When using a pocket mask to ventilate an unresponsive adult Pt., the EMT must remember to always: A) maintain the head-tilt,chin-lift or jaw-thrust maneuver. which one of the following statements about the bag-valve mask (BVM) is true? D) A 15/22 mm adapter allows the BVM to be attached to adavanced airways such as the endotracheal tube. You have opened the
airway using a head-tilt, chin-lift and are ready to ventilate an apneic Pt. with a pocket mask. The first ventilation you attempt is unsuccessful. You should immediately: Which one the following setups on the BVM will enable the EMT to deliver the highest concentration of oxygen to the Pt.?
B) BVM w/oxygen reservoir attached, receiving oxygen at 15 lpm You are assessing a young male Pt.
who is responsive to painful stimuli and breathing agonally after being ejected from an automobile at a high rate of speed. HIs pulse is weak and thready, and his skin is cool and diaphoretic. When addressing his airway and breathing,the EMT must immediately. C) perform the jaw-thrust and begin artificial ventilations w/ the BVM. You are teaching a group of firefighters who are in class to become EMRs. The topic is artificial ventilation w/ the BVM. Which one of the
following points related to using the BVM should you emphasize? C) Maintaining a good mask-to-face seal is difficult. Which of the following best describes the path that oxygen must travel to get into the cells of the body? A) Oropharynx, larynx, trachea,carina,bronchioles A 52 year-old male with a brain tumor has gone into respiratory arrest.You assign the task of artificially ventilating the Pt. w/the BVM to a new EMR. How will you instruct him to ventilate the Pt? D) Deliver 1 breath every 5 to 6 secs., with each ventilation lasting 1 sec. Which one of the following tips should you give a new EMT about artificially ventilating a Pt. w/ the BVM? D) "It is important to maintain the head-tilt,chin-lift or jaw-thrust maneuver while ventilating the patient." Which one of the following statements made by an EMT
shows that she understands how to suction the patients in a field setting? C) "I only activate the suction device when I am withdrawing the suction catheter." You have arrived next to a patient who reportedly had a seizure. Assessment reveals him to be apneic with vomitus in the airway. He has a radial pulse, and his skin is cool and diaphoretic. Which one of the following should you do
immediately? You have arrived on the scene of an assault in which several people have been injured. You are directed to assist another crew with a patient who has been shot once. As you approach, you are told that the patient is breathing erratically and ineffectively. You observe thee patient being
ventilated with a BVM while another EMT maintains her airway with the jaw-thrust maneuver. Based on your observation, where might you except that this patient was shot? Which one of the following patients should benefit from the head-tilt,chin-lift manual airway maneuver? You must transport a patient with carbon monoxide poisoning to a special facility for treatment. Transport time is estimated at an hour and a half. The patient is on a nonrebreather mask with a continuous oxygen
flow of 15 lpm. On the ambulance, you have a G tank with 1,100 psi inside. Knowing that the cylinder is 2.41, what action should the EMT take in relation to the amount of available oxygen and transport time? B) Replace the G cylinder after the transport Which one of the following statements shows that the EMT knows to correctly position the BVM on the patient's face? C) "I place the narrow part of the mask over the bridge of the nose, and the bottom part in the cleft above the chin." You must suction frothy secretions from the mouth and pharynx of a 31-year old male patient whose respiration rate is 4 breathes per min. Which one of the following interventions is most appropriate given the patient's condition? A) Suction for no more than 15 seconds at a time followed by 2 mins of positive pressure ventilation. Which of the following statements made by an EMT shows he understands the use of the pocket mask? D) "In comparison to the BVM, the pocket mask can deliver a just as good, tidal volume." Which one of the following best describes oxygen? B) A gas classified as a drug. Which on of the following statements shows that the EMT knows how to properly size an oral airway prior placement? A) "The airway should approximate the distance from the front teeth to the angle of the jaw" For which one of the following patients is placement of an oropharyngeal airway indicated? D) Unresponsive patient who has no gag or cough reflex. The EMT is appropriately sizing the nasal airway when she measures the: B) distance from the nose to earlobe. The EMT should recognize that the oropharyngeal airway has been appropriately inserted when: B) its flange rests on the teeth. While a 61-year old female in cardiac arrest receives emergency care, you note that her abdomen grows larger with each ventilation
