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When reviewing progress notes for a patient, a respiratory therapist notes that a provider has recommended changes to the patient’s treatment plan.  Which of the following should the therapist do NEXT?

Data below were obtained while an adult patient was receiving VC ventilation with an FIO2 of 0.50:                                           1300             1315          1330           1345PEEP (cm H2O)                      5               10                15              20BP (mm Hg)                       140/90        130/90       120/80      110/80SpO2 (%)                                75              90               94               95Static compliance                   20               40               60               55(mL/cm H2O)  Which of the following levels of PEEP should a respiratory therapist choose?

A patient involved in a motor vehicle crash presents with respiratory distress.  A chest radiograph confirms the presence of multiple fractures to five adjacent ribs on the left side.  Which of the following physical findings should be expected during assessment of the chest?

A respiratory therapist observes the following data while monitoring mechanical ventilation:   8:00 AM       9:00 AM       10:00 AM   Peak Pressure (cm H2O)35 4043Plateau Pressure (cm H2O)3028 24 Set PEEP was constant.  Which of the following is present?

A patient is intubated after a motor vehicle crash.  A respiratory therapist palpates asymmetrical chest movement during inspiration, but no crepitus.  Breath sounds are diminished on the left.  Which of the following should the therapist do FIRST?

A patient with a history of chronic bronchitis complains of shortness of breath following thoracic surgery.  The patient is receiving 30% O2 by aerosol mask.  Rhonchi in the right lower lobe are heard on auscultation.  Which of the following should a respiratory therapist recommend?

Chest physiotherapy is initiated for a patient who is alert and oriented.  As therapy progresses, a respiratory therapist notices the patient is no longer responsive to verbal stimuli.  The therapist checks the patient’s pulse and finds that the heart rate is 30.  The patient has a respiratory rate of 6.  Which of the following should the therapist do NEXT?

When administering dornase alfa (Pulmozyme) with a hand-held nebulizer, a respiratory therapist notes a patient is developing marked congestion with copious sputum production.  The therapist’s most appropriate action is to pause the treatment and

A 25-year-old patient with apnea is receiving PC ventilation.  Arterial blood gas results are as follows: . pH 7.20 PaCO2  65 torr PaO2  70 torr HCO3- 25 mEq/L BE -4 mEq/L A respiratory therapist should recommend increasing the

A 34-week gestational age infant has been stable while receiving mechanical ventilation.  Oxygen saturation decreases to 85% and does not respond to an increased FIO2. Transillumination of the chest produces a 1-cm halo that extends around the point of contact with the skin.  Which of the following should a respiratory therapist recommend?