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Chapter 05: Airway Management Devices and Advanced Cardiac Life Support

Mosbys Respiratory Care Equipment 9th Edition

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Chapter 05: Airway Management Devices and Advanced Cardiac Life Support

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. “Elevating the head and extending the neck” describes which of the following?
a. The position for transtracheal invasive airway insertion
b. The position for a nasopharyngeal airway insertion
c. A maneuver called the jaw thrust or chin lift
d. A maneuver called the sniffing position

 

 

ANS:  D

Transtracheal invasive airway insertion is a procedure that involves the surgical placement of a catheter through the airway and does not require extension of the neck. For nasopharyngeal airway insertion, the head and neck do not need to be adjusted. The jaw thrust or chin lift is used if the neck is not able to be extended because of cervical spine injuries.

 

PTS:   1                    REF:   Page 115, Table 5-1

 

  1. Which of the following statements is true concerning the sniffing position?
a. It is the best position for oral intubation.
b. It is indicated when a patient is vomiting.
c. It is used for an unstable cervical spine injury.
d. It is contraindicated for temporomandibular joint disease.

 

 

ANS:  A

The jaw thrust is the maneuver used to intubate a patient with an unstable cervical spine injury. The presence of temporomandibular joint disease can be an indication of a difficult intubation, but it is not a contraindication for the sniffing position. When a patient is vomiting, his head should be turned to one side to prevent aspiration.

 

PTS:   1                    REF:   Page 115, Table 5-1

 

  1. An accident victim with an unstable cervical spine injury needs to be intubated. This type of intubation will be facilitated by which of the following?
a. Chin lift c. Neck extension
b. Fowler position d. Sniffing position

 

 

ANS:  A

The neck extension and sniffing position are both contraindicated for an unstable cervical spine injury. The head is elevated too high in the Fowler position to facilitate intubation.

 

PTS:   1                    REF:   Page 115, Table 5-1

 

  1. The most appropriate method for opening the airway of an awake patient with a fractured mandible is which of the following?
a. Chin lift c. Guedel airway
b. Jaw thrust d. Sniffing position

 

 

ANS:  D

The chin lift and jaw thrust are contraindicated in the case of a fractured mandible. Use of any of the oropharyngeal airways might cause gagging or vomiting in patients who are awake.

 

PTS:   1                    REF:   Page 115, Table 5-1

 

  1. Which of the following is the most common cause of an obstructed airway?
a. Tongue falling backward c. Mucus production
b. Bleeding from the nose d. Cardiac arrest

 

 

ANS:  A

It can be assumed that the tongue is the most common cause of airway obstruction, because many devices have been developed to displace the tongue and create a passage for air. Bleeding from the nose and mucus production can cause airway obstruction but are not the most common causes. Cardiac arrest is not the cause of an obstructed airway; rather, it is the tongue that will obstruct the airway during a cardiac arrest.

 

PTS:   1                    REF:   Page 117

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