C. sputum acid fast stain C. pulse oximetry D. 1034 cm H2O, 59. The reasoning is that if your P/F ratio PaO2/FiO2 cannot be maintained as you lower the Peep as you may have an underlying problem with ARDS. Based on these data, what is the primary acid-base disturbance? Bronchial breath sounds heard over the periphery indicate BENEFITS OF RELIAS ASSESSMENTS Increase Retention Engage your employees by giving them the training they need to be successful from the start and continuing to develop them throughout their employment. When selecting an endotracheal tube, you should consider which of the following to minimize airflow D. Esophageal bleeding, 45. This is the quick method to determine size. *C. atelectasis Thus, gas leaving the device is warmed, supply pressure Low O2 O2 analyzer error O2 blenderfailure, A. D. re-evaluate the patient and recommend a home overnight oximetry study, General Feedback: According to the American Academy of Sleep Medicine, if the symptoms of a patient During the course of therapy, the patient becomes very dyspneic. The ER physician asks you to evaluate a trauma patient who was the victim of a house fire. D. A jet nebulizer, 71. A. increase the risk of accidental extubation. . D. 90-100%, 19. Increased need for . Decrease the tidal volume A. Sa02 A. During a single-breath capnogram, the sharp downstroke and return to baseline that normally occurs after the end-tidal point indicate: You must have at least an associate degree from an accredited respiratory therapy education program. Drug name and dose The criteria for RR, VT, VC, and Minute Ventilation have been determined through observation and study of the best techniques and parameters to obtain successful weaning. D. The capnograrri indicates hypoventilation, 15. A 150-lb. C. dyspnea A. Adjust the water level in the suction control chamber D. Initiate inverse ratio ventilation, 48. D. atelectasis, General Feedback: Normally, the heart width is less than 50% of the width of the thoracic cage. *C. CT pulmonary angiography Have the patient cough while you quickly pull the tube If you failed the exam, you may take it two more times with no waiting period between attempts. It is best observed in the capillaries of the lips and gums C. end of a maximum inhalation I. an increase in respiratory rates of 20/min II. Both CT angiography and ventilation-perfusion (V/Q) scans can help in 2 and 4 only Clinical Manifestations and Assessment of Respiratory Disease. Decrease the flow to a lower level During oral intubation of an adult, the endotracheal tube should be advanced into the trachea about how far? Please consult with a physician with any questions that you may have regarding a medical condition. increasing the inspired PCO2, and potentially raising the PaCO2 (the purpose of adding deadspace).The long expiratory time? Whenever an air-entrainment system encounters D. 7-8% or more, General Feedback: Most sleep disorder specialists agree that a desaturation event represents a decrease in 1 and 3 only B. pneumonia D. Standardized buffer solutions, 66. A. lower than the preset FIO2. C. Apply the probe more tightly Breath sounds and Bilateral Chest Expansion can be considered subjective. saturation of 3-4% or more. Patient B D. increase the total output flow, General Feedback: Significant water accumulation in a low-lying loop of a nebulizer's delivery tube will Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. C. Renal failure All of the following would be essential medication history information to obtain for a patient admitted for an acute exacerbation of asthma EXCEPT: vessel wall irregularity, aneurysm, narrowing, occlusion, extravasation, or arteriovenous shunting. The capnograrn indicates hyperventilation 200 m 210 m D. arterial blood gases, General Feedback: Subcutaneous emphysema is a component of the air-leak syndrome, which usually, A. If the patient experiences cyanosis, dizziness, increased work of breathing, it is important to discontinue bronchial hygiene therapy. C. 350 mL the following additional tests would you recommend to determine the cause of the effusion? If the FiO2 is not 60% or over then increase the FiO2 first until you reach 60%, then adjust your PEEP. Be sure to access the free guide if you want to check the correct answers. negative if they have: Due to her patient's minimal response to the standard prescription for an aerosolized bronchodilator, a D. Yes Yes Yes, General Feedback: Portable O2 systems provide ambulatory patients on long-term oxygen therapy with C. measure and record the patient's SpO2 continuously throughout sleep 1 atmosphere Sensitivity Increasing the I-Time increases the time the flow is entering the lungs which will increase the airway pressure. B. Tactile Fremitus is a palpable increase in vocal vibrations transmitted through the chest wall. D. Patient D, General Feedback: When using the 6MWT to assess medical or surgical interventions, one should expect In general these devices provide longer flow durations, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Give Me Liberty! Hopefully, the practice questions in this guide can help. *C. ongoing contact with active TB cases cough reflex? A. B. On a pneumatically-powered IPPB device, switching the air-mix control to 100% oxygen will have which of the following effects on flow? The patient is unable to compensate fully with the Frequency of rescue inhaler usage When sealing the cuff to achieve a minimal occluding volume, you note a cuff pressure of 45 cm H20 What is the most likely problem? airways. D. 400 m 430 m, A. pressures. Separating the tongue from the posterior pharyngeal wall B. A. 4.6 L/min There are four reasons why Creatinine is used to determine kidney function: the rate of production is fairly constant; it is eliminated only by the kidneys; it is not-protein bound so it is easily filtered by the kidneys and the rate of elimination is almost the same as the glomerular filtration rate. D. 6-10 in, 56. A pulse oximeter reveals an Sp02 of 99%. The National Board for Respiratory Care (NBRC) administers the Therapist Multiple-Choice (TMC) exam to assess the knowledge and skills of advanced respiratory therapists. Following a myocardial infarction, a 60-year-old patient with congestive heart failure is being mechanically ventilated. C. simple pneumothorax However, the CXR takes time to order and to get the results back. sedation/analgesics, muscle paralysis, shock/hypovolemia, hypothermia/cooling, hypothyroidism, A. D. 1, 2 and 3, 37. PaCO2 27 torr As the patient tires the spontaneous breathing rate becomes rapid and shallow and it is necessary to evaluate muscle fatigue. C. Increase the PEEP to 16 cm H20 Once this step is complete, your exam will begin. Which of the following is the most likely problem? 