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A patient recovering from traumatic brain injury (TBI) is functioning at level IV on the Ranchos Los Amigos Levels of Cognitive Functioning Scale (LOCF). During the therapist’s initial examination, the patient becomes agitated and tries to bite the therapist. What is the therapist’s BEST course of action?

Mrs. Jones presents with motor restless impulsive behaviors. She repeatedly stands without assistance, reporting pain in her lower back and that her wheelchair cushion is too firm. when staff apply the wheelchair seatbelt restraint, she begins to yell and kick at the staff members.  She is confused and disoriented, frequently mistaking staff members as family and becomes angry when staff attempt to re-orient her. Her room is adjacent to the elevator, resulting in high visitor traffic and noise outside her room. Which of the following is a list of the External Triggers for her agitated behaviors?

A patient with multiple traumatic injuries is receiving VC ventilation.  The following data are documented: . 1000           1200 1400 BP (mm Hg) 130/76 124/70  116/62 SpO2              96% 91% 89% PIP (cm H2O) 29 33 38 Breath sounds over the right thorax are diminished and the trachea is deviated to the left.  A respiratory therapist should recommend obtaining a

A patient has been receiving mechanical ventilation through a tracheostomy tube for 16 days.  The patient begins to thrash about in the bed following withdrawal of a drug-induced coma.  The patient’s tracheostomy tube has become dislodged.  Following appropriate sedation, a respiratory therapist should NEXT

A patient’s chest radiograph shows diffuse alveolar infiltrates.  The following data are available: CVP        15 mm HgPPA        30 mm HgPCWP        26 mm HgC.I.          1.6 L/min/m2  A respiratory therapist should recommend administering

A patient with severe COPD is receiving PC, A/C ventilation with 30% oxygen.  The patient becomes tachypneic and is apprehensive, mottled, and hypertensive.  Auscultation reveals distant breath sounds on the right as compared to the left.  Tracheal deviation to the left is observed.  A respiratory therapist should recommend evaluation for a potential

The following pulmonary function results are obtained for a patient:       .   Observed  Predicted % Predicted             . FVC 3.40 5.90 57.6% FEV1 0.50 4.00 12.5% FEV1/FVC 14 70 FEF25-75% 0.77 4.50 17.0% TLC 8.40 7.30 115.0% A respiratory therapist should recommend a treatment plan for

A V/Q scan reveals ventilation and perfusion are equally decreased in the right mid-lung field.  This finding is compatible with

The following patient data are obtained:CaO2 Pv¯O2 Sv¯O2 Hb12 vol%30 torr60%10 g/dL             The patient’s C(a-v¯)O2 is approximately

An alert adult patient is receiving CPAP with PS of 5 cm H2O and an FIO2 of 0.28.  The patient has a heart rate of 88 and a respiratory rate of 25. Blood gas analysis results are as follows: pH                7.43PaCO2        35 torrPaO2           95 torrHCO3-        23 mEq/LBE                -1 mEq/LWhich of the following is a respiratory therapist’s most appropriate action?