Respiratory Therapy - Lindsey Jones/Clinical Simulations Practice Questions with Verified Correct Answers

Respiratory Therapy - Lindsey Jones/Clinical
Simulations Practice Questions with Verified
Correct Answers
Kussmaul's breathing

Associated With

Metabolic acidosis, diabetic, renal failure



Treat underlying problem

Apneustic breathing

Associated With

Brain trauma or tumor



Treat the problem

Muscular hypertrophy

Associated With

COPD



treat the disease

Retractions

Associated With

Significant resp distress in infants



Support ventilation, administer oxygen

,Paradoxical chest movement

Associated With

Flail Chest



Ensure ventilation, watch for pneumothorax

Pulses paradoxus

Associated With

Status asthmaticus, severe

air-trapping



Address the underlying problem

Flat to percussion

Associated With

Atelectasis



Hyperinflation Therapy

Dull to Percussion

Associated With

Fluid-filled, pneumonia,

pleural effusion



Address the underlying problem

Hyperresonant to percussion

,Associated With

Pneumothorax



Chest tubes, chest X-ray

Course Rales

Associated With

Rhonci



Suction patient if cannot cough, otherwise anything to mobilize secretions (CPT, IPPB, PEP

therapy, etc)

Medium rales

Needs anything to mobilize secretions, CPT, IPPB, PEP therapy, etc

Fine rales

Associated With

CHF, Pulmonary Edema



Diurese the patient, provide positive pressure ventilation, IPPB, cardiac drugs such as

digitalis

Wheezing

Associated with

Wheezing



Administer Bronchodilator

, Stridor

Give racemic epinephrine, intubate if marked or severe

Pleural friction rub

Assocaited With

Pulmonary infarction,

TB, Lung CA



Treat underlying disease

Steeple sign (Lat neck X-ray

Associated With

Croup



Treat the underlying disease

Thumb sign (Lat Neck X-ray)

Associated With

Acute Epiglottitis



Treat the underlying disease

Butterfly or Batwing (x-ray)

Associated With

PUlmonary Edema



Treat the underlying disease