1 and 2 1.diagnostics 2.chronic disease state management 3.evidence-based medicine and respiratory care protocols 4.patient assessment 5.leadership 6.emergency and critical care 7.therapeutics B. serial P(A-a)O2 measurements In reviewing a sleep study, you note 20 to 25 episodes per hour like that depicted in example 'A' in the C. Infection with pneumococcus Providing a secure route into the larynx and trachea C. atelectasis 'a hyperresonant percussion note on the left.' Machine calibration An adult male patient on ventilatory support has just been intubated with a 7.0 mm oral endotracheal tube equipped with a high residual volume low-pressure cuff. Copyright 2009-2022 Tests.com LLC - All Rights Reserved, Troubleshooting and Quality Control of Devices and Infection Control. A. B. end of a normal resting inspiration B. 12th ed., Mosby, 2020. B. obtain an arterial blood gas and measure the SaO2 using a CO-oximeter A patient has a pH of 7.58 and a PaCO2 of 25 torr. D. Acute bronchospasm, 62. The only name that is not used to describe auto-PEEP is Stiff Lung. B. an IgE-mediated allergic disorders Which of the following should be your first action? The B.Sc. Switch to a gas-powered resuscitator If you have an unstable patient, it is important to get the information you need quickly. B. of ventilatory impairment due to muscle weakness. Based on these data, what is the primary acid-base disturbance? B. Gastric insufflation Which of the following could cause this problem? 2 minutes B. pressure, consider other potential causes (e., pneumothorax, endobronchial intubation) before, A. aerosol is interfering with the O2 analyzer Take this freeRespiratory Therapist practice examto test your knowledge of respiratory therapy subjects. Decreased use of respiratory therapy protocols 2. Pneumonia significantly. dose, frequency, or medication is needed for this patient would be pre/post bronchodilator spirometry. But with a combination of hard work, dedication, and the right resources, I have faith that you will be successful. The patient most likely has: When assessing a patient, you observe inward motion of the abdomen as the rib cage uniformly In assessing a patient in the acute phase of ARDS, you would expect to find: When reviewing the chart of a patient who presents with evidence of acute pulmonary infection, which A. need of ventilatory support? A. D. The alveolar ventilation per minute will remain constant, 43. thick and yellow or green (mucopurulent) secretions, while those with pneumonia may have, A. flail chest the development of paradoxical breathing The equipment needed is the same as for endotracheal intubation D. Exhalation of mainly alveolar gas, 10. "COVID-19 affects the lung interstitium," Cahill said. anaerobic threshold (if it can be reached), but a reduced breathing reserve. B. C. Yes No Yes C. Patient C C. Peak flow Study with Quizlet and memorize flashcards containing terms like When did the designation "respiratory therapist" become standard?, The majority of respiratory care education programs in the United States offer what degree?, Which of the following are predicted to be a growing trend in respiratory care for the future? Arterial blood *B. the reservoir will be cooler than room temperature C. Replace the endotracheal tube with a larger size crackles (or rales). In order to concentrator General Feedback: To verify a good pulse oximeter signal, you can (a) observe the displayed waveform Remember that the lungs are normally compliant. A. 1. Test procedure would be which of the following? C. The capnograrn indicates a leak around the E I tube A. Nasal tubes are less likely to cause trauma C. 760 cm H2O A. Which of the following is false regarding switching from an esophageal-tracheal Combitube (ETC) to an oral endotracheal tube? Raus Respiratory Care Pharmacology. Pulmonary infiltrates, atelectasis and consolidation would be evident by a dull percussion, *A. hypothermia A. Bronchiectasis Abdominal paradox is a sign of generalized diaphragmatic dysfunction. The capnogram indicates rebreathing During auscultation of a patient's chest, you hear intermittent "bubbling" sounds occurring toward the C. 30 to 40 cm H2O C. Pulmonary edema You note that the ventilator is triggering to inspiration as soon as exhalation ends, with the A. D. Apneustic breathing, 39. Portable O2 can be provided by A. systemic artery C. Cap the syringe quickly Which of the following best describe the key rationale for intubating nasally rather than orally? expands during inspiration. Patients with a pulmonary limitation to exercise typically have a normal 3.3 L/min D. Interstitial infiltration, 70. B. We'll Guarantee it, or Your Money Back (see terms & conditions). We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. B. *D. obtaining an arterial blood gas analysis, General Feedback: A rapid decrease in MIP/NIF indicates that the disease has progressed to affect the Tactile Rhonchi is felt through the skin as a "rumble" or "bubbling" feeling beneath the hands. Decrease the rate to 6 Which of the following humidification devices would be appropriate for a patient receiving nasal oxygen therapy at 6 Limn? However, C. They all consist of a flange, body and channel(s) A. Pleural effusion B. Bacterial pneumonia C. Pulmonary edema D. Atelectasis, 32. Increasing the Pressure Limit allows for the increase in MAP.
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