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A nurse is discussing a patient’s needs at an interdisciplinary team conference. The patient was in traumatic accident and requires inpatient rehabilitation incorporated into their plan of care. Which of the nursing competencies is the nurse demonstrating?

A nurse is caring for a patient who is unconscious and has a living will. The patient’s family asks if they can make changes to lifesaving measures now that the patient is unconscious. Which of the following statements should the nurse make?

A nurse looks up information in a client’s medical record but is not involved in the care of the patient. The nurse is violating which of the following standards of professional performance?

Endotracheal suctioning is being performed with a 12f catheter on an adult patient with a 8.0 ETT. The vacuum pressure is  at -140 mmHg. Secretions aspirate slowly when the respiratory therapist occludes the catheter’s control port. To improve suctioning effectiveness, the therapist should:

A patient is receiving nebulize albuterol Q4 and PRN while on VCV. What ventilator parameter should the therapist monitor for effectiveness of the bronchodilator?

While observing a patient on mechanical ventilation AC/VC, the following waveform was observed? What should the therapist do?

A COPD patient is being discharged. What home medication regime should be recommended?

A 5’2″ female patient is receiving  volume controlled mechanical ventilation with the following settings and ABG analysis: Mode – AC pH – 7.22 Rate – 12 breaths/min PaCO2 – 70 mmHg VT – 400 ml PaO2 – 67 mmHg PEEP – +10 cmH2O HCO3 – 30 mEq/L FIO2 – 0.80 BE – +4 mEq/L What should be done now?

An optimal peep study was performed with the following result: PEEP SpO2 Static Compliance 5 cmH2O 83% 20 ml/cmH2O 8 cmH2O 88% 25 ml/cmH2O 10 cmH2O 92% 32 ml/cmH2O 13 cmH2O 95% 27 ml/cmH2O   What is the optimal PEEP

A chronic bronchiectasis patient is admitted for shortness of breath due to retained secretions. What breathsound might the respiratory therapist find when auscultating the patient?