provided from a BVM. What instructions should you provide? B) "Let's slow the ventilation rate to 10 per min, providing each breath over 1 second." You are observing an EMT insert an oropharyngeal airway into the airway of a 36-year old male who has overdosed on a street drug. Which one of the following observation indicates correct technique? C) The airway is inserted into the mouth upside-down and is then turned 180 degrees once it contacts the soft palate. The EMT has just placed an oropharyngeal airway in a patient. By doing so, which one of the following has the EMT accomplished? A) Secured the tongue away from the back of the airway. The EMT shows that he is correctly using the flow-restricted, oxygen-power
ventilation device when he: A) stops ventilating as soon as the patient's chest begins to rise. Which on the following statements about ventilation of a nonrebreathing patient through a stoma is true? A) The EMT should ventilate the stoma with a child-sized face mask attached to a BVM. You arrive at a residence to assist another crew with a patient in cardiac arrest. As you enter the room, a brand new EMT informs
you that he is having difficulty maintaing the mask seal to the patient's face while ventilating with the BVM. Which one of the following responses shows that you understand and can help with the problem? A) "Let me maintain the face-to-mask seal while you squeeze the bag." You are having a difficult time getting air from the bag-valve mask to pass into the patient's lungs. Your first action should be to: A) perform the head-tilt,chin-lift again. While the EMT is inserting an oropharyngeal airway, the patient gags. The EMT should: C) remove the airway and maintain the head-tilt,chin lift. Which body system or structure is responsible for the control and
regulation of a person's breathing? You must immobilize a 6 year-old male who was involved in a motor vehicle accident. Regarding the airway,why should you consider placing padding under his shoulders and back? B) The child's head is larger in proportion to his body. Which of the following would cause the greatest decrease in oxygen delivery to the cells? B) Decreased amount of circulating hemoglobin. The EMT recognizes a late sign of hypoxia when he observes: A) cyanosis in the fingers You arrive at a residence for a male patient who is unresponsive. As you enter the room, you observe an obese male lying on a recliner. His eyes are closed, and he has gurgling respiration. While your partner quickly
performs a primary assessment, you should immediately prepare to: When administering oxygen to a hypoxia patient, what signs would you indicate that the patient is improving? B) The heart rate drops from 120 to 80 beats per minute. While you are transporting a patient with altered mental status, he suddenly vomits partially digested food
along with large blood clots. The vomitus is too big for a rigid suction catheter. The EMT should immediately place the patient on his side and: C) perform a finger sweep. A patient was eating dinner when he got a piece of food caught in his throat. Although coughing has failed to remove the food,he remains able to move an adequate amount of air into and out of his lungs. A nasal cannula has been applied and vital signs are stable. During transport, the patient suddenly begins to exhibit stridorous respiration. Your immediate action should be to: A) perform abdominal thrust On arrival at a lethargic patient's side, you note her to have gurgling respirations. The best treatment for this condition is: You must suction a male patient who has a decrease ability to swallow secondary to a previous stroke. He also has a history of smoking and lung cancer. Which one of the following represents the most personal protective equipment that you should use with this patient? A) Gloves,mask with face shield The EMT believes that a patient is mildly hypoxic based on findings from the primary assessment. What other sign could the EMT use to confirm his suspicion of mild hypoxia? When providing oxygen via nonrebreather face mask, which one of the following is essential for the EMT to have? In a healthy person, the primary stimulus to breathe is: Your medical director is holding an in-service focusing on the prehospital management of adult patient with respiratory complaints. He asks the group to explain how they can determine if the patient is breathing adequately. Which one the following responses is most appropriate? D) "For an adult patient to be breathing adequately, the rate should be within 8 to 24 breaths per minute with a full chest rise with each breath." The EMT show that she understands how to use an oropharyngeal airway when she states: C) "I must watch the patient for vomiting or spasm of the vocal cords even with proper insertion." A young child with multiple physical and developmental
abnormalities has a severe nose bleed. You must suction his nasopharynx to decrease the amount of blood he is swallowing. Which of the following would be included in this care? B) Insert a soft catheter into the nose the same length as the distance from the patient's nose to the tip of his ear. Which one of the following actions indicates that the EMT
is correctly using a nonrebreather face on an adult patient? D) He fully inflates the reservoir prior to placing it on the patient. Which one of the following oxygen administration systems will provide the patient with the greatest amount of oxygen? C) Nonrebreather face mask at 15 liters per minute of oxygen Which one of the following statements about the flow-restricted,oxygen-power ventilation device is true? D) "It can be used to ventilate spontaneously breathing patients." You arrive to work and note that the portable oxygen tank inn the
