You are on page 1of 3

Saint Marys University

School of Health and Natural Sciences


Bayombong, Nueva Vizcaya
S.Y. 2016- 2017

ACUTE RESPIRATORY FAILURE


QUIZ
PREPARED BY: Patricia Ann B. Aseron

I. Multiple Choices: Write the letter of your answer below the number of the item. You may write E if
you think the correct answer was not shown in the choices given.

1. All of the following are causes or factors of Hypoxemic ARF except:


a. V/Q mismatch
b. Alveolar hyperventilation
c. Shunting
d. Diffusion limitation

2. Which of the following indicates a high V/Q ratio?


a. Ventilation that is less than 1
b. Perfusion that is less than 1
c. The ventilation and perfusion has the same value
d. Both the ventilation and perfusion would show a zero value

3. What is a simpler term for hypoxic ARF?


a. Diffusion limitation
b. Hypoxic insufficiency
c. Oxygenation insufficiency
d. Oxygenation Failure

4. What would best define Hypoxic acute respiratory failure?


a. The change of O2 for CO2 in the lungs cannot keep up with the rate of oxygen consumption and
CO2 production from then cells of the body.
b. Arterial O2 tension of less than 60 mmHg despite of the given fraction of inspired oxygen of 60% or
more.
c. PaO2 of less than 60 mmHg, FiO2 of < 60%.
d. Arterial O2 tension of more than 60 mmHg despite of the given fraction of inspired O2 of more or
less 60%.

5. Chest tube thoracotomy is one of the most common nursing managements for patients with ARF
secondary to pneumothorax. Which of the following would be the placement of the entrance of the tube
in the chest?
a. Superior and anterior to the chest
b. The chest tube is placed inferior and anterior to the chest
c. Inferior and posterior to the chest
d. Superior and posterior to the chest

6. Hydration is also an important nursing intervention for patients with ARF wherein 2-3 L/ day must be
monitored as the patients fluid input. The following conditions are contraindicated to such nursing
intervention except:
a. Cardiac Tamponade
b. Pulmonary edema
c. Pneumonia
d. Pulmonary embolism

II. True or False: Write T if the statement is true and F of otherwise

1. _____ In shunting, even at 100% O2 does not improve PaO2


2. _____ In pulmonary embolism, perfusion is impeded
3. _____ A dead space provides a high V/Q ratio
4. _____ ARF occurs when the change of O2 for CO2 cannot keep up with the rate of O2 consumption
and CO2 production by the cells of the body

III. Provide accurately what is asked.

1. Acute respiratory failure is characterized by hypoxemic states with PaO2 of ___________________


and hypercapnic states with PaCO2 of __________________.
2. The normal Ventilation- Perfusion ratio.__________________
3. Give 3 diagnostic studies for ARF:
a.
b.
c.
4. The late sign of acute respiratory failure, either hypoxic or hypercpanic:_______________________
5. It includes in the assessment of hypercapneic ARF that this POSITION which is called
________________________ with an angle of ________________o promotes an increase in the AP
diameter of the chest wall which facilitates easier breathing and chest wall expansion.
6. In paradoxical breathing as observed to patients with hypoxic ARF, the chest and abdomen relax during
_______________________ while it expands during _______________________.
7. In the failure of carbon dioxide elimination, _______________________ accumulates in the blood
providing a great risk for respiratory acidosis. As the body compensates, _______________________
is retained to counteract acidosis.

IV. Matching Type:


Write the letter of the choices provided applicable for the stated causes and type of Respiratory
failure it provides.

A. Hypoxemic ARF (Type 1)


B. Hypercapnic ARF (Type 2)

1. Pulmonary edema 6. Traumatic flail chest


2. Shunting 7. Guillain- Barre syndrome
3. Pulmonary embolism 8. Phenobarbital overdose
4. COPD 9. Severe asthma
5. Cystic fibrosis 10. Emphysema

Write the letter of the choices provided applicable for the stated clinical manifestations and type
of Respiratory failure it provides.

A. Hypoxemic ARF (Type 1)


B. Hypercapnic ARF (Type 2)
C. Applicable to both types 1 and 2

1. Orthopneic positioning 6. Cyanosis


2. Tachypnea 7. Retractions
3. Rapid, shallow breathing 8. Morning headache
4. Nasal flaring 9. Prolonged expiration
5. Paradoxical breathing 10. Pursed- lip breathing

You might also like