To mechanical ventilation, a patient with severe loss of elastic…

Question Answered step-by-step To mechanical ventilation, a patient with severe loss of elastic… To mechanical ventilation, a patient with severe loss of elastic recoil of the lungs shouldA. hold each breath for a short timeB. inhale slowly,C. exhale slowlyC. breathe as deeply as possible 2.  A 65-year-old, 68-kg (150-Ib) patient is receiving PS ventilation. The following data are availableFiO2_______________ 0.40HR_________________84/minRR_________________12/minBP_________________140/90 mm hgVt_________________450 mLPEEP______________5 cm H2OPS_________________20 cm H2O pH___________7.38PaCO2 ________42 mm HoPaO2 __________ 88 mm HoHCO3 _________ 25 mEg1BE____________ 0 mEgLSa0, (caic)________ 97% A respiratory therapist decreases the PS to 10 cm H/O. The respiratory rate increases to 20/min, and the VT decreases to 400, and Vital signs are unchanged. The therapist should recommend A. increasing PS to 20 cm H/OB. increasing PEEP to 10 cm H,0C. maintaining the current ventilator settingsD. instituting SIMV. 3.  A large-volume nebulizer used for continuous aerosol delivery is found to have fluctuations in the oxygen concentration atthe outlet port. Which of the following should a respiratory therapist do?A. Add a heater to the nebulizer.D. Check the patency of the air-entrainment port.C. Check the fluid level in the nebulizer.D. Decrease the liter flow. 4.  Which of the following is obtained using hemoximetry (CO-oximetry)? A. SaO2B. PAO2C. P(A-a)O2D. pH 5.  A 60 kg (110Ib). 157 cm (5-ft 2-in) female patient was admitted to the ICU with ARDS following exposure to chlorine gas. She is intubated and receiving VC, A/C ventilation. The following data are observed:FIO2________0.60Mandatory rate_____12Vt______________300 mlInspiratory flow_____60 L/minPEEP____________5 cm H,OSensitivity_______-2 cm H,O ABG analysis results are:pH_____7.32PCO2____60 mm HgPO2______60 mm HgHCO3_________26 mEglBE_______-1 mEg/LSao2, (calc)______ 85% Which of the following should a respiratory therapist recommend?A. Increase the peak flowB. Increase the PEEPC. Switch to PSV.D. Switch to SIMV 6. A 70-kg (1544b) patient was recently intubated and VC, SIMV was initiated with the following settingsMandatory rate___10Total rate_____12VT__________400 mLInspiratory time__1.0 secPEEP___________5 cm HgThe end-tidal CO2 has increased from 40 to 56 mm Hg over a 2-hour period. Which of the following should a respiratory therapist recommend?A Increase mandatory rate to 16.B. Increase to 8 cm H,O PEEP.C. Decrease inspiratory time to 0.4 seconds.D. Decrease V, to 300 mL 7.  A patient with COPD is receiving VC ventilation. The flow does not return to baseline on the flow-time curve. Which of the following should be increased?A. tidal volumeB. high pressure alarm limitC. expiratory timeD. inspiratory time 8.  During suctioning of a patient who is intubated, a respiratory therapist notes the secretions have become thicker, pursuer and more abundant than the day before. Which of the following should the therapist do?1. Document findings in the medical record.2. Administer a bronchodilator.3. Instill normal saline.9.  NPPV is Initiated for a patient by nasal mask. To ensure adequate humidification, a respiratory therapist should recommend A. bubble humidifier:B. pneumatic nebulizer.C. heated humidification system.D. heat moisture exchanger. 10.  A respiratory therapist reviews the following blood gas analysis results for a patient receiving an Fio2 0.30 pH________7.41PaCO2______ 35 mm HoPaO2________110 mm HoHCO3_______22 mEgLRE___________-2 mEq/LSaO2 (cale)___98%Pb___________760 mm Hg The P(A-a)O2 isA. 120 mm Hg.B. 60 mm HgC. 200 mm Hg.D. 10 mm Mg 11.  The medical emergency team to called to the bedside of a patient who is recovering from an endoscopy procedure that required sedation. SpO2 is 83% ob a 6 L/min nasal cannula. The patient is noted to be obtunded and the end-tidal CO2 display reads 64 mm Hg. The patient has bilateral chest wall movement with loud snoring. Which of the following should respiratory therapist do FIRST? A. Obtain an ABG sampleB. Insert an LMA.C. Perform a head bit with chin lift.D. Administer aerosolized albuterol. 12.  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.13.  Which of the following types of ventilators should be used for a premature infant who has persistent pulmonary air leaks?A. negative pressureB. high frequencyC. noninvasiveD. pressure limited; time cycled  14.  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. 15.  À 45-year -old patient has a diagnosis of pulmonary hypertension. The patient is scheduled for a right heart catheterization toelsess pulmonary vascular reactivity. During the procedure, a respiratory therapist should expect to titrate inhaled A. helioxB. nitric oxide.C. oxygen.D. carbon dioxide 16.  A patient receiving mechanical ventilation is evaluated for weaning. The patient can generate á spontaneous vital capacity of 700 mL and a maximum inspiratory pressure of -14 cm H.0. Which of the following is the most appropriate recommendation? A. increase the level of ventilatory supportB. Initiate weaning.C. Maintain the current therapyD. Extubate the patient. 17.  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 Health Science Science Nursing Share QuestionEmailCopy link Comments (0)