An HME is most appropriate for a patient :
A. who is receiving NPPV.
B. with ARDS who is receiving mechanical ventilation.
C. who is receiving mechanical ventilation in the PACU.
D. with a bronchopleural fistula who is receiving mechanical ventilation.
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C. who is receiving mechanical ventilation in the PACU.
The primary reason to evaluate maximum inspiratory pressure is to determine
A. muscle strength.
B. oxygenation.
C. ventilation.
D. / ratio.
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, A. muscle strength.
A patient with a pulmonary artery catheter in place has the following hemodynamic
values before and after infusion of 500 mL IV normal saline:
Before After
BP 100/70 mm Hg 105/72 mm Hg
CVP 10 mm Hg 15 mm Hg
PCWP 13 mm Hg 19 mm Hg
C.I. 2.00 L/min/m2 2.05 L/min/m2
Faint crackles are heard in the lung bases with no change in urine output. The most
appropriate action is to
A. change IV fluid to D5W.
B. infuse an additional bolus of normal saline.
C. administer albumin.
D. minimize IV fluid administration.
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D. minimize IV fluid administration.
The most commonly used bedside measurement to monitor the progression of
ventilatory impairment in a patient with Guillain-Barré syndrome is
A. end-tidal CO2.
B. PaCO2.
C. vital capacity.
D. peak flow.
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, vital capacity
A 19-year-old female with a history of moderate, persistent allergic asthma is adherent
to a home regimen of budesonide/formoterol (Symbicort) and albuterol prn. She
presents to an outpatient clinic with increases in frequency and severity of asthma
symptoms over the last several months. She reports daily asthma symptoms with
nighttime awakenings 3 times in the last week. Her daily activities are limited by her
symptoms, even though she uses an albuterol inhaler several times per day. According
to NAEPP, which of the following should be added to her regimen NEXT?
A. a leukotriene modifier
B. short-acting anticholinergic
C. an antibiotic
D. systemic corticosteroid
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A. a leukotriene modifier
A 52-year-old male with a history of CHF and generalized weakness is returned to his
hospital room from radiology. Five minutes later, he is observed in the supine position
and experiencing severe shortness of breath. The medical emergency team is called.
A respiratory therapist should place the patient in which of the following positions?
A. high Fowler
B. Trendelenburg
C. prone
D. left lateral
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A. high Fowler
, An adult patient who requires mechanical ventilation will be transported to another
hospital in a helicopter. Prior to transport, a respiratory therapist should
A. estimate the duration of the oxygen supply.
B. ensure the endotracheal tube cuff is deflated.
C. set the FIO2 to 1.0.
D. attach a heated humidifier to the ventilator circuit
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A. estimate the duration of the oxygen supply.
Following placement of a tracheostomy tube for long-term mechanical ventilation,
which of the following patient positions best prevents ventilator-associated
pneumonia?
A. prone
B. Trendelenburg
C. supine
D. semi-Fowler
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D. semi-Fowler
A fixed-wing medical transport with an unpressurized cabin has ascended to 10,000 ft
while transporting a patient with COPD. The patient is receiving nasal oxygen at 2
L/min and becomes agitated and confused. A respiratory therapist should
A. increase oxygen flow.
B. initiate mask CPAP.
C. recommend a diuretic.
D. recommend a sedative.
A. who is receiving NPPV.
B. with ARDS who is receiving mechanical ventilation.
C. who is receiving mechanical ventilation in the PACU.
D. with a bronchopleural fistula who is receiving mechanical ventilation.
Give this one a try later!
C. who is receiving mechanical ventilation in the PACU.
The primary reason to evaluate maximum inspiratory pressure is to determine
A. muscle strength.
B. oxygenation.
C. ventilation.
D. / ratio.
Give this one a try later!
, A. muscle strength.
A patient with a pulmonary artery catheter in place has the following hemodynamic
values before and after infusion of 500 mL IV normal saline:
Before After
BP 100/70 mm Hg 105/72 mm Hg
CVP 10 mm Hg 15 mm Hg
PCWP 13 mm Hg 19 mm Hg
C.I. 2.00 L/min/m2 2.05 L/min/m2
Faint crackles are heard in the lung bases with no change in urine output. The most
appropriate action is to
A. change IV fluid to D5W.
B. infuse an additional bolus of normal saline.
C. administer albumin.
D. minimize IV fluid administration.
Give this one a try later!
D. minimize IV fluid administration.
The most commonly used bedside measurement to monitor the progression of
ventilatory impairment in a patient with Guillain-Barré syndrome is
A. end-tidal CO2.
B. PaCO2.
C. vital capacity.
D. peak flow.
Give this one a try later!
, vital capacity
A 19-year-old female with a history of moderate, persistent allergic asthma is adherent
to a home regimen of budesonide/formoterol (Symbicort) and albuterol prn. She
presents to an outpatient clinic with increases in frequency and severity of asthma
symptoms over the last several months. She reports daily asthma symptoms with
nighttime awakenings 3 times in the last week. Her daily activities are limited by her
symptoms, even though she uses an albuterol inhaler several times per day. According
to NAEPP, which of the following should be added to her regimen NEXT?
A. a leukotriene modifier
B. short-acting anticholinergic
C. an antibiotic
D. systemic corticosteroid
Give this one a try later!
A. a leukotriene modifier
A 52-year-old male with a history of CHF and generalized weakness is returned to his
hospital room from radiology. Five minutes later, he is observed in the supine position
and experiencing severe shortness of breath. The medical emergency team is called.
A respiratory therapist should place the patient in which of the following positions?
A. high Fowler
B. Trendelenburg
C. prone
D. left lateral
Give this one a try later!
A. high Fowler
, An adult patient who requires mechanical ventilation will be transported to another
hospital in a helicopter. Prior to transport, a respiratory therapist should
A. estimate the duration of the oxygen supply.
B. ensure the endotracheal tube cuff is deflated.
C. set the FIO2 to 1.0.
D. attach a heated humidifier to the ventilator circuit
Give this one a try later!
A. estimate the duration of the oxygen supply.
Following placement of a tracheostomy tube for long-term mechanical ventilation,
which of the following patient positions best prevents ventilator-associated
pneumonia?
A. prone
B. Trendelenburg
C. supine
D. semi-Fowler
Give this one a try later!
D. semi-Fowler
A fixed-wing medical transport with an unpressurized cabin has ascended to 10,000 ft
while transporting a patient with COPD. The patient is receiving nasal oxygen at 2
L/min and becomes agitated and confused. A respiratory therapist should
A. increase oxygen flow.
B. initiate mask CPAP.
C. recommend a diuretic.
D. recommend a sedative.
