1. During a PEP treatment, a patient complains of right-sided chest…
QuestionAnswered step-by-step1. During a PEP treatment, a patient complains of right-sided chest…1. During a PEP treatment, a patient complains of right-sided chest pain and shortness of breath. On assessing the patient, a respiratory therapist notes hyperresonance over the right upper chest. Which of the following should the therapist do FIRST? A. Decrease the pressureB. Obtain a chest radiograph.C. Obtain an arterial blood gas sample.D. Terminate the treatment. 2. Which of the following is the most appropriate suctioning procedure to perform for a patient who is awake, has an ineffective cough, and has copious secretions? A. nasopharyngealB. orotrachealC. oropharyngealD. Nasotracheal 3. A previously healthy 3-year-old child presented in the ED with right sided wheezing. Which of the following should a respiratory therapist recommend as the FIRST intervention? A. Perform chest physiotherapy.B. Administer an aerosolized beta-agonistC. Obtain a chest radiographD. Perform an esophagoscopy. 4. À patient with an acute exacerbation of COPD has been receiving mechanical ventilation in the A/C mode for 48 hours. Ventilatory support is changed to Fio2 of 0.35, PS of 5 cm H20, and 5 cm H,0 PEEP. The patient is alert and oriented. The fowling data are obtained: RSBI. 64HR. 82/MINRR. 22 min PH. 7.37PaCO2. 63 cum HgPaO2. 68 mm HgHCO3. 31 mEgtBE. +4 mEatSaO2 (mess). 94% Which of the following is the most appropriate recommendation?A. Discontinue PEEPB Maintain the current settings.C. Extubate the patient.D. Change to SIMV. 5. While a respiratory therapist is treating a patient with IPV, the patient becomes short of breath and complains of severe chest left tension pneumothorax suspected. Which of the following findings is consistent with this clinical presentation? sinus tachycardia tracheal shin to the rightdecreased breath sounds on the leftdullness to percussion on the leftA, 1,2, and 4 onlyB. 1, 3, and 4 onlyC. 1, 2, and 3 onlyD. 2, 3, and 4 only 6. Pulmonary function studies are performed, and the following data are obtained: Predicted Observed %predicted FEV1 3.27 L 1.69 L 52% FEV2 4.17 L 2.43 L 58% FEV/FVC% 75% 60% 80%FEF25-50 2.74 L/sec 0.980 L/sec 36% FEF 6.38 L/sec 2.26 L/sec 35% FVC 4.30 L 2.82 L 66% These data indicatethe FEV1 and forced expiratory flows are consistent with obstructive pulmonary disease.the decreased vital capacity could be partly because of a restrictive defect.measurement of TLC will help determine whether a restrictive component is present.the FEV/FVC%, when considered alone, indicates a moderate restrictive defect. A. 2.3, and 4 onlyB. 1, 3, and 4 onlyC. 1,2, and 3 onlyD. 1,2 and 4 only 7. A patient is receiving mechanical ventilation using an HME for humidification. Over the past 2 hours, the peak airway pressure has increased from 30 cm H2O to 40 cm H2O, while the plateau pressure has remained constant at 24 cm H2O. which of the following is likely to resolve to resolve the problem? A. Add 5 cm H2O PEEP.B. Treat the patient for atelectasis.C. Administer aerosolized n-acetylcysteine.D. Replace the HME with a heated humidifier. 8. While preparing for a flexible bronchoscopy procedure, which of the following should a respiratory therapist do to check the response of the scope tip?A. Manipulate the thumb control.B. Insert the biopsy brush through the channel.C. Rotate the focusing ring.D. Test the suction through the channel. 9. Which of the following is a type of breathing pattern associated with metabolic acidosis?A. Kussmaut’sB. Bior’sC. paradoxicalD. Cheyne-Stokes 10. An adult patient has a systolic blood pressure of 60 mm Hg. An ABG analysis is requested. Which of the following arterial sites are recommended?A. femoralB. radialC. carotidD. dorsalis pedis 11. Following phosphorylation for an acute exacerbation of asthma, a 22-year-old is being evaluated in an outpatient clinic. which of the following equipment should be used to monitor the patient’s response to therapy? A. capnometerB. respirometerC. pulse oximeterD. portable spirometer 12. A 63-year-old patient with newly diagnosed OSA undergoes a CPAP titration study. With a CPAP of 8 cm H2O the AHI and the lowest observed oxygen saturation is 90%. The patient continues to snore. A respiratory therapist should recommend A. initiating bilevel PAP.B. increasing the CPAP level.C. adding supplemental oxygenD. maintaining the current settings 13. Placement of a catheter in which of the following arteries is recommended for frequent sampling of blood gases in an adult patient