ambulance are now yellow instead of green as during the previous shift. As a knowledgeable EMT you should:
A) remove the tank and retrieve a green cylinder Assessment findings for an alert and oriented patient complaining of shortness of breath reveal an open airway and strong radial pulse,accompanied by skin that is cool and diaphoretic. The depth of respirations is adequate, and breath sounds include wheezing thought the lungs. Vital signs are a pulse of 124,respiratory rate of 24, blood pressure of 146/82 mmHg, and
SpO2 93%. The patient has a history of asthma for which he takes medications. How should you administer oxygen to this patient? When using a nonrebreather face mask, the EMT recognizes which of the following? B) Approximately 90% of the patient's tidal volume will be oxygen. Despite coaching and explaining the benefits of a
nonrebreather face mask, a moderately short breath and hypoxic patient with lung cancer states that she cannot tolerate the mask over her face. The more that she panics, the worse the shortness of breathe becomes. Your best course of action is to: C) disconnect the nonrebreather and replace it with a nasal cannula. Which one of the following actions should you perform when attaching a therapy regulator to a new oxygen tank? D) Open the cylinder valve for one second prior to attaching the regulator. You are artificially ventilating an adult male patient who is in respiratory arrest with a bag-valve mask. Which on of the following shows that you are ventilating this patient properly? B) Adequate chest rise and fall. Which one of the following statements about different sizes of oxygen cylinders is true? C) G and E tanks have the same psi when full You are transferring an unresponsive patient from her house to the ambulance on the stretcher. An oral airway has been placed and ventilations with the bag-valve mask as being administered. Suddenly, the patient regains consciousness and starts to gag. Your immediate action should be to:
A) remove the oral airway. You are watching an EMT prepare the ambulance for the upcoming shift. In regards to oxygen cylinders and equipment, which one
of the following requires immediate intervention? C) He cleans a dirty oxygen tank with a petroleum-based agent. A paramedic has asked you to place the patient on a nonrebreather mask at 15 liters per minute. Tp administer oxygen at this flow rate, you should: C) select 15 on the oxygen therapy regulator Your caring for 46 year old male patient who is unresponsive. Which one the following statements made by your partner indicates the need to immediately stop suctioning the patient's airway and resume positive pressure ventilation? A) "His heart rate is 48 beats per minute." The EMT should use the jaw-thrust maneuver to open
the airway for the patient with which of the following? B) unresponsive after falling from a porch. Why is the jaw-thrust maneuver indicated
for a patient with a possible spinal injury? C) It manipulates the head and cervical spine less than the head-tilt,chin-lift. The EMT is correctly performing the jaw-thrust airway maneuver when she: A) places her hands on the side of the patient's head and lifts the jaw upward. Which of the following statements regarding airway management in the trauma patient is
correct? D) Performing the head-tilt,chin-lift maneuver on a patient with a possible spinal injury could further injure or paralyze the patient. Hypoxia occurs when which of the following occurs? B) Inadequate amount of O2 are available to the cells What condition would the EMT associated with a hypoxic respiratory drive? A) Chronic obstructive pulmonary disease. Which one of the following is best describes the purpose of a Venturi mask? C) Precise concentrations of oxygen are able to be delivered Which
of the following is true regarding the form or function of the alveoli? B) The alveoli permit gas exchange between the lungs and bloodstream When administering continuous positive airway pressure (CPAP) to a patient, you would recognize that the patient is benefiting from the treatment when the: A) patient states he is breathing easier. Typically, the highest continuous positive airway pressure (CPAP) pressure used for therapy is: The difference between respiration
and ventilation is best described as: C) Respiration describes the exchange of O2 and CO2, while ventilation describes the movement of air that carriers them. A young male patient has been stabbed in the right lateral chest. Regarding the respiratory system, which of the following
represents the greatest danger to his well-being? D) Collection of air between the pleural and visceral membranes. A patient who inhaled superheated steam in an industrial fire is most likely to exhibit which one of the following airway noises? When administering continuous positive airway pressure (CPAP) to a patient in respiratory distress, what statement made by the patient would be most concerning? The EMT would recognize that administering continuous positive airway pressure (CPAP) at too high of a pressure can cause: You are
