Video viewing knowledge test

Development and evaluation of training programs for new nurses and nursing assistants

To prevent upper airway obstruction ( UAO ) in patients with head and neck cancer.

***************** **** *****************

1. Upper airway obstruction ( UAO) is a life-threatening emergency in patients with head and neck cancer.

( cheap )

( ) wrong

Description: Correct. According to the definition and background information of the project, UAO is a life-threatening complication in HNC patients and can lead to respiratory failure and death if not managed promptly .

2. Nursing assistants do not play a significant role in observing the early warning signs of UAO as they are not directly assigned to them.

( ) cheap

( wrong )

Explanation: False. Nursing assistants play a crucial role in observing and reporting the early warning signs of UAO , as they are often closest to the patient .

3. Tumor compression and upper airway stenosis are possible causes of UAO in patients with head and neck cancer.

( cheap )

( ) wrong

Explanation: Correct. Tumor compression causes the upper airway to narrow or become blocked, preventing air from passing into the lungs. This is one of the possible causes of UAO in patients with head and neck cancer.

4. What does the condition mean when air cannot pass through the lungs or is inconvenient, caused by a blockage of the organs in the nose, throat, larynx, and trachea , in both children and adults ?

A. Sleep Apnea

B. Upper Airway Obstruction

C. Bronchitis

D. Atelectasis

Explanation: B. is correct because it is a clear definition of upper airway obstruction ( UAO) according to the practice of Songklanagarind Hospital . A. is a condition where there is temporary cessation of breathing during sleep, C. is inflammation of the bronchial tubes, D. is a condition where part of the lung collapses.

5. In patients with head and neck cancer, what initial signs are most likely to be noticed by a nurse practitioner when a UAO occurs?

A. Greenish symptoms

B. Level of consciousness changes

C. Changes in the voice, such as a hoarse voice or a "sounding like you're holding a hot bomb"

D. Blood pressure less than 90/60 mmHg.

Explanation: C. Correct. Changes in voice are an important early sign and are often the first thing a patient or caregiver notices. A. B. D. are signs that usually occur when UAO becomes more severe or becomes critical.

6. According to the UAO assessment form of Songkhlanagarind Hospital, if a patient has a Pulse oximeter O2 saturation value lower than 95%, what section of the form will this be assessed in ?

A. Part 1 Symptoms

B. Part 2 History

C. Part 3 Physical examination

Section 4 Laboratory examination

Explanation: D. Correct. According to the Upper Airway Obstruction Assessment Form of the Department of Otolaryngology, Songklanagarind Hospital, the Pulse Oximeter O2 saturation measurement will be in section 4 , which is data from laboratory examination. Sections A, B, C are not used to record this measurement value.

7. Which of the following is an example of an "early warning signs " of a UAO that should be monitored ?

A. Cyanosis

B. Altered Mental Status

C. Accessory Muscle Use

D. Decreased blood pressure ( Hypotension)

Explanation: C. Correct. The use of respiratory muscles is a sign of increased respiratory effort, which is an early sign of UAO. A. B. D. is a sign that often appears when UAO becomes more severe or critical.

8. Which is the first important step in preparing equipment to prevent UAO in the ward ?

A. Order new intubation equipment sufficient for use.

B. Check the readiness of intubation/tracheostomy equipment on every shift.

C. Store equipment in an orderly manner in an emergency vehicle for easy use.

D. Inform the doctor to prescribe medication.

Explanation: B. Correct. Checking the availability of necessary equipment at every shift is the most important thing in preparing for timely UAO emergency management. A. C. D. are related activities but are not the most important first step in making the equipment available.

9. What communication principles help to make reporting a medical emergency concise, clear, and complete ?

ก. SOAPE

ข. ISBAR

ค. DAR

ง. PIE

Explanation: B. Correct. ISBAR (Introduction, Situation, Background, Assessment, Recommendation) is a widely accepted and used communication principle for reporting clinical and emergency situations to provide complete and concise information. Sections A, C, D are other forms of recording or communication that do not meet the purpose of this standard emergency reporting.

10. In case the patient has a Difficult Airway, how should the nurse report to the first call and second call doctors ?

A. Report to the doctor first call first, then wait for the evaluation results before reporting to the second call.

B. Report to the second call doctor first, and then the second call doctor will report to the first call himself.

C. Report the first call and second call doctors simultaneously.

D. Report only to the anesthesiologist on duty.

Explanation: C. Correct. For cases of Difficult Airway that require urgent and team assistance, the first call and second call physicians must be reported simultaneously. A. B. D. do not follow the guidelines for cases of Difficult Airway.