respiratory care 8th edition by Huber,
Chapters 1 - 21
,Wilkins' Clinical Assessment in Respiratory Care, 7th Edition
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Contents:
Chapter 1. Preparing for the Patient Encounter
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Chapter 2. The Medical Historyand the Interview
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Chapter 3. CardiopulmonarySymptoms
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Chapter 4. Vital Signs
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Chapter 5. Fundamentals of Physical Examination
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Chapter 6. Neurologic Assessment
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Chapter 7. Clinical LaboratoryStudies
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Chapter 8. Interpretation of Blood Gases
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Chapter 9. PulmonaryFunction Testing
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Chapter 10. Chest Imaging
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Chapter 11. Electrocardiography
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Chapter 12. Neonatal and Pediatric Assessment
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Chapter 13. Older Patient Assessment
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Chapter 14. Monitoring in Critical Care
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Chapter 15. Vascular Pressure Monitoring
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Chapter 16. Cardiac Output Measurement
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Chapter 17. Bronchoscopy
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Chapter 18. Nutritional Assessment
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Chapter 19. Sleep and Breathing Assessment
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Chapter 20. Home Care Patient Assessment
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Chapter 21. Documentation
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,Chapter1:PreparingforthePatientEncounter Test
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MULTIPLE CHOICE np
1. Which ofthe following activities is not part ofthe role of respiratorytherapists (RTs) in patie
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nt assessment?
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a. Assist the physician with diagnostic reasoning skills. np np np np np np
b. Help the physician select appropriate pulmonaryfunction tests.
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c. Interpret arterial blood gas values and suggest mechanical ventilation changes. np np np np np np np np np
d. Documentthe patient diagnosis in thepatient’s chart. pn np np np np pn np
ANSWER: D n p
RTs arenot qualified tomake an official diagnosis.This is the role of the attendingphysician.
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REF: Table 1-1, pg. 4 n p np np np OBJ: 9 n p
2. In which of the following stages of patient–
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clinician interaction is the review of physician orders carried out? np np np np np np np np np
a. Treatmentstage pn
b. Introductorystage pn
c. Preinteractionstage pn
d. Initial assessment stage np np
ANSWER: C n p
Physician ordersshould bereviewed in the patient’s chart before the physician sees the patient.
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REF: Table 1-1, pg. 4 n p np np np OBJ: 9 n p
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
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a. Introductorystage pn
b. Preinteractionstage pn
c. Initial assessment stage np np
d. Treatmentstage pn
ANSWER: A n p
The patient ID bracelet must be checked before moving forward with assessment and treatment.
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REF: Table 1-1, pg. 4 n p np np np OBJ: 9 n p
4. What should be done just before the patient’s ID bracelet is checked?
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a. Checkthepatient’sSpO2. pn pn pn
b. Ask the patient for permission. np np np np
c. Check the chart for vital signs. np np np np np
d. Listen to breath sounds. np np np
ANSWER: B n p
It is considered polite to ask the patient for permission before touching and reading his or her ID br
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acelet.
, REF: pg. 3 n p n p np OBJ: 3 |5 n p np np
5. What is the goal of the introductory phase?
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a. Assess the patient’s apparentage. np np np pn
b. Identifythe patient’s familyhistory. pn np np pn
c. Determinethepatient’s diagnosis. pn pn np
d. Establish a rapport with the patient. np np np np np
ANSWER: D n p
The introductoryphase is all about getting to know the patient and establishing a rapport with him or
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her.
REF: Table 1-1, pg. 4 n p np np np OBJ: 3 n p
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms np
b. Minimal eye contact np np
c. Brief answers to questions np np np
d. Asking the purpose of the treatment np np np np np
ANSWER: D n p
If a patient asks about the purpose of the treatment you are about to give, this generally indicates t
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hat he or she is not upset.
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REF: Table 1-1, pg. 4 n p np np np OBJ: 3 n p
7. What is the main purpose of the initial assessment stage?
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a. To identifyanyallergies to medications np pn pn np np
b. Todocumentthe patient’ssmoking history pn pn np pn np
c. To personally get to know the patient better np np np np np np np
d. To verifythat the prescribed treatment is still needed and appropriate
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ANSWER: D n p
When you first see the patient, you are encouraged to perform a brief assessment to make sure the tr
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eatment order bythe physician is still appropriate. The patient’s status mayhave changed abruptly
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recently.
REF: Table 1-1, pg. 4 n p np np np OBJ: 3 n p
8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet np np np
b. 4 to 12 feet np np np
c. 6 to 18 feet np np np
d. 8 to 20 feet np np np
ANSWER: B n p
The social space is 4 to 12 feet.
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REF: pg. 5 n p n p np OBJ: 5 n p
9. What is the appropriate distance for the personal space?
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