TEST2 (Pulmonary Patient Assessment)

A severe COPD patient is admitted to the hospital with dyspnea. The patient is unresponsive with a blood pressure of 170/110 mm Hg and a respiratory rate of 38/min. The respiratory therapist should assess which of the following
next?

Which of the following is true regarding a patient is experiencing Kussmaul's respirations?

The respiratory therapist is assessing a patient who suffered smoke inhalation as the result of a house fire. The patient is on a nonrebreathing mask at 15 L/min and his ABG results are below.


pH 7.23
PaCO2 21torr
PaO2 174 torr
HCO3 12mEq/L
BE -13
SaO2 68%

From this data, which of the following is true regarding this patient's condition?

I. The patient is hypoxic.
II. The FIO2 should be decreased.
III. The patient is hypoventilating.
IV. The blood gases reveal a partially compensated metabolic acidemia

Who was Moses' sister

The respiratory therapist is assessing a patient with emphysema and observes pedal edema and jugular venous distention. The therapist should note in the patient's chart these signs are most likely the result of

The respiratory therapist is assessing a patient in the ICU with acute pulmonary edema. Which of the following would best determine if this is cardiogenic pulmonary edema?

A patient enters the emergency department following a motor vehicle accident. The respiratory therapist conducts a chest assessment and notes the trachea is shifted to the left of midline and breath sounds are absent on the right side. The patient's respiratory rate is 38/min and has a SpO2 of
85%. The therapist should recommend which of the following at this time?

The respiratory therapist is performing a chest examination on a mechanical ventilator patient and observes a dull percussion note over the right lower lobe with decreased expansion of the right lung. The therapist's assessment may indicate the presence of

A patient with ARDS is receiving mechanical ventilation with PEEP. The respiratory therapist has just increased the PEEP level from 8 cm H2O to 12 cm H2O. Which of the following should the therapist assess to determine the patient's response to this change?

I. blood pressure
II. Dynamic lung compliance
III. Heart rate
IV. Fluid intake and output

The respiratory therapist is assessing a patient in the cardiac ICU. Over the past 36 hours, the patient has been complaining of increasing dyspnea. A chest x-ray reveals diffuse infiltrates. The therapist notes inspiratory crackles while auscultating the chest and observes jugular venous distension. Based
on this assessment, which of the following values would most likely be increased?

I. central venous pressure
II. pulmonary capillary wedge pressure
III. cardiac output

A 2-year-old patient presents in the emergency department coughing with acute shortnehss of breath. A chest x-ray reveals a radiopaque density at the level of the 5t thoracic vertebrae in the right lung field. The right lung is also
hyperinflated. Based on this information, the respiratory therapist should suspect this x-ray is most likely the result of which of the following?

While assessing a patient's lab report you note the patient has a potassium level of 2.0 mEq/L. This patient is said to be

The respiratory therapist is reviewing the chart of a patient in ICU who has a Swan-Ganz catheter in place. Which hemodynamic value would best determine the extent of the patient's left heart failure?

A patient experiencing deep, rapid breathing followed by apnea is exhibiting which type of breathing pattern?

The respiratory therapist is evaluating a patient and observes a six second capillary refill time. This indicates the patient

The following arterial blood gas results are recorded for a COPD patient who is breathing spontaneously. It is not noted what FIO2 the patient is on.
pH 7.23
PaCO2 82 torr 76 torr
PaO2 36 mEq/L
HCO3 +12
BE

The respiratory therapist should conclude from this information which of the following?

The respiratory therapist palpates subcutaneous emphysema over the lower right lung segment. This is indicative of which of the following?

What did Moses name his first son, which means sojourning in a foreign land?

Which of the following represents the normal value for potassium?

The respiratory therapist is conducting a bedside assessment on a patient with Guillain-Barre syndrome. Which of the following bedside pulmonary function results indicates the need for ventilatory assistance?

The respiratory therapist is administering PEP therapy to a patient with atelectasis. Which of the following would indicate the atelectasis is improving?

Which of the following would be observed on a patient with cor pulmonale?

