Exam 36: Airway Management

While checking a crash cart for intubation equipment, you find the following: suction equipment, oxygen apparatus, two laryngoscopes and assorted blades, five tubes, Magill forceps, tape, lubricating gel, and local anesthetic. What is missing? 1) Obturator 2) Syringe(s) 3) Resuscitator bag and mask 4) Tube stylet

While suctioning a patient, you observe an abrupt change in the electrocardiogram waveform being displayed on the cardiac monitor. Which of the following actions would be most appropriate?

Complications of tracheal suctioning include which of the following? 1) Bronchospasm 2) Hyperinflation 3) Mucosal trauma 4) Elevated intracranial pressure

A patient exhibits persistent stridor after a fiberoptic bronchoscopy procedure. Which of the following would you recommend?

To minimize the problems associated with pharyngeal aspiration in intubated patients, which of the following could you recommend? 1) Position patients in semi-recumbent position. 2) Insert the feeding tube into the duodenum. 3) Suction above the tracheal tube cuff. 4) Provide continuous aspiration of subglottic secretions.

When checking for proper placement of an endotracheal tube in an adult patient on chest radiograph, it is noted that the distal tip of the tube is 2 cm above the carina. Which of the following actions would you recommend?

Which of the following equipment would you gather before assisting in extubation of a patient? 1) Suctioning apparatus 2) Oxygen or aerosol therapy equipment 3) Manual resuscitator and mask 4) Nebulizer with racemic epinephrine 5) Intubation tray

Which of the following drugs can be used to prevent bleeding during fiberoptic bronchoscopy? 1) Phenylephrine 2) Dopamine HCl 3) Epinephrine

Tracheal airways increase the incidence of pulmonary infections for which of the following reasons? 1) Lower levels of humidification 2) Increased aspiration of pharyngeal material 3) Contaminated equipment or solutions 4) Ineffective clearance through cough

What is a rare but serious complication associated with endotracheal tube extubation?

Compared with translaryngeal intubation, the advantages of tracheostomy include which of the following? 1) Greater patient comfort 2) Reduced risk of bronchial intubation 3) No upper airway complications 4) Decreased frequency of aspiration

To ensure adequate humidification for a patient with an artificial airway, inspired gas at the proximal airway should be 100% saturated with water vapor and at which of the following temperatures?

Tracheal stenosis occurs in as many as 1 in 10 patients after prolonged tracheostomy. At what sites does this stenosis usually occur? 1) Cuff site 2) Tip of the tube 3) Stoma site

A physician asks you to assess the upper airway function of a patient with a fenestrated tracheostomy tube. How should this be accomplished?

What is the most common sign associated with the transient glottic edema or vocal cord inflammation that follows extubation?

Which of the following techniques may be used to diagnose injury associated with artificial airways? 1) Laryngoscopy or bronchoscopy 2) Physical examination 3) Air tomography 4) Pulmonary function studies

What is the standard size for endotracheal or tracheostomy tube adapters?

In which of the following conditions should fiberoptic bronchoscopy not be performed if the risks outweigh the potential benefits? 1) Uncorrected bleeding disorders 2) Presence of lung abscess 3) Refractory hypoxemia 4) Unstable hemodynamic status

You have been asked to monitor a patient who has just been extubated. Which of the following parameters would you monitor? 1) Color 2) Breath sounds 3) Vital signs 4) Inspiratory force

Compared with the nasal route, the advantages of oral intubation include which of the following? 1) Reduced risk of kinking 2) Less retching and gagging 3) Easier suctioning 4) Less traumatic insertion