Final Exam

Question 1

teaching physical skills to patients is learning in what domain?

Answer 1

psychomotor

Question 2

what are indications for bland aerosol therapy?

Answer 2

presence of upper airway edema, subglottic edema, and need for sputum specimen

Question 3

what is the primary goal of health education?

Answer 3

change the behavior

Question 4

what is the ability to locate, correct, and process technical problems known as?

Answer 4

troubleshooting

Question 5

what are 3 verbs that can be used to write an objective for the cognitive domain?

Answer 5

cite, describe, and compose

Question 6

what is the ability to arrange work according to importance?

Answer 6

prioritizing

Question 7

what is a hazard/complication for adult patients using bland aerosol?

Answer 7

infection

Question 8

why is a water-soluble lubricant used for inserting a nasal airway?

Answer 8

to reduce friction and causes the nasal airway to slide in easier.

Question 9

the objective that states, “Verbalize willingness to use oxygen properly and safely” fall under which domain?

Answer 9

affective

Question 10

what are 2 instances where you would want to use bland aerosol?

Answer 10

post extubation edema and croup

Question 11

what concept will be most emphasized in teaching new skills to patients?

Answer 11

repeition

Question 12

what complications might arise from a too large sized oropharyngeal or nasopharyngeal airway?

Answer 12

causes trauma to the airways

Question 13

what complications might arise from a too small sized oropharyngeal or nasopharyngeal airway?

Answer 13

not getting the proper treatment and choking hazard

Question 14

what are 3 ways to you can if bagging is effective?

Answer 14

chest rise, breath sounds, vitals and color improve

Question 15

what are 3 patient factors that may increase difficulty when bagging a patient?

Answer 15

patient with a spinal cord injury, obstruction in the airway, overweight patient

Question 16

what are 2 advantages of using an LMA?

Answer 16

blind insertion and reduce the risk of mucosal damage

Question 17

what are 2 disadvantages of using an LMA?

Answer 17

gastric distention and regurgitation

Question 18

what is the appropriate range of suctioning that should be available for suctioning an adult?

Answer 18

80-150mmHg

Question 19

what is the maximum time limit for a suction pass into the trachea?

Answer 19

15 sec

Question 20

what is a complication of nasotracheally suctioning?

Answer 20

bronchospasm

Question 21

endotracheal suctioning should be preceded by ________?

Answer 21

preoxygenation of at least 30 sec

Question 22

how often should a patient be suctioned?

Answer 22

when the physical findings support the need

Question 23

after repeated nasotracheal suctioning over two days, a patient with retained secretions develops minor bleeding through the nose. which of the following would you recommend?

Answer 23

stop the bleeding and place a nasopharyngeal airway for future use

Question 24

what is the absolute contraindication for NT suctioning?

Answer 24

epiglottitis

Question 25

what are 3 things you should monitor during your suctioning procedure?

Answer 25

skin color, vitals, respiratory rate/pattern

Question 26

is sputum normally considered a high-risk fluid for the transmission of bloodborne pathogens? why or why not?

Answer 26

it is not considered a high-risk fluid for the transmission of bloodborne pathogens unless there is visibly blood.

Question 27

you are suctioning a patient and lose suction. what are possible causes and how would you remedy those causes?

Answer 27

- Equipment issues, example: twist/kink in tubing. Remedy would be to remove the suction and fix the tubing. - Blockage of tube, example: secretions are thick and are blocking the way. Remedy would be to flush tubing with sterile water.

Question 28

what is the most common cause of an obstructed airway?

Answer 28

tongue falling backward due to soft tissue/muscle relaxation

Question 29

initiating discussion in an attempt to influence others is known as _____?

Answer 29

negotiating

Question 30

your thumb and forefinger create the shape of what letter when properly holding a mask on a patient's face as a single responder ______?

Answer 30

"C"

Question 31

what is your definition of critical thinking?

Answer 31

the act of quick thinking in moments and being able to sort out ideas in your head

Question 32

a patient has been successfully resuscitated using mask-bag ventilation with an oropharyngeal airway in place. the respiratory therapist is assisting the patient's spontaneous breathing. the patient begins to gag. what step should the respiratory therapist take first?

Answer 32

remove the oropharyngeal airway from the patients mouth

Question 33

A respiratory therapist notices that a semiconscious patient is not moving enough air and seems to be obstructing in inspiration. An attempt to insert an oropharyngeal airway is unsuccessful because the patient is gagging. what is the most appropriate action?

