Lindsey Jones Test Questions & Answers Graded A+

A pt who is suspected for internal haemorrhaging after a 20-ft fall from a ladder has the following laboratory data: CBC Hb 7.0 g/dL WBC 8500 cu mm RBC 2.2 HCT 28% ABG FIO2 1.0 pH. 7.38 PaCO2. 42 mmHG PaO2 280 mmHG What is most accurate from this information? - Answer pt is Hypoxic A radiology report of a chest x-ray indicates a round-shaped infiltrate measuring 2 cm in diameter in the left lung. Which of the following tests would be helpful in further identifying the nature of this infiltrate? - Answer Series of oblique chest radiographs A 50 year-old male patient reports to the emergency department complaining of shortness of breath and a non-productive cough. Clinical examination reveals the following noted over the lower left lung field. dull to percussion, diminished breath sounds, decreased tactile fremitus. The respiratory therapist should suspect which of the following conditions? - Answer Pleural Effusion A patient has chocolate coloured blood as a result of excessive absorption of benzocaine. The respiratory therapist should reccomend. - Answer administration of methylene blue The following data is observed on a patient receiving VC A/C ventilation: Peep 12 cm H20 FiO2 .60 VT. 550 Mand Rate. 12 Laboratory data: SpO2. 90% PvO2 29 PaO2 70 The therapist should - Answer Determine current cardiac index A patient indicates he has been smoking an average of 1.5 packs per day for 30 years. Which of the following accurately summerizes the patient history of smoking? - Answer 45/year A 75 Kg 36 yo male patient in the intensive care unit has signs of a pulmonary embolism following radical reconstruction of the right leg. the patient is currently receiving VC A/C ventilation on the following settings. FIO2 .5 Vt 600 Rate 14/M Peep. 5cm the patient currently has cyanosis from the waist up. An ABG has been ordered. what further testing is helpful in investigating the possible presence of a pulmonary embolism. - Answer Capnography A respiratory therapist observes a chest radiographic assessment that shows hyper lucency with no vascular markings on the right and tracheal deviation to the left. there are no distinctive spaces between the vertebrae. the therapist should - Answer Obtain another chest-radiograph A respiratory therapist begins manual resuscitation on a patient who is found apnic for several minutes, Capanography with an infrared device is instituted. The therapist will expect to see which of the following initial capnographic trends? - Answer Rise in end-tidal CO2 A pt receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaneous breathing trials to commence immediately. Which of the following medications would be most helpful to the patient. - Answer Romazicon (Flumazenil) In preparation for ventilator weaning the physician requests a VD/VT ratio assessment. Which of the following is needed to determine the headspace-tidal volume ratio? - Answer Arterial Blood Gases and Capnographic data