Which of the following sounds indicates an upper airway obstruction in a child who is in respiratory distress?
A. Wheezes
B. Rales
C. Rhonchi
D.
... [Show More] Stridor - ANSWER D. Stridor
An unresponsive 7-month-old female is lying limp in her father's arms. He tells you that she was having an asthma attack
but is better now. Her conjunctivae are pale and moist. You are only able to auscultate faint wheezes in her upper chest. Her
vital signs are P 76 and R 18. You should first:
A. administer oxygen by non-rebreather mask.
B. assist with the administration of her nebulized albuterol.
C. assess her oxygen saturation level.
D. assist her ventilation with a BVM. - ANSWER D. assist her ventilation with a BVM.
A 12-year-old male has difficulty breathing. He tells you he has had a cold all week. You auscultate rhonchi in his left lower
chest. His vital signs are P 104, R 28, BP 104/74, and SpO2 is 89% on room air. You should suspect:
A. septic shock.
B. respiratory failure.
C. respiratory distress.
D. chronic asthma. - ANSWER C. respiratory distress.
An 8-year-old female has had trouble breathing for two days. Her father called because she continues to have trouble
breathing and he cannot wake her up. You do not hear any sounds when you auscultate her lower lungs and hear faint
wheezes in her upper lungs. Her vital signs are P 60, R 26, BP 94/68, and SpO2 is 88% on room air. You should suspect:
A. respiratory arrest.
B. respiratory distress.
C. eupneic respirations.
D. respiratory failure. - ANSWER D. respiratory failure.
An unresponsive 6-year-old male is taking shallow, irregular respirations once every 15 seconds. He has a weak carotid
pulse. His mother tells you that he was playing alone in his room and was fine 30 minutes ago. You should suspect:
A. Biot's respirations.
B. respiratory arrest.
C. Kussmaul's respirations.
D. respiratory failure. - ANSWER B. respiratory arrest.
A 10-year-old female complains of difficulty breathing after mixing bleach with another cleaner. Her skin and clothing are
dry. You smell a strong odor, and your eyes begin to water. What route of exposure should you suspect is causing her
dyspnea?
A. Ingestion
B. Injection
C. Absorption
D. Inhalation - ANSWER D. Inhalation
An 11-year-old male who has a history of cystic fibrosis complains of difficulty breathing. He tells you he has been coughing
up thick mucus. His vital signs are P 92, R 24, BP 118/76, and SpO2 is 91% on room air. You should:
A. administer humidified oxygen.
B. administer a bronchodilator.
C. assist his ventilation.
D. apply CPAP. - ANSWER A. administer humidified oxygen.
A 9-year-old male has partial-thickness burns around his mouth after inhaling steam. He has a history of asthma and has
had a cold for three days. His mother tells you he has had chest congestion and she was trying to break up the phlegm. He
is drooling and tells you he cannot swallow. You should first:
A. assess his vital signs.
B. begin transport.
C. administer his metered-dose inhaler.
D. insert an oropharyngeal airway. - ANSWER B. begin transport.
You are preparing to ventilate an 11-month-old female with a BVM. Which of the [Show Less]