A patient with asthma is receiving mechanical ventilation on a microprocessor-type ventilator. It is noticed on the flow/time waveform graph that the patient has an incomplete exhalation. All of the following would correct the problem: 1. Adding inflation hold 2. Increasing flow 3. Decreasing Vt 4. Increasing expiratory time
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When a respiratory therapist is assessing with the insertion…
When a respiratory therapist is assessing with the insertion of a nasal endotracheal tube, the following should be done: 1. Hyperoxygenation should be performed before the intubation is attempted 2. A curved blade should be attached to the laryngoscope handle to lift the epiglottis 3. The head and neck should be put into the sniffing position 4. Apnea periods should be limited to 30 seconds for each intubation attempt 5. A stylet should be inserted into the endotracheal tube
A patient with CHF has a flow-directed pulmonary artery cath…
A patient with CHF has a flow-directed pulmonary artery catheter placed for monitoring purposes. After being given a diuretic medication, the patient has an increased urine output and the PVO2 value changes from 25 torr to 39 torr. What could be the cause?
An order is received to begin postural drainage, percussion,…
An order is received to begin postural drainage, percussion, and vibration on an 18-year-old female. The chest radiograph film shows the superior and inferior segments of the left lingula are opaque. Auscultation reveals crackles in this area. The respiratory therapist would proceed to do all the following: 1. Tip the patient’s head down 15 degrees 2. Explain the importance of the treatment 3. Rotate the patient one-fourth turn up from supine 4. Percuss and vibrate in the left anterior chest area
A patient diagnosed with Pseudomonas pneumonia is having her…
A patient diagnosed with Pseudomonas pneumonia is having her respiratory care equipment changed. Her nondisposable large-volume nebulizer must be disinfected. What is teh best way to do this?
An adult patient is suspected of having emphysema. Which of…
An adult patient is suspected of having emphysema. Which of the following tests should the respiratory therapist recommended to help confirm the problem?
While attempting to suction an adult patient orally with a r…
While attempting to suction an adult patient orally with a rigid tonsillar (Yankauer) device, the respiratory therapit finds that the secretions are too thick to be easily removed. The suction pressure is set at -50 mm Hg. What should be done?
An adult patient with a neurologic disease is being evaluate…
An adult patient with a neurologic disease is being evaluated for progression of the disease. What is the minimal safe maxium inspiratory pressure the patient should be able to inhale?
A patient with emphysema who is confined to the home receive…
A patient with emphysema who is confined to the home receives 2L/min of O2. continuously by nasal cannula. What is the best O2 delivery system for the patient?
While doing equipment rounds, the respiratory therapist hear…
While doing equipment rounds, the respiratory therapist hears a high-pitched whistling sound coming from the bubble humidifier connected to the patient’s 24% air-entrainment mask. The O2 flow meter is set at 8L/min. What should be done? 1. Add water to the humidifier 2. Turn down the oxygen flow 3. Tighten all tubing and equipment connections 4. Remove the bubble humidifier