second and third tracheal rings
a)15 to 20 mm Hg b)20 to 25 mm Hg c)25 to 30 mm Hg d)30 to 35 mm Hg b)20 to 25 mm Hg
Repeated connecting and disconnecting of a cuff pressure manometer to the pilot tube of a cuffed tracheal airway will do which of the following?
a)Increase cuff pressure. b)Not affect cuff pressure. c)Decrease cuff pressure. d)Rupture the cuff. c)Decrease cuff pressure.
A patient with a tracheal airway exhibits signs of tube obstruction. Which of the following are possible causes of this obstruction?
- The tube cuff has herniated over the tip of the tube.
- The tube is obstructed by a mucus plug or secretions.
- The tube is kinked, or the patient is biting the tube.
- The tube orifice is impinging on the tracheal wall.
a)2 and 4 only b)3 and 4 only c)1, 2, and 3 only d)1, 2, 3, and 4
d)1, 2, 3, and 4
When would a fenestrated inner cannula be used?
A)as soon as a new tracheostomy tube is placed B)When weaning from a traditional tracheostomy tube C)When the patient has thick tenacious secretions D)When a patient is having difficulty breathing B)When weaning from a traditional tracheostomy tube
All of the following are true statements about endotracheal tube position, EXCEPT:
A)Should be positioned below the vocal cords B)Should be approximately 2cm below the carina C)Should be at the level of the aortic knob D)Should be approximately 1 inch above the carina B)Should be approximately 2cm below the carina
Compared with traditional surgical tracheostomy, which of the following are true about percutaneous dilatational tracheostomy?
- Percutaneous dilatational tracheostomy has a lower incidence of complications.
- Percutaneous dilatational tracheostomy is faster than traditional tracheostomy.
- Percutaneous dilatational tracheostomy can be performed at the bedside.
- Percutaneous dilatational tracheostomy does not require anterior neck dissection.
