Patients With Special Challenges

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Question 1 of 1

Time Left

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Which one of the following statements about abuse is true? 1127

Select the correct answer(s).

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Explanation

found everywhere

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A 49-year-old male has summoned EMS because of a problem with his tracheostomy tube. At the patient’s side, you note the tracheostomy tube to be protruding abnormally from the stoma in his neck. Your first action in caring for this patient would be to: 1130-1131

Select the correct answer(s).

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Explanation

evaluate airway and breathing before doing anything with the tube.

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When assessing a 32-year-old male with a history of mental retardation, you note the protrusion of a clamped tube from her back in the area of her right kidney. The best method of determining what the tube is and why it is in place would be to:

Select the correct answer(s).

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Explanation

must rely on the primary care providers to enlighten you on equipment

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Which one of the following best describes an oxygen concentrator? 11288

Select the correct answer(s).

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Explanation

extrcs O2 from the ambient air and then delivers it usually less tha 6lpm

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You have been called to a residence for a 63-year-old female with a history of COPD who is short of breath. The patient is moderately dyspneic with the following vital signs: pulse 124, respirations 20, blood pressure 162/56, and SpO2 at 86%. She is using an oxygen concentrator set at 5 lpm. What is your best course of action? 1128-1129

Select the correct answer(s).

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You are by the side of a 2-month-old baby who was born prematurely and is on an apnea monitor. While in your care, the apnea alarm emits a loud alarm. Quick assessment of the baby reveals no respiratory activity. Your immediate action would be to:

Select the correct answer(s).

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Explanation

ABC's

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Family has called you after the apnea alarm for their 1-month-old baby sounded. They state that the settings seem too high and the alarm goes off frequently. They would like the home health nurse to readjust the settings, so this scenario can be avoided in the future. They do not want the patient transported to the hospital and are prepared to sign a refusal. Assessment reveals no life threats to the airway, breathing, or circulation. Given the situation, you would: 1129

Select the correct answer(s).

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Explanation

contact MD for direction, odd scenario

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The wife of a patient, with terminal lung cancer and a Do Not Resuscitate (DNR) order, has called 911 because her husband’s pulse oximeter reading fell below 85% and alarmed. He is currently receiving home oxygen through a nasal cannula. Assessment reveals him to be alert and oriented and slightly tachypneic with no abnormal lung sounds. At this time, your next action would be to: 1129-1130

Select the correct answer(s).

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Explanation

always use your equipment to chdeck th spo2 will give you a more accurate reading

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When assessing a 65-year-old male patient, you note a tube-like device inserted into the lower portion of his trachea. You recognize that the device has most likely been placed to: 1130

Select the correct answer(s).

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Explanation

this is a tracheostomy tube, if it is permanent it is a stoma

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When suctioning a 46-year-old male with a tracheostomy tube, which of the following is appropriate? 1130-1131

Select the correct answer(s).

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Explanation

put in until mild resistance is met, twisting down, 10-15 sec for adult , 5 sec for child

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A confused patient with a tracheostomy tube is breathing shallowly at 8 times per minute. He is nonverbal because of the tracheostomy and has an SpO2 at 81% on room air. Your immediate action would be to: 1130-1131

Select the correct answer(s).

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Explanation

attach the bvm directly to the fitting

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The fundamental reason a patient uses BiPAP when sleeping is to: 1131

Select the correct answer(s).

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Explanation

primary goal of these devices is to keep the bronchioles open durng rhalation

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While assessing a patient on a home mechanical ventilator, the low pressure alarm sounds. Your immediate action would be to: 1131-1132

Select the correct answer(s).

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Explanation

disconnecteed segment or a leak in the tube

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The high pressure alarm is sounding on a home ventilator. As your partner prepares the bag-valve mask, you quickly determine that no problem exists with the machine itself. As positive pressure ventilation is initiated, you note high resistance to the ventilations and have a difficult time adequately squeezing the bag. Your next action would be to: 1132

Select the correct answer(s).

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Explanation

can lead to a pnuemothorax which would explain the increased pressure to ventilate

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At a long-term care facility, a nurse informs you that the patient you will be transporting has a peripherally inserted central catheter (PICC) in place. To find this catheter, you should look at the patient’s: 1135

Patients With Special Challenges

Question 1 of 1

Time Left

Which one of the following statements about abuse is true? 1127

Select the correct answer(s).

(0/0)

Explanation

A 49-year-old male has summoned EMS because of a problem with his tracheostomy tube. At the patient’s side, you note the tracheostomy tube to be protruding abnormally from the stoma in his neck. Your first action in caring for this patient would be to: 1130-1131

Select the correct answer(s).

(0/0)

Explanation

When assessing a 32-year-old male with a history of mental retardation, you note the protrusion of a clamped tube from her back in the area of her right kidney. The best method of determining what the tube is and why it is in place would be to:

Select the correct answer(s).

(0/0)

Explanation

Which one of the following best describes an oxygen concentrator? 11288

Select the correct answer(s).

(0/0)

Explanation

Select the correct answer(s).

(0/0)

You are by the side of a 2-month-old baby who was born prematurely and is on an apnea monitor. While in your care, the apnea alarm emits a loud alarm. Quick assessment of the baby reveals no respiratory activity. Your immediate action would be to:

Select the correct answer(s).

(0/0)

Explanation

Select the correct answer(s).

(0/0)

Explanation

Select the correct answer(s).

(0/0)

Explanation

When assessing a 65-year-old male patient, you note a tube-like device inserted into the lower portion of his trachea. You recognize that the device has most likely been placed to: 1130

Select the correct answer(s).

(0/0)

Explanation

When suctioning a 46-year-old male with a tracheostomy tube, which of the following is appropriate? 1130-1131

Select the correct answer(s).

(0/0)

Explanation

A confused patient with a tracheostomy tube is breathing shallowly at 8 times per minute. He is nonverbal because of the tracheostomy and has an SpO2 at 81% on room air. Your immediate action would be to: 1130-1131

Select the correct answer(s).

(0/0)

Explanation

The fundamental reason a patient uses BiPAP when sleeping is to: 1131

Select the correct answer(s).

(0/0)

Explanation

While assessing a patient on a home mechanical ventilator, the low pressure alarm sounds. Your immediate action would be to: 1131-1132

Select the correct answer(s).

(0/0)

Explanation

Select the correct answer(s).

(0/0)

Explanation

At a long-term care facility, a nurse informs you that the patient you will be transporting has a peripherally inserted central catheter (PICC) in place. To find this catheter, you should look at the patient’s: 1135

Select the correct answer(s).

(0/0)

Explanation

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