Question 1

A patient has severe hypoxemia despite high levels of oxygen.To help alleviate the hypoxemia the patient is positioned with the good lung down.How does this work?

Accepted Answer

By placing the good lung down,the better

Question 2

Lifting should be performed with the ________________

Accepted Answer

A)  back. 
B)  legs. 
C)  arms. 
D)  fingers. 
A)  back. 
B)  legs. 
C)  arms. 
D)  fingers.

Question 3

During bronchial hygiene therapy in the Trendelenburg position,the patient's SpO₂ decreases from 92% on a 35% Venturi mask to 80% during the first 5 minutes of the therapy.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

Accepted Answer

A)  Administer 100% oxygen, stop therapy immediately, return the patient to original resting position, and consult the physician. 
B)  Administer 100% oxygen and consult the physician. 
C)  Administer 100% oxygen and continue the therapy with the patient flat in bed. 
D)  Stop therapy immediately and return patient to original resting position. 
A)  Administer 100% oxygen, stop therapy immediately, return the patient to original resting position, and consult the physician. 
B)  Administer 100% oxygen and consult the physician. 
C)  Administer 100% oxygen and continue the therapy with the patient flat in bed. 
D)  Stop therapy immediately and return patient to original resting position.

Question 4

Postural drainage therapy is indicated for adult patients with secretion production of at least _______________

Accepted Answer

A)  10-15 ml per day. 
B)  15-20 ml per day. 
C)  20-25 ml per day. 
D)  25-30 ml per day. 
A)  10-15 ml per day. 
B)  15-20 ml per day. 
C)  20-25 ml per day. 
D)  25-30 ml per day.

Question 5

Before initiating PEP therapy,the respiratory care practitioner verifies the physician's order for PEP therapy.Upon review of the patient's chart,it is noted that the patient has an acute sinusitis and a history of epistaxis.What should this tell the practitioner about the patient?

Accepted Answer

A)  The patient may have cystic fibrosis also and the PEP therapy should be given with a mucolytic drug. 
B)  The patient should be set in the Fowler's position before the therapy is initiated. 
C)  A drug with alpha effects should be given before proceeding with the therapy. 
D)  The patient should be carefully evaluated before PEP therapy is initiated. 
A)  The patient may have cystic fibrosis also and the PEP therapy should be given with a mucolytic drug. 
B)  The patient should be set in the Fowler's position before the therapy is initiated. 
C)  A drug with alpha effects should be given before proceeding with the therapy. 
D)  The patient should be carefully evaluated before PEP therapy is initiated.

Question 6

What is the only absolute contraindication to a directed cough?

Accepted Answer

A)  Increased intracranial pressure 
B)  Increased potential for aspiration 
C)  Untreated pneumothorax 
D)  There are no absolute contraindications. 
A)  Increased intracranial pressure 
B)  Increased potential for aspiration 
C)  Untreated pneumothorax 
D)  There are no absolute contraindications.

Question 7

Abnormal chest x-ray consistent with atelectasis and mucus plugging,rhonchi suggesting secretions in the airways,and excessive sputum production would establish the need for:

Accepted Answer

A)  positioning. 
B)  postural drainage therapy. 
C)  chest clapping. 
D)  bronchodilator therapy. 
A)  positioning. 
B)  postural drainage therapy. 
C)  chest clapping. 
D)  bronchodilator therapy.

Question 8

Which technique (s)include(s)removal of retained secretions,atelectasis,and prophylaxis of pulmonary infections and as routine care for patients with cystic fibrosis?

Accepted Answer

A)  PEP therapy 
B)  Flutter valve therapy 
C)  High frequency chest wall oscillation therapy 
D)  All of these 
A)  PEP therapy 
B)  Flutter valve therapy 
C)  High frequency chest wall oscillation therapy 
D)  All of these

A patient has severe hypoxemia despite high levels of oxygen.To help alleviate the hypoxemia the patient is positioned with the good lung down.How does this work?

Lifting should be performed with the ________________

During bronchial hygiene therapy in the Trendelenburg position,the patient's SpO₂ decreases from 92% on a 35% Venturi mask to 80% during the first 5 minutes of the therapy.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

Postural drainage therapy is indicated for adult patients with secretion production of at least _______________

Before initiating PEP therapy,the respiratory care practitioner verifies the physician's order for PEP therapy.Upon review of the patient's chart,it is noted that the patient has an acute sinusitis and a history of epistaxis.What should this tell the practitioner about the patient?

What is the only absolute contraindication to a directed cough?

Abnormal chest x-ray consistent with atelectasis and mucus plugging,rhonchi suggesting secretions in the airways,and excessive sputum production would establish the need for:

Which technique (s)include(s)removal of retained secretions,atelectasis,and prophylaxis of pulmonary infections and as routine care for patients with cystic fibrosis?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

Filters

Exam 16: Bronchial Hygiene Therapy

A patient has severe hypoxemia despite high levels of oxygen.To help alleviate the hypoxemia the patient is positioned with the good lung down.How does this work?

Lifting should be performed with the ________________

During bronchial hygiene therapy in the Trendelenburg position,the patient's SpO₂ decreases from 92% on a 35% Venturi mask to 80% during the first 5 minutes of the therapy.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

Postural drainage therapy is indicated for adult patients with secretion production of at least _______________

Before initiating PEP therapy,the respiratory care practitioner verifies the physician's order for PEP therapy.Upon review of the patient's chart,it is noted that the patient has an acute sinusitis and a history of epistaxis.What should this tell the practitioner about the patient?

What is the only absolute contraindication to a directed cough?

Abnormal chest x-ray consistent with atelectasis and mucus plugging,rhonchi suggesting secretions in the airways,and excessive sputum production would establish the need for:

Which technique (s)include(s)removal of retained secretions,atelectasis,and prophylaxis of pulmonary infections and as routine care for patients with cystic fibrosis?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

Filters