I. pedal edema
II. jugular venous distension
III. decreased CVP level

While assessing a patient's chest radiograph you observe an area of hyperlucency. This may be the result of which of the following?

I. hyperinflation
II. atelectasis
III. emphysema
IV. pneumothorax

While assessing the lab work on a patient in the ICU you notice a white blood cell count of 22,000. This indicates the patient has

How old was Moses when he knew he was the deliverer of israel and killed the egyptian?

While conducting a pulmonary evaluation on a patient, the respiratory therapist auscultates diminished breath sounds on the right side and palpates the trachea being shifted toward the right side. The therapist should suspect which of the following?

Only woman in history to be paid for nursing her own child is?

While assessing the patient's chart you observe a hemoglobin level of 7.5 gm/dL. This indicates the patient

A patient is experiencing cardiac arrhythmias, muscle weakness and an arterial blood gas determines the patient is in metabolic alkalosis. Which of the following is the most appropriate laboratory value to assess at this time?

Which of the following muscles are utilized during normal breathing?

I. scalenes
II. diaphragm
III. sternomastoid
IV. external intercostals

A 28-week-old neonate is suspected of having a pneumothorax. Which of the following should the respiratory therapist recommend to help diagnose if this condition is present?

I. transillumination of the chest
II. transcutaneous PO2 monitoring
III. chest x-ray
IV. arterial blood gases

While assessing the lab work on a patient in the ICU you notice a white blood cell count of 6000. This indicates the patient has

The respiratory therapist has just intubated a patient in respiratory failure. To initially assess the position of the endotracheal tube, the therapist should recommend which of the following?

A 38-year-old woman presents in ER complaining of shortness of breath. A CBC reveals a hemoglobin level of 6 gm%. The respiratory therapist determines her SpO2 is 99%. Which of the following statements are true regarding this patient's condition?

I. The patient is hypoxic.
II. The patient is most likely cyanotic.
III. Oxygen is not indicated at this time.

While assessing a patient's chest radiograph you notice reduced vascular markings and a flattened diaphragm. This indicates the patient most likely has which of the following?

Where did Moses flee to after killing the Egyptian?

Which of the following conditions correlate with the following information:
High pH
High HCO3
High BE
Neutral pCO2

The respiratory therapist palpates a "thready" and irregular pulse on a patient with a history of atrial fibrillation. To further assess the patient's condition, the therapist should recommend which of the following?

A patient is coughing up green, odorous secretions. This most likely indicates which type of organism present in the secretions?

A physician has ordered hand-held nebulizer therapy q2h with 0.5 ml of albuterol (Ventolin). The patient has a history of congestive heart failure and currently has 3+ pitting edema. The patient has no history of asthma, smoking or pneumonia. There is moderate respiratory distress with expiratory wheezes. The respiratory therapist should recommend which of the following?
I. furosemide (Lasix)
II. intubation
III. monitoring input/output
IV. discontinuing the hand-held nebulizer treatment
V. q4h nasal suctioning

The Lord calls Israel his

A patient has a respiratory rate of 12/min. This indicates the patient is

The respiratory therapist is assessing a patient prior to initiation of bronchodilator therapy followed by CPT. The patient states " I don't feel short of breath, but I seem to breathe fast and I raise my shoulders with each breath. I sleep well at night using only one pillow." The therapist can conclude from this interview that the patient most likely has

Moses's parents were

A patient in the cardiac care unit is hemodynamically unstable with fluctuating arterial blood pressures. Which of the following should the respiratory therapist recommend to best monitor this patient's hemodynamic status?

You observe digital clubbing while performing a pulmonary assessment on a patient. This is a sign the patient most likely has which of the following?

To most effectively monitor the hemodynamic status of a patient with ARDS who is being mechanically ventilated, the respiratory therapist should recommend which of the following?

The respiratory therapist percusses an area of hyperresonance on a patient on mechanical ventilation. This percussion note is most likely the result of which of the following?

How many months did Moses parents hid him

While performing a physical assessment on a patient in the ICU the respiratory therapist notes paradoxical respirations. This is indicative of which of the following conditions?