New Quiz 09 Nov Welcome to your Respiratory Therapy Name: Email: [In addition to standard precautions, which of the following transmission-based precautions would you recommend for an elderly patient admitted to a medical unit with severe viral influenza?] contact precautions droplet precautions airborne precautions universal precautions None . [Which of the following would create the waveform pictured above: pic 51] Bronchospasm Saturated CO2 absorber Hypoventilation Increasing metabolic rate None . [A patient with asthma is in acute respiratory distress and presents to the emergency department with markedly diminished breath sounds. Following bronchodilator therapy, auscultation of the chest reveals rhonchi and wheezing. This change suggests which of the following?] development of a pneumothorax improvement of the air flow onset of pneumonia development of pulmonary edema None . [Six hours after a confused 71-year-old male is admitted to the ED with dyspnea, diaphoresis and hypotension, lab results indicate elevated creatine kinase isoenzyme (CK-MB) and troponin I. These finding are most consistent with:] myocardial infarction neurogenic shock fluid overload pulmonary edema None . [Your patient has severe persistent asthma which would be appropriate] Salbutamol 100 - 200 mcg prn, Advair (Flu!casone 100 mcg/50 mcg Salmeterol) 1 puff BID, Prednisone 5 mg/day Salbutamol 100 - 200 mcg prn, Formoterol 6 mcg BID, Budesonide 100 mcg BID, Prednisone 15 mg/day Salbutamol 100 - 200 mcg prn, Salmeterol 50 mcg/dose 1 puff BID, Ciclesonide 100 mcg OD, Prednisone 5 mg/day Salbutamol 100 - 200 mcg prn, Salmeterol 50 mcg/dose 1 puff BID, Flu!casone 500 mcg, 1 puff BID, Prednisone 10 mg/day None . [In the laboratory results section of her medical record, you note an overall WBC of 22,000 for a febrile patient who appear acutely ill and in moderate respiratory distress. Which of the following is this patient’s most likely diagnosis?] bacterial pneumonia emphysema pulmonary embolus pulmonary fibrosis None . [A patient is receiving IPPB therapy via pressure-cycled ventilator with a mouthpiece. You observe that the patient is exhaling, but after triggering on the ventilator fails to cycle off. Which of the following should be done to correct this problem?] Use a flanged mouthpiece or mask Increase the sensitivity Use the expiratory timer Ask the patient to exhale more forcefully None . [A doctor asks you to provide serial measures of the respiratory muscle strength of a patient with a progressive acute neuromuscular disorder. Which of the following measures would you select to provide the needed information?] forced vital capacity arterial blood gas results rapid shallow breathing index maximum voluntary ventilation None . [Midaz] Is an analgesic Retrograde amnesic properties Is a Beta agonist Is an Anxiolytic None . [A 52-year-old patient with altered mental status requires nasotracheal suctioning. When you occlude the catheter's control port for 10 to15 seconds, you note that secretions aspirate slowly. The suction regulator is set to -75 mm Hg. To improve suctioning effectiveness, you should:] lengthen the suction time insert a nasopharyngeal airway adjust the vacuum to -120 mm Hg preoxygenate the patient None . [During auscultation of a patient's chest, you hear intermittent "bubbling" short duration sounds occurring toward the end of inspiration, primarily at the lung bases. Which of the following conditions is most consistent with this finding?] asthma laryngeal edema atelectasis pleurisy None . [You would recommend continuous SpO2 monitoring (versus short-term assessment or spot checks) for which of the following?] child requiring twice daily postural drainage neonate being screened for congenital heart disease stable postop adult started on O2 therapy patient undergoing diagnostic bronchoscopy Correct None . [Plane 3 of surgical anesthesia occurs:] From the return of regular respirations to the cessation of REM From the cessation of REM to onset of paralysis of the intercostal muscles From partial intercostal to full None of the above None . [Desflurane is identified by the colour:] Orange Yellow Purple Blue None . [In order for CPAP to be successful in treating hypoxemic respiratory failure, the patient must have:] an adequate PaO2 on less than 50% O2 a secure artificial airway in place adequate spontaneous ventilation a cardiac output greater than 5 L/min None . [What could cause blunting of the costophrenic angle in this case?] Pneumothorax Pneumomediastinum Hemothorax None . [In assessing a patient receiving volume controlled A/C ventilation, you note a decrease in expired volume, with the high pressure limit alarm sounding. There has been no change in ventilator settings. Which of the following best explains these findings?] an increase in patient-triggered respiratory frequency increased airway resistance or decreased compliance the presence of a leak in the patient-ventilator system malfunction of the ventilator volume monitoring sensor None . [The Outreach Team is called to assess a patient. They categorize the call as level one. What does this mean?] A code blue should be activated This category indicates the call is non-acute he Intensivist must be notified Only the MRHP (most responsible health practitioner) needs to be called None . [For which of the following purposes would you recommend pressure support ventilation (PSV)?] to help manage hypoxemic respiratory failure to control a patient's minute ventilation to increase the functional residual capacity to decrease work of breathing caused by ET tubes None . [An adult patient is receiving 100% O2 via a high flow nasal cannula set to 15 L/min. A persistent high temperature alarms has been occurring over the last several minutes, which you cannot correct. Which of the following actions would be appropriate?] turn the heated humidifier and its alarm system off D/C the device and switch to a nonrebreathing mask at 15 L/min add cold water to the humidifier reservoir and reset the alarm D/C the device and switch to a standard cannula at 15 L/min None . Time's up
