Chapter 21
What is the name of the procedure in which a needle is inserted into the chest to remove fluid from the pleural space.
Thoracentesis
The primary goals of pulmonary rehabilitation include all of the following, except:
a) Restoring the patient to the fullest potential
b) Reverse the disease process
c) Maximize patient’s functional ability
d) Control symptoms/improve the overall quality of life
c) Maximize patient’s functional ability
Which control is used to adjust the patients PaO2 in noninvasive ventilation besides FiO2?
What is EPAP
Which of the following are potential hazards involved with using O2 in a patient’s home (SELECT ALL THAT APPLY)?
I. Improper storage and handling
II. Fire
III. Adequate ventilation
I & II
Which of the following are examples of therapeutic bronchoscopy (SELECT ALL THAT APPLY)?
I. Suspected malignancy
II. BAL
III. FBO removal
IV. Transbronchial biopsy (TBB)
II & III
From a psychosocial standpoint, the scientific basis for pulmonary rehabilitation rests with all of the following, except:
a) COPD can negatively affect the patient’s overall outlook/motivation
b) Patients with COPD often have anxiety and stress
c) Psychosocial support and physical reconditioning can produce the best possible outcome
d) Pulmonary rehabilitation can cure depression
d) Pulmonary rehabilitation can cure depression
A patient is receiving noninvasive PPV by mask. Current settings and ABG results are as follows: IPAP12 cm H2O EPAP6 cm H2O Respiratory Rate12/min pH7.29 PaCO255 mmHg PaO2 79 mmHg HCO327 mEq/L BE+3 mEq/L Which of the following should the therapist recommend? a)Increase the IPAP to 15 cm H2O b)Increase the IPAP to 20 cm H2O c)Increase the EPAP to 8 cm H2O d)Increase the EPAP to 10 cm H2O
What is a)Increase the IPAP to 15 cm H2O
How often should a respiratory therapist test the ventilator alarms per the manufacturer’s instructions?
a) If there appears to be a problem
b) During every home visit
c) If the alarm has gone off
d) Once a month
b) During every home visit
What type of pleural fluid typically has a pH > 7.30 and is clear or light straw colored in appearanace?
Transudative fluid
Chronic pulmonary disease patients tend to experience which of the following in terms of their disease progression?
a) Sudden event, then gradual improvement
b) Sudden event, then rapid decline
c) Slow, gradual decline
d) No change until end of life
c) Slow, gradual decline
A patient is 183 cm (6 ft) tall. What is the IBW?
(12 X 2) + 50 = 74 kg
For a mechanically ventilated patient who is being transported from home to a physician visit, where should the manual resuscitation bag be kept?
a) With the patient
b) In the car
c) With the caregiver
d) With the respiratory therapist
a) With the patient
What is the primary physiological effect of positive end-expiratory pressure (PEEP)? a) increase the functional residual capacity (FRC) b) increase the inspiratory reserve volume (IRV) c) decrease the compliance of the lung (CL) d) increase the length of expiration
a) increase the functional residual capacity (FRC)
Which type of endotracheal tube has a double-lumen and is inserted to allow one lung to be ventilated while the other one can have a procedure done (e.g., a complete lavage)?
Carlens Tube
Lower and upper extremity aerobic exercises, ventilatory muscle training via progressive resistance, and timed walking exercises are all part of:
a. The exercise prescription provided by the patients DME
b. The exercise portion of a pulmonary rehab program
c. The new therapy replacing SVN’s
d. The test that must be passed if a patient wants home oxygen
b. The exercise portion of a pulmonary rehab program
What is the normal tidal volume range in ml/kg?
6-8 ml/kg
A pediatric patient using a mechanical ventilator is going for a ride in a car. In addition to securing the patient in a car seat in the vehicle, what must the parents also be instructed to do?
a) Clean the filters on the ventilator
b) Confirm that the pressure alarms are working
c) Secure the ventilator in the car
d) Make sure the ventilator is above the child
c) Secure the ventilator in the car
Which of the following describes an endobronchial ultrasound (EBUS)?
a. A magnetic board is placed beneath the patient's chest which transmits low-frequency electromagnetic waves.
b. A hollow metal tube that can act as an airway is inserted into the airway while the patient is under general anesthesia.
c. An ultrasound probe is attached to the distal end of a bronchoscope which provides real-time guidance.
d. Ultrasound is used on the chest while the physician conducts a bronchoscopy.
c. An ultrasound probe is attached to the distal end of a bronchoscope which provides real-time guidance.
If a patient begins pulmonary rehabilitation, what will happen to their disease process and life expectancy?
a) The disease process will stop, and the life expectancy will increase
b) There will be no change in the disease process or life expectancy
c) The disease process will reverse, and the life expectancy will increase
d) The disease process will worsen, and the life expectancy will decrease
b) There will be no change in the disease process or life expectancy
All of the following are goals of noninvasive ventilation (NIV) in the acute care setting, except:
a) Avoid intubation.
b) Decrease incidence of ventilation-associated pneumonia.
c) Decrease length of stay.
d) Improve mobility.
d) Improve mobility.
Which of the following is NOT a part of infection control for patients requiring home care?
a) Clean equipment daily
b) Flu shots/immunizations
c) Always hand dry reusable equipment with a clean towel after washing it
d) Soak equipment in white distilled vinegar for 20 minutes
c) Always hand dry reusable equipment with a clean towel after washing it