Chapter 11 Review.docx - Chapter 11 Review A 59-year-old...

Chapter 11 Review
A 59-year-old man with a history of congestive heart failure is suddenly awakened in the middle
of the night with the feeling that he is smothering. When you arrive at the scene, you find him
lying in bed with his head propped up by three pillows. He is conscious and alert but is
experiencing obvious respiratory distress. His skin is pale and diaphoretic.
1. Which of the following should be your MOST immediate action?
A. Auscultate his lung sounds.
B. Assess his oxygen saturation.
C. Position him so that he is sitting up.
D. Apply oxygen via nonrebreathing mask.
2. The patient’s blood pressure is 170/90 mm Hg, pulse is 110 beats/min, respiratory rate is 22
breaths/min and labored, and oxygen saturation is 75%. Auscultation of his lung sounds
reveals coarse crackles bilaterally. What should you do?
3. Which of the following is a sign of inadequate ventilation?