starting to ventilate a patient with a laryngectomy and stoma. As you provide the first few ventilations, you note that the air passes easily into the patient, but does not cause the chest to rise. Your next action should be to: A) seal the patient's mouth and face. After 2 minutes of continuous positive airway pressure (CPAP) at 4 cmH2O, you see on improvement in the respiration or SpO2 level. You would: C) continue CPAP as is and monitor the patient for another 2 minutes. The EMT is properly applying CPAP when he: A) places the mask over the mouth and nose and tightens it to the What
statement made by another crew member would cause you to disregard the use of CPAP for a patient? C) "His respirations are agonal and slow." What disease process would CPAAP be most beneficial to? B) CHF with moderate to severe dyspnea. When considering CPAP, the patient must exhibit: A) ability to breathe on his own. Your
paramedic partner has applied CPAP to a patient in respiratory distress from congestive heart (CHF). As an EMT, you realize that this should benefit the patient by: D) forcing fluid in the lungs back into the bloodstream You are by the side of a patient who fell 5 feet from a ladder, landing on a concrete porch with lower back and buttocks. Assessment reveals an intact airway, adequate respirations, rapid radial pulse, and skin that is cool and diaphoretic. The patient complains of lower back and left leg pain. No deformity to the
extremity is noted; however, the lower back is tender on palpation. The following vital signs are obtained: pulse 132, respirations 20, blood pressure 102/88 mmHg, and SpO2 97% on room air. Regarding oxygen therapy, you would: C) administer oxygen at 15 lpm through nonrebreather A listless and lethargic 84-year-old male responds to physical stimuli with garbled speech. His respirations show poor effort and are rapid and labored with a room air SpO2 is 84%. Additionally, you cannot appreciate breath sounds in his right lung. The best form of oxygen therapy
for this patient would be: B) positive pressure ventilation You are administering oxygen at 2 lpm through a nasal cannula
to a confused patient. During transport, you note the SpO2 to be 91%, up from 90% on scene. The patient remains confused. Your next action would be to: A) increase oxygen to 4 liters per minute A patient complaining of shortness of breath and a history of asthma has the following vital signs: pulse 96, respirations 20, blood pressure 132/86, and SpO2 92% on room air. Mild wheezing is noted bilaterally and the patient states that she has run out of her rescue inhaler (albuterol). Regarding the patient's respiratory status, you would administer: C) 2 lpm O2 through a nasal cannula A patient with chest discomfort has the following vital signs: pulse 88, respirations 14, blood pressure 154/84, and SpO2 97%
on room air. In this situation, the EMT would address oxygen therapy by administering: Which of the following statements, made by the EMT, reflects correct knowledge regarding the use of oxygen in patient care? A) "Oxygen administration is no longer considered standard therapy for EMS." Which one of the following is obstructing the airway when snoring is heard? A 21-year-old female has overdosed on an unknown drug. She has snoring respirations and an intact gag reflex. She has weak respiratory effort and is slightly cyanotic. Given these
assessment findings, your care should include: A) insertion of a nasal airway A patient with a stoma and
tracheostomy tube is responsive to painful stimuli and breathing shallowly at 6 times per minute. He has cyanosis of the fingertips and a weak, rapid radial pulse. Which one of the following is best in providing respiratory care to this patient? C) Attach the bag-valve device directly to the tracheostomy tube. When providing an in-service on ventilating the geriatric patient, you should emphasize which one of the following in regards to a patient who
has dentures? C) Loose appliances should be removed if they In a healthy patient, for air to be exhaled from the lungs, what must occur? D) The diaphragm must relax The structure that lies between the trachea and bronchi is: When assisting a patient with ventilation There are five steps that need to be followed which is the first step in the process?Rationale: The steps in ventilating a patient include: 1st - Explain the procedure to the patient. 2nd - Place mask over the patient's nose and mouth. 3rd - Initially assist at a rate at which the patient is breathing. 4th - Squeeze the bag each time the patient begins to inhale.
What is the preferred method for ventilating a patient?Bag-valve-mask (BVM) ventilation is the standard method for rapidly providing rescue ventilation to patients with apnea or severe ventilatory failure.
What is the preferred method of ventilating a patient quizlet?What is the preferred method of ventilating a patient? A mouth-to-mask with one-way valve is the preferred method of ventilation.
Which technique will work best for ventilating a non breathing stoma patient?If they are not breathing, a small or paediatric face-mask, or supraglottic airway (such as a Laryngeal Mask Airway) can be applied to the stoma. This generates the seal required to deliver ventilation breaths.
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