TMC Exam 2 (Latest Update)
Questions and Verified Answers | 100% Correct |
Grade A+
Save
Terms in this set (140)
A patient with CHF has the The correct answer is : D
following input/output history
Explanation : This CHF patient is obviously
Yesterday Today retaining fluid because he is receiving more fluid
IN 1900 mL 2100 mL in that he is putting out. The clinical finding most
OUT 1000 mL 1100 mL associated with fluid retention is moist crepitant
rales. Fine rales are associated with atelectasis
Which of the following clinical but moist rales is associated with fluid retention,
findings is most likely to be especially congestive heart failure (CHF).
observed?
A. bronchial wheezing
B. friction rub
C. decreased egophony
D. moist crepitant rales
,An infant born 24 hours prior is The correct answer is : A
experiencing frequent periods of
apnea lasting more than 60 Explanation : An infant who experiences apnea
seconds. Which of the following periods greater than 60 seconds may need
medications would be helpful in respiratory stimulation. This may be accomplished
stimulating the infant's respiratory by administering the medication Aminophylline.
drive? Aminophlylline is only intended for ventilatory
stimulation in infants. The same medication is
A. Aminophylline used for long-term bronchodilation in adults.
B. Fluticasone
C. hormone
D. Exosurf
A respiratory therapist is having The correct answer is : B
difficulty advancing a suction
catheter down a fenestrated Explanation : When suctioning somebody with a
tracheostomy tube while the inner fenestrated tracheostomy tube, it must be
cannula is removed. The cannula remembered that the suction catheters can
appears to meet resistance within a sometimes get stuck on the fenestration hole
few inches from insertion. The inside the tube. The best remedy for this is to twist
therapist should the suction catheter until the end is clear of the
hole.
A. remove the tracheostomy tube
B. twist the catheter while
attempting to advance
C. inflate the cuff
D. obtain a smaller suction catheter
,The following flow volume loop The correct answer is : A
(loop is tall and skinny) is obtained
from a 62-year-old factory worker. Explanation : The flow volume loop is tall and
Which of the following could skinny, indicating normal flows but abnormal
represent the patient's diagnosis? volumes. This is consistent with a restrictive lung
defect. The best answer is the disease that is
A. pulmonary fibrosis restrictive in nature. In this case, only pulmonary
B. emphysema fibrosis qualifies.
C. cystic fibrosis
D. chronic bronchitis
Which of the following should be The correct answer is : D
monitored for a ventilator-
dependent newborn with IRDS? Explanation : All choices are indicated while
monitoring a critically ill neonate receiving
A. gas distribution (SBN2) in the mechanical ventilation. I & O fluid monitoring is
lungs essential. Managing acid-base balance and the
B. urine specific gravity artificial airway are also essential.
C. pH
D. fluid input and output
Which of the following is an The correct answer is : C
important element of instruction to
a home care patient who will be Explanation : When instructing a home care
receiving continuous oxygen patient on the use of their oxygen concentrator,
therapy at 2 L/min by nasal and using oxygen in general, the respiratory
cannula? therapist must include those things that are
appropriate for the patient. In this question no
A. check oxygen concentrator flow open flames, use of grounded plugs only, and a
rate once a week restriction on changing the flow rate without a
B. run a flow calibration check once physician order are appropriate instructions. It is
monthly inappropriate to ask the patient to check or
C. do not change flow rate without calibrate the concentrator's flow rate once a
a physician order week. This sort of maintenance should be done
D. increase flow rate during by a respiratory therapist.
exercise
, Which of the following parameters The correct answer is : A
is NOT consistent with weaning
from mechanical ventilation? Explanation : In order to wean from a ventilator,
the patient's dead space-tidal volume ratio must
A. A-aDO2 of 320 mmHg be below 60% or .60. The rapid shallow breathing
B. VT to 500 mL index must be below 106. Spontaneous tidal
C. VD/VT of 0.50 volume must be greater than 5 mL per kilogram.
D. RSBI of 86 The alveoli-arterial oxygen difference (A-a
gradient) must be less than 300 mmHg. In this
case, the dead space-tidal volume ratio is too
high and the alveoli-arterial oxygen difference is
too wide. These are the two criteria that indicate
the patient is not ready to wean from the
ventilator.
A respiratory therapist is alerted by The correct answer is : C
a low-volume ventilator alarm on a
patient who has a chest tube Explanation : A patient who is receiving
drainage system in place. Set tidal mechanical ventilation, and has a chest tube
volume is 600 mL while return tidal drainage system in place, must be monitored
volume is 190 mL. The therapist carefully for lost volume through the lung
should FIRST through the chest tube drainage system. The
clinical evidence of this is found in the return tidal
A. increase tidal volume to volumes. If the volume administered is far greater
compensate than the return volume, volume must be being
B. insert an additional chest tube lost in the system somewhere. A loss of volume
C. clamp the chest tube near the may be noticed by the excessive bubbling in the
patient water seal compartment. To determine how it is
D. disconnect the chest tube from being lost, the first step would be to clamp the
wall suction pressure chest tube near the patient. If bubbling in the
water seal compartment stops, the volume being
lost is most likely coming from a perforation in
the lung. The patient requires surgery to repair
this.
