Exam 28: Weaning and Discontinuance of Mechanical Ventilation

Evidence of decompensation during an SBT include which of the following? I.Cardiac dysrhythmias II.Increased anxiety III.Diaphoresis IV.Digital clubbing

Free

(Multiple Choice)

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Question 1

Correct Answer:

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What should the respiratory therapist do if the patient does not pass the SBT?

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(Essay)

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Question 2

Correct Answer:

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In the event that a patient does not pass a spontaneous breathing trial,they should be returned to a form of ventilatory support that will provide them with an opportunity to rest and conserve energy.Often this simply means returning the patient to their previous settings.Additionally,effort should be placed on attempting to determine the cause for the failed SBT.Looking carefully at the patient's clinical situation and reviewing the current and past medical history may be beneficial in attempting to discover issues that may have contributed to the patient's failure.

Which of the following should the practitioner complete prior to a spontaneous breathing trial? I.Note current ventilator settings II.Note heart rate,rhythm,blood pressure,O₂ sat III.Place patient in semi or high Fowler 's position IV.Increase sedation to allow patient to rest

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(Multiple Choice)

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Question 3

Correct Answer:

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A patient with an irreversible disease,like high spinal cord injury,should not be considered permanently ventilator dependent until __________________

(Multiple Choice)

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Question 4

What four general questions should the respiratory care practitioner assess prior to weaning from mechanical ventilation?

(Essay)

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Question 5

Which of the following are factors that affect the respiratory system's ability to do work? I.Airway resistance II.Respiratory muscle function III.Lung compliance

(Multiple Choice)

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Question 6

Which of the following is true regarding a protocol?

(Multiple Choice)

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Question 7

How do neurological problems result in ventilator dependence?

(Essay)

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Question 8

While a patient is on an SBT trial the practitioner must watch for rapid decompensation.This is indicated by which of the following?

(Multiple Choice)

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Question 9

If a patient fails an SBT which of the following is the correct action to take?

(Multiple Choice)

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Question 10

Assessing for adequate oxygenation for weaning from mechanical ventilation can include which of the following? I.PEEP less than or equal to 5-8 cm H₂O II.FIO₂ greater than or equal to 0.6 III.PaO₂/FIO₂ greater than 150-200

(Multiple Choice)

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Question 11

Prior to an SBT which of the following should the respiratory care practitioner assess? I.Plateau Pressure II.Breath sounds III.Spontaneous tidal volume IV.Mode of ventilation

(Multiple Choice)

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Question 12

According to the AARC Clinical Practice Guidelines which of the following identifies failure or intolerance in the spontaneous breathing trial?

(Multiple Choice)

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Question 13

The respiratory care practitioner must be aware that a patient may be difficult to wean from the ventilator if ___________________

(Multiple Choice)

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Question 14

Which of the following is true of the method of ventilator weaning called spontaneous breathing trials (SBT)?

(Multiple Choice)

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Question 15

Besides meeting the criteria of previous assessments done by the respiratory care practitioner to determine readiness for extubation,the patient must also be able to _______________

(Multiple Choice)

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Question 16

A patient who has been mechanically ventilated for many weeks is alert and attempting to communicate but still needs the artificial airway.According to the AARC CPG,the respiratory therapist should recommend replacing the endotracheal tube with ____________

(Multiple Choice)

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Question 17

According to the AARC Clinical Practice Guidelines on Weaning and Discontinuation on Ventilatory Support other objective criteria for weaning is measured by _____________ I.Patient is arousable and not on sedation II.Hemoglobin level greater than 8-10 g/dL III.No fever present IV.No respiratory acidosis

(Multiple Choice)

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Question 18

How do respiratory conditions result in ventilator dependence?

(Essay)

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Question 19

Once the patient successfully tolerates SBT,the respiratory care practitioner should ___________

(Multiple Choice)

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Question 20

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Exam 28: Weaning and Discontinuance of Mechanical Ventilation

Evidence of decompensation during an SBT include which of the following? I.Cardiac dysrhythmias II.Increased anxiety III.Diaphoresis IV.Digital clubbing

What should the respiratory therapist do if the patient does not pass the SBT?

Which of the following should the practitioner complete prior to a spontaneous breathing trial? I.Note current ventilator settings II.Note heart rate,rhythm,blood pressure,O₂ sat III.Place patient in semi or high Fowler 's position IV.Increase sedation to allow patient to rest

A patient with an irreversible disease,like high spinal cord injury,should not be considered permanently ventilator dependent until __________________

What four general questions should the respiratory care practitioner assess prior to weaning from mechanical ventilation?

Which of the following are factors that affect the respiratory system's ability to do work? I.Airway resistance II.Respiratory muscle function III.Lung compliance

Which of the following is true regarding a protocol?

How do neurological problems result in ventilator dependence?

While a patient is on an SBT trial the practitioner must watch for rapid decompensation.This is indicated by which of the following?

If a patient fails an SBT which of the following is the correct action to take?

Assessing for adequate oxygenation for weaning from mechanical ventilation can include which of the following? I.PEEP less than or equal to 5-8 cm H₂O II.FIO₂ greater than or equal to 0.6 III.PaO₂/FIO₂ greater than 150-200

Prior to an SBT which of the following should the respiratory care practitioner assess? I.Plateau Pressure II.Breath sounds III.Spontaneous tidal volume IV.Mode of ventilation

According to the AARC Clinical Practice Guidelines which of the following identifies failure or intolerance in the spontaneous breathing trial?

The respiratory care practitioner must be aware that a patient may be difficult to wean from the ventilator if ___________________

Which of the following is true of the method of ventilator weaning called spontaneous breathing trials (SBT)?

Besides meeting the criteria of previous assessments done by the respiratory care practitioner to determine readiness for extubation,the patient must also be able to _______________

A patient who has been mechanically ventilated for many weeks is alert and attempting to communicate but still needs the artificial airway.According to the AARC CPG,the respiratory therapist should recommend replacing the endotracheal tube with ____________

How do respiratory conditions result in ventilator dependence?

Once the patient successfully tolerates SBT,the respiratory care practitioner should ___________

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

Bronchial Hygiene 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

Neonatal Mechanical Ventilation

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