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You answer a call to a restaurant where you find an unresponsive 50-year-old woman lying on the floor. She appears cyanotic and you do not detect chest rise and fall. There are no signs of traumatic injury. What should you do first?
a. Apply oxygen with a nonrebreathing mask and assess vital signs
b. Prepare for immediate transport to a hospital
c. Insert an oral airway and begin ventilations with a bag-mask device
d. Check the patient for any medical alert tags
c. Insert an oral airway and begin ventilations with a bag-mask device
You attempt to ventilate a patient with a bag-mask device and notice resistance. The chest does not rise during your ventilation. What should you do?
a. Reposition the airway by hyperextending the head to allow for better anatomic position, then attempt to ventilate
b. Assume there is a foreign body airway obstruction and immediately begin chest compressions
c. Assume there is a foreign body airway obstruction and provide forceful ventilations
d. Reposition the airway by bringing the head back to a neutral position, then reopen the airway and attempt to ventilate
d. Reposition the airway by bringing the head back to a neutral position, then reopen the airway and attempt to ventilate
How can gastric distention be prevented when performing artificial ventilations?
a. Provide rapid, forceful breaths during artificial ventilation over 1 second
b. Provide slow, gentle breaths during artificial ventilation over 1 second
c. Provide rapid, forceful breaths during artificial ventilation over 3 seconds
d. Provide slow, gentle breaths during artificial ventilation over 3 seconds
b. Provide slow, gentle breaths during artificial ventilation over 1 second
Which of the following is contraindicated in a patient who has sustained a head injury?
a. Insertion of an oral airway
b. Jaw-thrust maneuver
c. Mouth-to-mask ventilation
d. Insertion of a nasal airway
a. Insertion of an oral airway
While you are performing artificial ventilations on a patient, he vomits. What should you do?
a. Roll the patient onto his side to allow for drainage of emesis
b. Continue ventilations with increased force to prevent aspiration
c. Immediately stop ventilations and begin chest compressions
d. Stop ventilations and wait for advanced life support to arrive
a. Roll the patient onto his side to allow for drainage of emesis
What is respiration?
a. The process of loading oxygen molecules into hemoglobin molecules in the bloodstream
b. The exchange of oxygen and carbon dioxide in the alveoli and tissues
c. The physical act of moving air into and out of the lungs
d. The production of energy through nutrient and oxygen combination
b. The exchange of oxygen and carbon dioxide in the alveoli and tissues
Excellent indicators of respiration include level of consciousness and what else?
a. Skin color
b. Wheezing or stridor
c. Posturing
d. Flaring
a. Skin color
What is the preferred method of ventilating a patient?
a. Mouth-to-mask with one-way valve
b. Two-person bag-mask device with reservoir and supplemental oxygen
c. Manually triggered ventilation device
d. One-person bag-mask device with reservoir and supplemental oxygen
a. Mouth-to-mask with one-way valve
What is the main problem with positive pressure ventilation?
a. Cardiac output increases exponentially
b. Cardiac output drops
c. Hemothorax occurs
d. Intrathoracic pressure decreases
b. Cardiac output drops
Which of the following is an indication of poor air exchange?
a. Wheezing
b. Stridor
c. Gastric distension
d. Pneumothorax
b. Stridor