Answer 33

use a nasopharyngeal airway

Question 34

why are the masks on manual resuscitators made of a transparent material?

Answer 34

the responder can see whether the patient has regurgitated/vomitted into the mask

Question 35

choose whether to use a nasopharyngeal airway (NPA) or an oropharyngeal airway (OPA): unconscious car accident victim with a broken jaw

Answer 35

NPA

Question 36

choose whether to use a nasopharyngeal airway (NPA) or an oropharyngeal airway (OPA): Unconscious drug overdose patient

Answer 36

OPA

Question 37

choose whether to use a nasopharyngeal airway (NPA) or an oropharyngeal airway (OPA): Patient requiring frequent nasal suctioning

Answer 37

NPA

Question 38

what critical thinking skill is also known as "future think"?

Answer 38

anticipating

Question 38

The patient connectors of a resuscitator valve must have a ____ fitting?

Answer 38

15:22 mm

Question 39

What is the only contraindication to bagging a patient who is apneic?

Answer 39

known "do not resuscitate"

Question 40

The ability to obtain, process, and understand basic health information and services needed to make appropriate healthcare decisions and follow instructions for treatment is known as _______?

Answer 40

health literacy

Question 41

inability to maintain an adequate mask seal during manual ventilation will cause ________?

Answer 41

lower tidal volumes delivered to the patient

Question 42

how long should inspiration be when bagging a patient?

Answer 42

1-2 seconds

Question 43

bagging too hard and/or fast can cause ______?

Answer 43

barotrauma, gastric distention, and vomiting

Question 44

when resuscitating a newborn infant, what device is most appropriate?

Answer 44

manual resuscitator with a 35-45cmH2O pressure relief valve

Question 45

You receive an unconscious patient in the emergency department who is receiving CPR. EMS is actively bagging the patient, however you do not see chest rise and are unable to auscultate breath sounds. What is the most appropriate action to take first?

Answer 45

head tilt/chin lift and insert and oropharyngeal airway

Question 46

what position may help with air movement when bagging a morbidly obese patient?

Answer 46

sitting upright

Question 47

what is a hazard/complication of bland aerosol in an infant?

Answer 47

overhydration

Question 48

A patient in the emergency department exhibits signs of acute upper airway obstruction and is concurrently having severe seizures that make it impossible to open the mouth. In this case, what would be the adjunct airway of choice?

Answer 48

nasopharyngeal airway

Question 49

what is the primary indication for lung expansion therapy?

Answer 49

atelectasis

Question 50

what happens during the compression stage of a cough?

Answer 50

the glottis is closed and the expiratory muscles contract

Question 51

what position is the Trendelenburg position?

Answer 51

head down, feet up

Question 52

in teaching a patient to perform the sustained maximal inspiration maneuver during incentive spirometry, what would you say?

Answer 52

"Exhale normally, then inhale as deeply as you can, then hold your breath for 5 to 10 seconds."

Question 53

what could be a result of significant over inflation of an endotracheal tube cuff?

Answer 53

tracheal mucosal damage

Question 54

what are 3 things that induce a cough?

Answer 54

infection, irritant, a foreign body

Question 55

a heated high flow nasal cannulas can deliver flows of oxygen up to what L/min?

Answer 55

60 L/min

Question 56

what is the most common sign associated with the transient glottic edema or vocal cord inflammation that follows extubation?

Answer 56

hoarseness

Question 57

what is the major contributing factor in the development of postoperative atelectasis?

Answer 57

repetitive, shallow breathing

Question 58

a postoperative patient using incentive spirometry complains of dizziness and numbness around the mouth after therapy sessions. What is the most likely cause of these symptoms?

Answer 58

hyperventilation

Question 59

what is the ideal patient position for directed coughing?

Answer 59

sitting with the head and spine slightly flexed, feet supported

Question 60

what would be the typical starting pressure used for Cough Assist in a patient with neuromuscular disease, but no lung disease?

Answer 60

40cmH2O positive pressure followed by -40cmH2O negative pressure

Question 61

persistent breathing at small tidal volumes typically results in which of the following?

Answer 61

compression atelectasis

Question 62

in the context of coughing, what is splinting?

Answer 62

using hands or a pillow to support the area over an incision during coughing

Question 63

how do all modes of lung expansion therapy aid lung expansion?

Answer 63

increasing the transpulmonary pressure gradient

Question 64

what are necessary for normal airway clearance?

Answer 64

patent airway, functional mucociliary escalator, and effective cough