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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Chapter5. Fundamentals ofPhysical Examination
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Chapter6. Neurologic Assessment
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Chapter7. Clinical LaboratoryStudies
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Chapter8. Interpretation ofBlood 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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Chapter12. 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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Chapter19. Sleep and Breathing Assessment
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Chapter20. Home Care Patient Assessment
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Chapter 21. Documentation
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,Chapter1:Preparing forthePatientEncounter Test Ban
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MULTIPLE CHOICE QW
1. Whichofthe followingactivities is notpart ofthe roleofrespiratorytherapists (RTs)in patien
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t assessment?
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a. Assistthe physician with diagnostic reasoning skills. QW QW QW QW QW QW
b. Help the physician select appropriate pulmonaryfunction tests. QW QW QW QW QW QW QW
c. Interpret arterial blood gas values and suggest mechanical ventilation changes. QW QW QW QW QW QW QW QW QW
d. Documentthe patient diagnosisin thepatient’s chart. QW QW QW QW QW QW QW
ANSWER: D Q W
RTsarenot qualified to makean official diagnosis.This is the role ofthe attendingphysician.
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REF: Table 1-1, pg. 4 Q W QW QW QW OBJ: 9 Q W
2. In which of the following stages ofpatient–
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clinician interaction isthe reviewofphysician orders carried out? QW QW QW QW QW QW QW QW QW
a. Treatmentstage QW
b. Introductorystage QW
c. Preinteractionstage QW
d. Initial assessment stage QW QW
ANSWER: C Q W
Physician ordersshould bereviewedin the patient’schartbeforethephysician seesthe patient. QW QW QW QW QW QW QW QW QW QW QW QW QW QW
REF: Table 1-1, pg. 4 Q W QW QW QW OBJ: 9 Q W
3. Inwhich stageof patient–clinician interaction is the patient identification bracelet checked?
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a. Introductorystage QW
b. Preinteractionstage QW
c. Initial assessment stage QW QW
d. Treatmentstage QW
ANSWER: A Q W
Thepatient ID bracelet must be checked before movingforward with assessment and treatment.
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REF: Table 1-1, pg. 4 Q W QW QW QW OBJ: 9 Q W
4. Whatshould bedone just before the patient’s ID bracelet is checked?
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a. Checkthepatient’sSpO2. QW QW QW
b. Ask the patient for permission. QW QW QW QW
c. Check the chart for vital signs. QW QW QW QW QW
d. Listento breath sounds. QW QW QW
ANSWER: B Q W
It is considered polite to ask the patient for permission before touchingand readinghis or her ID br
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acelet.
, REF: pg. 3 Q W Q W QW OBJ: 3 |5 Q W QW QW
5. What is the goal of the introductoryphase? QW QW QW QW QW QW QW
a. Assessthepatient’sapparentage. QW QW QW QW
b. Identifythepatient’sfamilyhistory. QW QW QW QW
c. Determinethepatient’sdiagnosis. QW QW QW
d. Establish a rapport with the patient. QW QW QW QW QW
ANSWER: D Q W
The introductoryphaseis all about getting to knowthe patient and establishing a rapportwith him or
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her.
REF: Table 1-1, pg. 4
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6. Whichof the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms QW
b. Minimal eye contact QW QW
c. Brief answers to questions QW QW QW
d. Asking the purpose of the treatment QW QW QW QW QW
ANSWER: D Q W
If a patient asks about the purpose of the treatment you are about to give, this generally indicates
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that he or she is not upset.
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REF: Table 1-1, pg. 4
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7. What is the main purpose of the initial assessment stage?
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a. Toidentifyanyallergies to medications QW QW QW QW QW
b. Todocumentthe patient’ssmokinghistory QW QW QW QW QW
c. Topersonallyget to know thepatient better QW QW QW QW QW QW QW
d. Toverifythat theprescribed treatment is still needed and appropriate
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ANSWER: D Q W
When you first see the patient, you are encouraged to perform a brief assessment to make sure th
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e treatment order bythe physician is still appropriate. Thepatient’s status mayhave changed abru
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ptly recently.
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REF: Table 1-1, pg. 4
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8. What is the appropriate distance for the social space fromthe patient?
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a. 3 to 5 feet QW QW QW
b. 4 to 12 feet QW QW QW
c. 6 to 18 feet QW QW QW
d. 8 to 20 feet QW QW QW
ANSWER: B Q W
The social space is 4 to 12 feet.
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REF: pg. 5 Q W Q W QW OBJ: 5 Q W
9. What is the appropriate distance for the personal space?
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