with severe burns on the lower body?A. femoralB. dorsalis pedisC. brachialD. radial 14. Placement of a catheter in which of the following arteries is recommended for frequent sampling of blood gases in an adult patient with severe burns on the lower body? A. femoralB. dorsalis pedisC. brachialD. radial 15. With an FiO2 of 0.40 delivered by a flow inflating resuscitator bag and mask, a premature neonate has the following umbilicalABC analysis resultspH 7.38PCO2 45 mm HoPO2 44 mm MoHCO3 27 mto1.DE •1 mEg1SO2 (calc) 79% Which of the following oxygen administration devices is most appropriate for this neonate? A. nasal cannulaD. nasal CPAPC. IncubatorD. Oxygen hood 16. A respiratory therapist is called to the bedside of a patient whose low-pressure alarm is sounding. The therapist observes the following data while the patient is receiving VC, SIMV: Mandatory rate 12Vt 600 mlExhaled Vt 590 mlHigh-pressure alarm limit 30 cm HgLow-pressure alarm limit 22 cm HgPIP 20 cm H2OPS 10 cm H2OPEEP 6 cm H20 Which of the following should the therapist do? A. Replace the ventilator circuit.B. Adjust the tidal volume to 700 mlC. Decrease the low-pressure limit to 10 cm H/0.D. Change PS to 20 cm H2O 17. During PC ventilation, which of the following occurs when the pressure is increased?A. The I:E changes.B. The tidal volume increasesC. The inspiratory flow decreasesD. The inspiratory time increases 18. A patient with tracheostomy button experiences cardiac arrest. To secure the airway and facilitate manual ventilation, a respiratory therapist should A. insert a tracheostomy tubeB. deflate the cuffC. replace the obturatorD. insert the inner cannula 19. Which of the following is a characteristic of a point of care ABG analyzer?A. it does not require quality control programs.B. it does not require a heparinized blood sampleC. it provides the most accurate resultsD. it can be used in multiple settings 20. A patient receiving oxygen through a nasal cannula at 5 L/min has an Spo2 of 98% and is breathing comfortably following analysis results are obtained from an arteria sample on a point of care blood gas analyzer:PH 7.41PCO2 37 mm HgPO2 27 mm Hg -HCO3 23 mEgLBE +1SaO2% (cale) 50% The piece of equipment that is most likely to be Incorrectly operating is the A. sensor of the pulse oximeterB. oxygen flowmeter attached to the maskC. nasal cannulaD. sample cartridge of the analyzer 21. The following blood gas analysis results are availablepH 7.32PaCO2 25 mm HoPaO2 75 mm HgHCO3 13 mEol.BE -11 mEatSeO2 (cale) 95%Which of the following conditions do these data reflect? A. uncompensated metabolic alkalosisB. uncompensated metabolic acidosisC. partially compensated metabolic acidosisD. Partially compensated metabolic alkalosis 22. A respiratory therapist is preparing a ventilator for a postoperative 48-year-old female who weighs 86 kg (190 1b) and is 168 cm (5 ft 6 in) tall. The following initial settings have been ordered for VC, AC ventilation:FiO2 0.50Mandatory rate 12Vt 650 ml.PEEP 5 cm H2OWhich of the following adjustments to the initial settings should the therapist recommend before starting mechanical ventilation? A. Increase the mandatory rate to 14.B. Switch to SIMV.C. increase to 10 cm M/O PEEP.D. Decrease Vt to 475 mL. 23. A 133 cm (5- ft 1 in) 50 kg (110 Ib), 25-year -old female has a respiratory rate of 12/min and a tidal volume of 500 mL. If the respiratory rate increases to 24/min and tidal volume drops to 250 ml. which of the following will increase? A. alveolar ventilationB. dead space ventilationC. minute ventilationD. pH 24. A 16-year-old male is brought to the ED after suspected chemical exposure when cleaning out a garage. On admission, the patient’s vital signs are within normal limits with no accessory muscles use, but confusion and cyanosis are present. Analysis of an ABG sample drawn while the patient receives 4 L/min oxygen by nasalpH 7.42PCO2 42 mm HgPO2 115 mm HgHCO2 27 mEq/LBE +2 mEg/LSao2 (caic) 98%Which of the following should a respiratory therapist recommend? A. Decrease oxygen to 2 L/minB. Initiate mask CPAPC. Perform hemoximetry (CO oximetry).D. Obtain a CBC count 25. Which of the following is considered to be acceptable for the administration of 70/30 heliox?A. Oxygen hoodB. air-entrainment maskC. simple maskD. nonbreathing mask 26. A respiratory therapist observes the following ECG for a patient who is unresponsive with no signs of spontaneous circulation:Which of the following could explain this observation?bradycardiapulseless electrical activitysinus tachycardiaasystoleHealth ScienceScienceNursingShare Question
