TMC (TMC)

A respiratory therapist enters a patient's room during oxygen rounds. The patient has end - stage emphysema and appears to be sleeping. The patient doesn't respond to questions and his pulse is 20 bpm. The therapist should immediately. A. Confirm DNR status B. Go get help C. Begin rescue ventilation D. Begin chest compressions correct answer: Confirm DNR status Which of the following clinical observations is most commonly associated with right heart failure? A Peripheral edema ...

You note in the chart of a patient's who is receiving volume control ventilation that the plateau pressure has been increasing over the last 6 hours, while the PEEP levels remains constant. Which of the following would be the most likely cause of this change? Select one: A. development of pulmonary edema B. water accumulation in the ventilator circuit C. partial obstruction of the endotracheal tube D. development of bronchospasm correct answer: An increase in the plateau pressure relati...

The respiratory therapist should evaluate which of the following to develop a teaching plan for a patient who will be using a small volume nebulizer at home? a. manual dexterity b. highest grade level achieved in school c. spousal support d. English speaking proficiency correct answer: a. manual dexterity Which of the following would be most beneficial in resolving microatelectasis? a. chest tubes b. percutaneous ventilation c. thoracentesis d. bronchoscopy correct answer: d. bronch...

A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with correct answer: heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist discovers that breath sounds are absent in the left chest with a hyperresonant percussion note. The trachea is shifted to the right. The patient's heart rate is 45/min, respiratory rate is 30/mi...

Within one second after initiating a forced vital capacity (FVC) maneuver, a patient with normal lungs should be able to exhale what percent of the FVC? A. 35-50% of the FVC B. 50-70% of the FVC C. 70-83% of the FVC D. 84-93% of the FVC correct answer: c. 70-83% of FVC Simple spirometry CANNOT be used to measure the A. vital capacity B. residual volume C. tidal volume D. inspiratory reserve volume correct answer: b. residual volume Which of the following approaches can be used...

Within one second after initiating a forced vital capacity (FVC) maneuver, a patient with normal lungs should be able to exhale what percent of the FVC? A. 35-50% of the FVC B. 50-70% of the FVC C. 70-83% of the FVC D. 84-93% of the FVC correct answer: c. 70-83% of FVC Simple spirometry CANNOT be used to measure the A. vital capacity B. residual volume C. tidal volume D. inspiratory reserve volume correct answer: b. residual volume Which of the following approaches can be used...

After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of A. empyema. B. congestive heart failure. C. lung carcinoma. D. hemothorax. correct answer: B. congestive heart failure. Which of the following would be most important to evaluate for a patient who is entering a smoking cessation program? A. Height B. Smoking history C. Weight D. Diet correct answe...

A patient Who has mild strider following endotracheal extubation would benefit most from which of the following? correct answer: Racemic epinephrine Which of the following is most indicative of a pulmonary embolism correct answer: Increase PAP, decreased PCWP A patient receiving mechanical ventilation has receive Halcion in the last 20 minutes. The physician orders the institution of spontaneous breathing trial to commence immediately. Which of the following medications would be helpful ...

Which of the following is typically NOT part of a patient's social history? correct answer: B. childhood diseases Which of the following is typically part of a patient's social history? correct answer: A. tobacco use C. marital status D. education In observing the intracranial pressure (ICP) monitor of a patient receiving volume control A/C ventilation, you note that the ICP rises by about 3-5 mm Hg during each positive pressure breath. You can conclude that: correct answer: D. th...

A 19-year-old patient is brought to the Emergency Department after taking a handful of pills. The patient is obtunded but is making regular, sonorous respiratory efforts. Auscultation reveals coarse rhonchi bilaterally. Which of the following should be done FIRST to assess this patient? A. Obtain a sputum specimen. B. Obtain an ABG. C. Measure peak expiratory flow. D. Determine the Glasgow Coma Score. correct answer: B. Obtain an ABG. A young healthy adult with complaints of intermitte...