INSTRUCTIONS Managing the difficult airway
* To take the test online, go to our secure Web site at http://www.nursingcenter.com/ORnurse.
* On the print form, record your answers in the test answer section of the CE enrollment form on page 23. Each question has only one correct answer. You may make copies of these forms.
* Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
* You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
* Registration deadline is October 31, 2011.
DISCOUNTS and CUSTOMER SERVICE
* Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together and deduct $0.95 from the price of each test.
* We also offer CE accounts for hospitals and other health care facilities on nursingcenter.com. Call 1-800-787-8985 for details.
Lippincott Williams & Wilkins, publisher of OR Nurse 2009 journal, will award 2.1 contact hours for this continuing nursing education activity.
Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. LWW home study activities are classified for Texas nursing continuing education requirements as Type I. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.1 contact hours.
Your certificate is valid in all states.
The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities only and does not imply Commission Accreditation approval or endorsement of any commercial product.
Managing the difficult airway
GENERAL PURPOSE: To provide the registered professional nurse with an overview of managing the difficult airway in the surgical setting. LEARNING OBJECTIVES: After reading the preceding article and taking the test you should be able to: 1. Define the difficult airway and describe the risk factors associated with it. 2. Discuss recommended management techniques for a difficult airway.
1. A difficult airway is clinically identified as difficulty administering ventilation via face mask or difficulty
a. suctioning the airway.
b. inserting a laryngeal mask airway.
c. visualizing the bronchi.
d. intubating the trachea.
2. Which of the following is not identified as a preexisting temporary factor associated with challenges to airway management?
b. excess oral secretions
3. Airway management of the patient with halo fixation and no tracheostomy is associated with
a. a high risk for emergent intubation.
b. ineffective preoxygenation.
c. need for removal of the traction.
d. mandatory use of an LMA.
4. One predicting factor for DMV is
a. being age 50 or over.
b. a history of snoring.
c. body mass index of 24 kg/m2.
d. dental implants.
5. The ratio of patients who will have an unpredicted difficult airway is
a. 1 in 1,000.
b. 1 in 10,000.
c. 1 in 100,000.
d. 1 in 1,000,000.
6. The risk of oxygen desaturation during the apneic period of intubation can be reduced by
a. preoxygenation before sedation.
b. administration of a muscle relaxant.
c. artificial ventilation while awake.
d. inducing unconsciousness.
7. Which of the following is not included in the portable unit recommended by the ASA for use in difficult airway management?
a. Magill's forceps
c. pulse oximeter
d. esophageal-tracheal Combitube
8. Which emergency access management device is inserted blindly and can force gas into the lungs via side perforations in the tube?
a. esophageal-tracheal Combitube
b. flexible FOB
c. tracheostomy tube
d. cricothyrotomy cannula
9. Which emergency access management technique involves insertion of a large-bore, I.V. catheter into the trachea?
a. esophageal-tracheal Combitube placement
b. flexible FOB placement
10. The Macintosh laryngoscope blade
a. is utilized in oral tracheal intubation of the anesthetized patient.
b. is utilized for LMA insertion.
c. is positioned directly beneath the epiglottis.
d. obstructs direct visualization of the vocal cords.
11. In an uncomplicated intubation, the tracheal tube is advanced past the vocal cords at a depth of at least
a. 0.5 cm.
b. 1.0 cm.
c. 1.5 cm.
d. 2.0 cm.
12. Which technique best improves visualization of the vocal cords?
a. applying upward pressure to the trachea
b. applying pressure to the cricoid cartilage
c. BURP maneuver
d. bimanual laryngoscopy
13. Initial verification of tracheal tube placement includes auscultation of bilateral breath sounds and
a. X-ray confirmation.
b. confirmation of end-tidal carbon dioxide.
c. analysis of suctioned secretions from the tube.
d. visualization using FOB.
14. Awake tracheal intubation is primarily indicated to eliminate the risk of
a. respiratory arrest.
b. pulmonary edema.
c. pulmonary aspiration.
15. During conscious tracheal intubation, glycopyrrolate (Robinul) is given to
a. reduce patient anxiety.
b. reduce oral secretions.
c. anesthetize the airway.
d. induce vasoconstriction to prevent bleeding.
16. The LMA
a. requires highly advanced airway management skills.
b. is superior to bag-mask ventilation.
c. requires direct visualization of the vocal cords.
d. effectively protects the airway from aspiration.
17. Which is not identified as a potential complication of difficult airway management?
c. bronchial perforation
© 2009 Lippincott Williams & Wilkins, Inc.