Exam 50: Cardiopulmonary Rehabilitation

Knowledge from the social sciences is used in pulmonary rehabilitation programming for mainly what purpose? I.determine the impact of the disability on the patient or family II.quantify the extent of physiological impairment due to disease III.establish ways to improve the 'patient's quality of life

During inspiratory resistive exercises, the desired load should be about what percentage of the maximum inspiratory pressure?

Which of the following measures during cardiopulmonary exercise evaluation are most useful in differentiating between exercise intolerance of cardiac versus ventilatory origin? I.maximum heart rate II. $\dot { V }$ O_2max III.PaCO₂ IV.PaO₂

The $\dot { V }$ O_2max at termination of exercise (as a percentage of the predicted) for five patients appears below. Which of these patients is the best candidate for pulmonary rehabilitation? (predicted) A. 65\% B. 80\% C. 90\% D. 95\%

Which of the following topics should be covered in a rehabilitation education session on respiratory home care? I.self-administration of therapy II.care of home equipment (e.g., cleaning)III.safe use of home care equipment

Which of the following educational topics covered in a typical pulmonary rehabilitation program are most suitable for presentation by a respiratory care practitioner? I.methods of relaxation and stress management II.recreation and vocational counseling III.diaphragmatic and pursed-lip breathing techniques IV.respiratory structure, function, and disease

Which of the following is NOT a reasonable expectation for a pulmonary rehabilitation program?

Which of the following outcome measures is considered a major predictor for improvement in a COPD patient's health-related quality of life?

Absolute contraindications for conducting a cardiopulmonary exercise evaluation include all of the following except:

Appropriate topical areas to be covered in a rehabilitation education session on nutrition include which of the following? I.elements of a good diet II.proper eating habits III.foods to avoid IV.daily menu planning

Common goals shared by most pulmonary rehabilitation programs include which of the following? I.improvement in physical activity levels II.control of respiratory infections III.reduction in medical costs and hospitalizations IV.family education, counseling, and support

Attrition in pulmonary rehabilitation programs is most associated with which of the following?

Under which of the following conditions would you recommend ending a cardiopulmonary exercise evaluation? I.electrocardiogram indicating supraventricular tachycardia II.10% fall from baseline oxyhemoglobin (HbO₂) saturation III.fall in systolic blood pressure of more than 20 mm Hg IV.request from the patient to terminate the test

To maximize patient safety during cardiopulmonary stress testing, which of the following precautions would you recommend? I.immediate availability of a crash cart II.staff training in emergency life support III.presence of a physician throughout testing IV.patient physical exam or ECG before testing

What is the first step in evaluating patients for participation in a pulmonary rehabilitation program?

Which of the following exercises are useful for reconditioning the lower extremities of patients undergoing pulmonary rehabilitation? I.walking on a flat surface for a specified period of time II.walking on a treadmill for a specified distance or time III.pedaling a stationary bicycle for a specified distance

Which of the following clinicians are commonly involved in the cardiac rehabilitation programs? I.nurse specialist II.cardiologist III.dietitian

Which of the following pulmonary function tests are most useful in determining whether a patient with restrictive lung disease should be considered for pulmonary rehabilitation? I.DLCO II.total lung capacity (TLC)III.FEV₁/FVC

What is the term used to describe the restoration of individuals to the fullest possible medical, mental, emotional, social, and vocational potential?

While you are assisting in a treadmill cardiopulmonary stress test procedure, the patient complains to you of severe shortness of breath and some chest pain. Which of the following actions would you recommend at this time?