Test Bank For Wilkins' Clinical Assessment in Respiratory Care 9th Edition By Al Heuer ( ) / 9780323696999 / Chapter 1-21 / Complete Questions and Answers A+

Test Bank for Wilkins’ Clinical Assessment in Respirator
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y Care,9th Edition by Heuer,
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Chapters 1 – 21.
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,Wilkins' Clinical Assessment in Respiratory Care,
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Contents:
Chapter 1. Preparing for the Patient Encounter
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Chapter 2. The Medical History and the Interview
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Chapter 3. Cardiopulmonary Symptoms
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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 Laboratory Studies
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Chapter 8. Interpretation of Blood Gases
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Chapter 9. Pulmonary Function 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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,Chapter 1: Preparing for the Patient Encounter Test Ba
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nk

MULTIPLE CHOICE ui




1. Which of the following activities is not part of the role of respiratory therapists (RTs) in pati
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ent assessment?ui


a. Assist the physician with diagnostic reasoning skills.
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b. Help the physician select appropriate pulmonary function tests.
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c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
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d. Document the patient diagnosis in the patient’s chart. ui ui ui ui ui ui ui




ANSWER: D u i


RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
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REF: u i Table 1-1, pg. 4 ui ui ui OBJ: u i u i 9

2. In which of the following stages of patient–
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clinician interaction is the review of physician orders carried out?
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a. Treatment stage ui


b. Introductory stage ui


c. Preinteraction stage ui


d. Initial assessment stage ui ui




ANSWER: C u i


Physician orders should be reviewed in the patient’s chart before the physician sees the patient.
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REF: u i Table 1-1, pg. 4 ui ui ui OBJ: u i u i 9

3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
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a. Introductory stage ui


b. Preinteraction stage ui


c. Initial assessment stage ui ui


d. Treatment stage ui




ANSWER: A u i


The patient ID bracelet must be checked before moving forward with assessment and treatment.
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REF: u i Table 1-1, pg. 4 ui ui ui OBJ: u i u i 9

4. What should be done just before the patient’s ID bracelet is checked?
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a. Check the patient’s SpO2. ui ui ui


b. Ask the patient for permission.
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c. Check the chart for vital signs. ui ui ui ui ui


d. Listen to breath sounds. ui ui ui




ANSWER: B u i


It is considered polite to ask the patient for permission before touching and reading his or her ID
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bracelet.

, REF: pg. 3 uiui ui OBJ: u i u i 3|5 ui ui




5. What is the goal of the introductory phase?
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a. Assess the patient’s apparent age. ui ui ui ui


b. Identify the patient’s family history. ui ui ui ui


c. Determine the patient’s diagnosis. ui ui ui


d. Establish a rapport with the patient. ui ui ui ui ui




ANSWER: D u i


The introductory phase is all about getting to know the patient and establishing a rapport with him
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or her.ui




REF: u i Table 1-1, pg. 4 ui ui ui OBJ: u i u i 3

6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms ui


b. Minimal eye contact ui ui


c. Brief answers to questions ui ui ui


d. Asking the purpose of the treatment ui ui ui ui ui




ANSWER: D u i


If a patient asks about the purpose of the treatment you are about to give, this generally indicat
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es that he or she is not upset.
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REF: u i Table 1-1, pg. 4 ui ui ui OBJ: u i u i 3

7. What is the main purpose of the initial assessment stage?
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a. To identify any allergies to medications
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b. To document the patient’s smoking history
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c. To personally get to know the patient better
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d. To verify that the prescribed treatment is still needed and appropriate
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ANSWER: D u i


When you first see the patient, you are encouraged to perform a brief assessment to make sure t
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he treatment order by the physician is still appropriate. The patient’s status may have changed ab
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ruptly recently. ui




REF: u i Table 1-1, pg. 4 ui ui ui OBJ: u i u i 3

8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet ui ui ui


b. 4 to 12 feet ui ui ui


c. 6 to 18 feet ui ui ui


d. 8 to 20 feet ui ui ui




ANSWER: B u i


The social space is 4 to 12 feet.
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REF: pg. 5 uiui ui OBJ: u i u i 5

9. What is the appropriate distance for the personal space?
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