Therapeutic Procedures Flashcards

1
Q

Post-test
When utilizing an inspiratory muscle training device, the RT should initially set the resistor at?

A

The lowest available resistance setting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Post-test
The RT instructs a patient on using incentive spirometry. Which of the following is considered proper instruction for this therapy?

A

Place the mouthpiece in his mouth and inhale maximally from resting exhalation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Post-test
The main indication for sustain maximal inspiration (SMI) is to?

A

Treat collapsed alveoli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Post- test
During IPPB therapy a patient breathes at a pressure level of 22 cm H2O and a frequency of 15b/min the RT notes that the patient is meeting the inspiratory pressure in a shorter time frame than at the beginning of the treatment. This is most likely due to?

A

A change in patients airway resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Post-test
A physician orders IPPB therapy for a patient who is recovering from gallbladder surgery. As the respiratory therapist evaluates the patient’s technique, he notices that the pressure monometer is hesitating during inspiration. To correct this situation, the therapist should?

A

Increase the flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Post-test
Following a hysterectomy, a female patient is unable to reach her pre-operative inspiratory capacity with a volume oriented I.S. The respiratory therapist sets the goal to a lower level, and the patient is still unable to take a deep breath for the therapy. The therapist should?

A

Recommend IPPB therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Post-test
A patient receives CPAP via ET tube. To monitor the patient CPAP level and possible complications associated with the therapy, the RT should also include?

A

A low pressure alarm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Post-test
Which of the following are considered appropriate indications for mask CPAP?

A

• CO poisoning
• Pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Post-test
The RT receives an order to perform postural drainage to the anterior segment of the left upper lobe for a patient with pneumonia which of the following is the correct position for this segment?

A

Bed flat, patient supine, pillow supporting knees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Post-test
A patient in the ICU has aspiration pneumonia in the superior segment of the lower lobes which of the following positions would best facilitate oxygenation for this patient?

A

Prone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Post-test
An eight-year-old patient with CF has been receiving PEP therapy. After several days of therapy, the patient has been diagnosed with a middle ear infection which of the following. Should the RT recommend?

A

Administer IPPB with pulmozyme

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Post-test
During rounds, the RT evaluates a patient who has been receiving CPT QID for eight days. The patient’s chart indicates that the patient’s breath sounds reveal increased aeration to all ling fields, moderate nonproductive cough, respiratory rate of 14, and the patient is ambulating. The therapist should recommend?

A

Discontinue therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Post-test
The RT evaluates a six-year-old boy who is receiving 40% oxygen via aerosol mask. The therapist notes that the patient keeps removing the mask. The boys parents informed the therapist that the child does not like to keep the mask on his face because he “feels like it is suffocating him” to maintain the same FiO2 and humidity level for this patient. The therapist should recommend changing to a/an?

A

Membrane cartridge system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Post-test
A patient receives 28% oxygen via venturi mask. The patient’s breakfast tray has just arrived and the patient would like to eat his meal. To continue to provide oxygen during the meal the RT should?

A

Administer oxygen via a nasal cannula at 2 L/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Post-test
A stable six day old infant requires a temperature controlled environment. Which of the following methods would be most appropriate for this patient?

A

Isolette

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Post-test
A patient diagnosed with end-stage lung carcinoma will be transferred to a nursing home on oxygen therapy. The transport will take approximately three hours with the patient receiving oxygen at 2 L/min via nasal cannula. How long will a full cylinder last for this patient?

A

5 hours

17
Q

Post-test
To provide precise oxygen concentration, while a patient is using a NRB the respiratory therapist should utilize a /an?

A

Air oxygen proportioner

18
Q

Post-test
A physician orders, a sputum induction for a patient with possible left upper lobe pneumonia. The RT attempted to obtain a sample the last three mornings, using a SVN with normal saline without success. The therapist should?

A

Change to hypertonic saline solution

19
Q

Post-test
An adult patient receives mechanical ventilation. Humidity to the system is being provided with a HME over the past 16 hours. The patient secretions have become more tenacious and the vent pressures have increased. Which of the following should the RT recommend?

A

Replace HME with a heated wick humidifier

20
Q

Post-test
A 48 year-old male patient with Guillain Barre syndrome is having difficulty coughing and removing his secretions. Which of the following would be the most appropriate airway clearance technique to utilize with the patient ?

A

Autogenic drainage

21
Q

Pre-test
What is the most appropriate position for an obese patient w/dyspnea?

A

Lateral Fowler’s

22
Q

Pre-test
While administering IPPB therapy to a 58-year-old man who recently underwent a colon resection, the RT notes that the PIP is not reaching the set value. This is most likely the result of?

A

Insufficient inspiratory flow

23
Q

Pre-test
While administering oxygen via HFNC to a 59-year-old woman in CHF the RT notes activation of the blocked tube alarm. This would most likely indicate?

A

Kinking of the delivery tube

24
Q

Pre-test
A patient suffering from CO poisoning is receiving 100% oxygen via NRB at an oxygen flow of 15 L/min. Each time the patient inhales the reservoir bag on the mask remains fully inflated that therapist should?

A

Seal the mask against the patient’s face