KETTERING TMC WORKBOOK (PATIENT ASSESSMENT) WITH
QUESTIONS AND CORRECT ANSWERS
in what pathology is the diaphragm flattened? - ANS... -COPD
what pathology causes crowding of the ribs? - ANS... -atelectasis
what pathology causes straight or horizontal ribs? - ANS... -air trapping
posterior to anterior cxr - ANS... -PA
anterior to posterior cxr - ANS... -AP
lying on affected side
detects small pleural effusion (liquid moves) if doesn't move then it's pneumonia -
ANS... -lateral decubitus
end of exhalation
detects small pneumothorax
can measure diaphoretic excursion - ANS... -end expiratory image
below vocal cords
2-6 cm above the carina
at level of aortic knob or arch - ANS... -position of ETT
List 4 critical life functions - ANS... -Ventilation Oxygenation Circulation
Perfusion
What life function is first priority? - ANS... -Ventilation
What assessments would determine how well a patient is ventilating? - ANS... --
RR
-Vt
-Chest Movement
-Breath Sounds
-PaCo2
-EtCO2
,How would the therapist determine if a patient has a problem with oxygenation? -
ANS... --HR
-Color
-Sensorium
-PaO2/SpO2
What information would help the therapist determine if a patient's circulation is
adequate? - ANS... --HR and Strength
-CO
What changes may indicate if a patient doesn't have adequate perfusion? - ANS... -
-HR
-BP
-Sensorium
-Temperature
-Urine Output
-Hemodynamics
Signs are - ANS... -objective information - things you can see and measure
-color
-pulse
-edema
-vital signs
symptoms are - ANS... -subjective information - things patient tells you
-dyspnea
-pain level
-nausea
-muscle weakness
5 items that are important to review in a patients medical record - ANS... -1.
Allergies
2. Signs/Symptoms
3. History
4. Advanced directives
5. HPI
advanced directive - ANS... -set of instructions documenting what Tx a patient
wants if they were unable to make medical decisions
, what are 4 types of advanced directives - ANS... -1. living will - Tx patient wants
if became terminally ill; doesn't appoint someone else to make medical decisions
2. DNI order - do not intubate (can ventilate)
3. DNR order - do not resuscitate
4. durable power of attorney - health care proxy; only in affect when patient can't
make healthcare decisions
A properly written order for respiratory care should include what 4 factors? -
ANS... -1. type of treatment
2. frequency
3. medication/dosage
4. physician signature
The respiratory therapist has just finished administering an aerosol treatment with
albuterol to a child with asthma. What should be included in documentation of the
treatment? - ANS... -date, time, reactions, etc.
respiratory notes
What is the normal value for urine output - ANS... -40mL/hour (approx. 1
liter/day)
What findings might indicate a patients fluid intake has exceeded his urine output?
- ANS... -weight gain
electrolyte imbalance
increased hemodynamic pressures
decreased lung compliance
Changes in what value can indicate hypovolemia? - ANS... -CVP - less than 2
need fluid (IV) therapy
Describe medication reconciliation - ANS... -ensuring patients medication list is
accurate and up to date as possible. Must be done within first 24 hours of
admission
Semicomatose - ANS... -responds to only painful stimuli
lethargic/somnolent - ANS... -sleepy
consider sleep apnea, excessive O2 therapy with COPD patients
Obtunded - ANS... -drowsy
QUESTIONS AND CORRECT ANSWERS
in what pathology is the diaphragm flattened? - ANS... -COPD
what pathology causes crowding of the ribs? - ANS... -atelectasis
what pathology causes straight or horizontal ribs? - ANS... -air trapping
posterior to anterior cxr - ANS... -PA
anterior to posterior cxr - ANS... -AP
lying on affected side
detects small pleural effusion (liquid moves) if doesn't move then it's pneumonia -
ANS... -lateral decubitus
end of exhalation
detects small pneumothorax
can measure diaphoretic excursion - ANS... -end expiratory image
below vocal cords
2-6 cm above the carina
at level of aortic knob or arch - ANS... -position of ETT
List 4 critical life functions - ANS... -Ventilation Oxygenation Circulation
Perfusion
What life function is first priority? - ANS... -Ventilation
What assessments would determine how well a patient is ventilating? - ANS... --
RR
-Vt
-Chest Movement
-Breath Sounds
-PaCo2
-EtCO2
,How would the therapist determine if a patient has a problem with oxygenation? -
ANS... --HR
-Color
-Sensorium
-PaO2/SpO2
What information would help the therapist determine if a patient's circulation is
adequate? - ANS... --HR and Strength
-CO
What changes may indicate if a patient doesn't have adequate perfusion? - ANS... -
-HR
-BP
-Sensorium
-Temperature
-Urine Output
-Hemodynamics
Signs are - ANS... -objective information - things you can see and measure
-color
-pulse
-edema
-vital signs
symptoms are - ANS... -subjective information - things patient tells you
-dyspnea
-pain level
-nausea
-muscle weakness
5 items that are important to review in a patients medical record - ANS... -1.
Allergies
2. Signs/Symptoms
3. History
4. Advanced directives
5. HPI
advanced directive - ANS... -set of instructions documenting what Tx a patient
wants if they were unable to make medical decisions
, what are 4 types of advanced directives - ANS... -1. living will - Tx patient wants
if became terminally ill; doesn't appoint someone else to make medical decisions
2. DNI order - do not intubate (can ventilate)
3. DNR order - do not resuscitate
4. durable power of attorney - health care proxy; only in affect when patient can't
make healthcare decisions
A properly written order for respiratory care should include what 4 factors? -
ANS... -1. type of treatment
2. frequency
3. medication/dosage
4. physician signature
The respiratory therapist has just finished administering an aerosol treatment with
albuterol to a child with asthma. What should be included in documentation of the
treatment? - ANS... -date, time, reactions, etc.
respiratory notes
What is the normal value for urine output - ANS... -40mL/hour (approx. 1
liter/day)
What findings might indicate a patients fluid intake has exceeded his urine output?
- ANS... -weight gain
electrolyte imbalance
increased hemodynamic pressures
decreased lung compliance
Changes in what value can indicate hypovolemia? - ANS... -CVP - less than 2
need fluid (IV) therapy
Describe medication reconciliation - ANS... -ensuring patients medication list is
accurate and up to date as possible. Must be done within first 24 hours of
admission
Semicomatose - ANS... -responds to only painful stimuli
lethargic/somnolent - ANS... -sleepy
consider sleep apnea, excessive O2 therapy with COPD patients
Obtunded - ANS... -drowsy
