A child orally intubated because of laryngotracheal stenosis has an air leak at 25 cm H2O. What action does the therapist take now?

A) The therapist should recommend that a tracheotomy be performed. B) The therapist needs to insert an oral ETT smaller than the one in place. C) The therapist must insert an oral ETT large enough to stop the leak. D) The therapist should do nothing because this situation is acceptable for this type of patient. A) The therapist should recommend that a tracheotomy be performed. B) The therapist needs to insert an oral ETT smaller than the one in place. C) The therapist must insert an oral ETT large enough to stop the leak. D) The therapist should do nothing because this situation is acceptable for this type of patient.

Exam 13: Airway Management

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A 5-year-old child is brought to the emergency department in severe respiratory distress with a diagnosis of epiglottitis. What measures must be performed to secure the child's airway?

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(Multiple Choice)

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Question 1

Correct Answer:

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Prolonged exposure to increased tracheostomy cuff pressure may cause which of the following disorders?

Free

(Multiple Choice)

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Question 2

Correct Answer:

Verified

Ideally, how many hours after last feeding should a therapist consider before changing a tracheostomy tube to minimize the risk of vomiting and aspiration?

Free

(Multiple Choice)

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Question 3

Correct Answer:

Verified

Which of the following techniques should be considered when intubating neonates with craniofacial syndromes?

(Multiple Choice)

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Question 4

Where should the therapist secure a 4.0-mm endotracheal tube after the intubation procedure?

(Multiple Choice)

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Question 5

Which of the following anatomic differences between the larynx of an infant and that of an adult makes blind nasal intubation of the infant more difficult?

(Multiple Choice)

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Question 6

Which of the following conditions is considered a disadvantage of nasotracheal intubation in neonates?

(Multiple Choice)

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Question 7

Which of the following criteria are used to define ventilatory and hypoxemic dysfunction in patients who may need intubation? I. PaO₂ < 80 mm Hg with FiO₂ > 0.60 II. PaCO₂ > 50 to 60 mm Hg III. pH < 7.3 IV. PaO₂/ FiO₂ > 250

(Multiple Choice)

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Question 8

What are the most common causes of death in tracheotomy-dependent children?

(Multiple Choice)

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Question 9

A child orally intubated because of laryngotracheal stenosis has an air leak at 25 cm H₂O. What action does the therapist take now?

(Multiple Choice)

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Question 10

How should the therapist confirm proper placement of an endotracheal tube?

(Multiple Choice)

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Question 11

Which of the following are considered common mixtures of Heliox? I. 80% helium-20% oxygen II. 70% helium-30% oxygen III. 80% oxygen-20% helium IV. 70% oxygen-30% helium

(Multiple Choice)

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Question 12

Prior to 2005, why were endotracheal tubes (ETTs) without cuffs routinely recommended for children less than 8 years of age?

(Multiple Choice)

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Question 13

Which of the following conditions associated with upper airway obstruction may cause respiratory failure and require an artificial airway? I. Laryngotracheobronchitis II. Pneumonia III. Epiglottitis IV. Subglottic stenosis

(Multiple Choice)

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Question 14

What is the purpose of placing a small towel under the occiput of a 4-year-old patient who is undergoing oral intubation?

(Multiple Choice)

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Question 15

What conditions should be met before considering decannulation? I. Original indication for tracheostomy has resolved. II. Tolerance of a Passey-Muir valve most of the day. III. No need for suctioning. IV. Absence of fever.

(Multiple Choice)

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Question 16

Which of the following are considered indications for tracheostomy in children? I. Congenital upper airway obstruction II. Pulmonary toilet III. Prolonged ventilatory support IV. Severe bronchospasms

(Multiple Choice)

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Question 17

The therapist is trying to confirm the proper placement of an endotracheal tube of an infant. Auscultation reveals breath sounds over both the stomach and the chest wall. What should the therapist do?

(Multiple Choice)

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Question 18

Which of the following conditions are considered contraindications for nasotracheal intubation? I. Bleeding diathesis II. Facial trauma III. Temporal skull fracture IV. Choanal atresia

(Multiple Choice)

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Question 19

What is considered the best predictor of a readiness for extubation?

(Multiple Choice)

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Question 20

Showing 1 - 20 of 26

Exam 13: Airway Management

A 5-year-old child is brought to the emergency department in severe respiratory distress with a diagnosis of epiglottitis. What measures must be performed to secure the child's airway?