Questions and Verified Answers | 100% Correct |
Grade A+
Save
Terms in this set (140)
A patient with CHF has the The correct answer is : D
following input/output history
Explanation : This CHF patient is obviously
Yesterday Today retaining fluid because he is receiving more fluid
IN 1900 mL 2100 mL in that he is putting out. The clinical finding most
OUT 1000 mL 1100 mL associated with fluid retention is moist crepitant
rales. Fine rales are associated with atelectasis
Which of the following clinical but moist rales is associated with fluid retention,
findings is most likely to be especially congestive heart failure (CHF).
observed?
A. bronchial wheezing
B. friction rub
C. decreased egophony
D. moist crepitant rales
,An infant born 24 hours prior is The correct answer is : A
experiencing frequent periods of
apnea lasting more than 60 Explanation : An infant who experiences apnea
seconds. Which of the following periods greater than 60 seconds may need
medications would be helpful in respiratory stimulation. This may be accomplished
stimulating the infant's respiratory by administering the medication Aminophylline.
drive? Aminophlylline is only intended for ventilatory
stimulation in infants. The same medication is
A. Aminophylline used for long-term bronchodilation in adults.
B. Fluticasone
C. hormone
D. Exosurf
A respiratory therapist is having The correct answer is : B
difficulty advancing a suction
catheter down a fenestrated Explanation : When suctioning somebody with a
tracheostomy tube while the inner fenestrated tracheostomy tube, it must be
cannula is removed. The cannula remembered that the suction catheters can
appears to meet resistance within a sometimes get stuck on the fenestration hole
few inches from insertion. The inside the tube. The best remedy for this is to twist
therapist should the suction catheter until the end is clear of the
hole.
A. remove the tracheostomy tube
B. twist the catheter while
attempting to advance
C. inflate the cuff
D. obtain a smaller suction catheter
,The following flow volume loop The correct answer is : A
(loop is tall and skinny) is obtained
from a 62-year-old factory worker. Explanation : The flow volume loop is tall and
Which of the following could skinny, indicating normal flows but abnormal
represent the patient's diagnosis? volumes. This is consistent with a restrictive lung
defect. The best answer is the disease that is
A. pulmonary fibrosis restrictive in nature. In this case, only pulmonary
B. emphysema fibrosis qualifies.
C. cystic fibrosis
D. chronic bronchitis
Which of the following should be The correct answer is : D
monitored for a ventilator-
dependent newborn with IRDS? Explanation : All choices are indicated while
monitoring a critically ill neonate receiving
A. gas distribution (SBN2) in the mechanical ventilation. I & O fluid monitoring is
lungs essential. Managing acid-base balance and the
B. urine specific gravity artificial airway are also essential.
C. pH
D. fluid input and output
Which of the following is an The correct answer is : C
important element of instruction to
a home care patient who will be Explanation : When instructing a home care
receiving continuous oxygen patient on the use of their oxygen concentrator,
therapy at 2 L/min by nasal and using oxygen in general, the respiratory
cannula? therapist must include those things that are
appropriate for the patient. In this question no
A. check oxygen concentrator flow open flames, use of grounded plugs only, and a
rate once a week restriction on changing the flow rate without a
B. run a flow calibration check once physician order are appropriate instructions. It is
monthly inappropriate to ask the patient to check or
C. do not change flow rate without calibrate the concentrator's flow rate once a
a physician order week. This sort of maintenance should be done
D. increase flow rate during by a respiratory therapist.
exercise
, Which of the following parameters The correct answer is : A
is NOT consistent with weaning
from mechanical ventilation? Explanation : In order to wean from a ventilator,
the patient's dead space-tidal volume ratio must
A. A-aDO2 of 320 mmHg be below 60% or .60. The rapid shallow breathing
B. VT to 500 mL index must be below 106. Spontaneous tidal
C. VD/VT of 0.50 volume must be greater than 5 mL per kilogram.
D. RSBI of 86 The alveoli-arterial oxygen difference (A-a
gradient) must be less than 300 mmHg. In this
case, the dead space-tidal volume ratio is too
high and the alveoli-arterial oxygen difference is
too wide. These are the two criteria that indicate
the patient is not ready to wean from the
ventilator.
A respiratory therapist is alerted by The correct answer is : C
a low-volume ventilator alarm on a
patient who has a chest tube Explanation : A patient who is receiving
drainage system in place. Set tidal mechanical ventilation, and has a chest tube
volume is 600 mL while return tidal drainage system in place, must be monitored
volume is 190 mL. The therapist carefully for lost volume through the lung
should FIRST through the chest tube drainage system. The
clinical evidence of this is found in the return tidal
A. increase tidal volume to volumes. If the volume administered is far greater
compensate than the return volume, volume must be being
B. insert an additional chest tube lost in the system somewhere. A loss of volume
C. clamp the chest tube near the may be noticed by the excessive bubbling in the
patient water seal compartment. To determine how it is
D. disconnect the chest tube from being lost, the first step would be to clamp the
wall suction pressure chest tube near the patient. If bubbling in the
water seal compartment stops, the volume being
lost is most likely coming from a perforation in
the lung. The patient requires surgery to repair
this.