Prolonged exposure to increased tracheostomy cuff pressure may cause which of the following disorders?

Ideally, how many hours after last feeding should a therapist consider before changing a tracheostomy tube to minimize the risk of vomiting and aspiration?

Which of the following techniques should be considered when intubating neonates with craniofacial syndromes?

Where should the therapist secure a 4.0-mm endotracheal tube after the intubation procedure?

Which of the following anatomic differences between the larynx of an infant and that of an adult makes blind nasal intubation of the infant more difficult?

Which of the following conditions is considered a disadvantage of nasotracheal intubation in neonates?

Which of the following criteria are used to define ventilatory and hypoxemic dysfunction in patients who may need intubation? I. PaO2 < 80 mm Hg with FiO2 > 0.60 II. PaCO2 > 50 to 60 mm Hg III. pH < 7.3 IV. PaO2/ FiO2 > 250

What are the most common causes of death in tracheotomy-dependent children?

A child orally intubated because of laryngotracheal stenosis has an air leak at 25 cm H2O. What action does the therapist take now?

How should the therapist confirm proper placement of an endotracheal tube?

Which of the following are considered common mixtures of Heliox? I. 80% helium-20% oxygen II. 70% helium-30% oxygen III. 80% oxygen-20% helium IV. 70% oxygen-30% helium

Prior to 2005, why were endotracheal tubes (ETTs) without cuffs routinely recommended for children less than 8 years of age?

Which of the following conditions associated with upper airway obstruction may cause respiratory failure and require an artificial airway? I. Laryngotracheobronchitis II. Pneumonia III. Epiglottitis IV. Subglottic stenosis

What is the purpose of placing a small towel under the occiput of a 4-year-old patient who is undergoing oral intubation?

What conditions should be met before considering decannulation? I. Original indication for tracheostomy has resolved. II. Tolerance of a Passey-Muir valve most of the day. III. No need for suctioning. IV. Absence of fever.

Which of the following are considered indications for tracheostomy in children? I. Congenital upper airway obstruction II. Pulmonary toilet III. Prolonged ventilatory support IV. Severe bronchospasms

The therapist is trying to confirm the proper placement of an endotracheal tube of an infant. Auscultation reveals breath sounds over both the stomach and the chest wall. What should the therapist do?

Which of the following conditions are considered contraindications for nasotracheal intubation? I. Bleeding diathesis II. Facial trauma III. Temporal skull fracture IV. Choanal atresia

What is considered the best predictor of a readiness for extubation?

Fetal Lung Development

Fetal Gas Exchange and Circulation

Antenatal Assessment and High-Risk Delivery

Examination and Assessment of the Neonatal and Pediatric Patient

Pulmonary Function Testing and Bedside Pulmonary Mechanics

Radiographic Assessment

Pediatric Flexible Bronchoscopy

Invasive Blood Gas Analysis and Cardiovascular Monitoring

Noninvasive Monitoring in Neonatal and Pediatric Care

Oxygen Administration

Aerosols and Administration of Inhaled Medications

Airway Clearance Techniques and Hyperinflation Therapy

Surfactant Replacement Therapy

Noninvasive Mechanical Ventilation and Continuous Positive Pressure of the Neonate

Noninvasive Mechanical Ventilation of the Infant and Child

Invasive Mechanical Ventilation of the Neonate and Pediatric Patient

Administration of Gas Mixtures

Extracorporeal Membrane Oxygenation

Pharmacology

Thoracic Organ Transplantation

Neonatal Pulmonary Disorders

Surgical Disorders in Childhood That Affect Respiratory Care

Congenital Cardiac Defects

Pediatric Sleep-Disordered Breathing

Pediatric Airway Disorders and Parenchymal Lung Diseases

Asthma

Cystic Fibrosis

Acute Respiratory Distress Syndrome

Shock

Pediatric Trauma

Disorders of the Pleura

Neurological and Neuromuscular Disorders

Transport of Infants and Children

Home Care

Quality and Safety

Filters

Which of the following criteria are used to define ventilatory and hypoxemic dysfunction in patients who may need intubation? I. PaO₂ < 80 mm Hg with FiO₂ > 0.60 II. PaCO₂ > 50 to 60 mm Hg III. pH < 7.3 IV. PaO₂/ FiO₂ > 250

A child orally intubated because of laryngotracheal stenosis has an air leak at 25 cm H₂O. What action does the therapist take now?