Complete Test Bank Wilkins’ Clinical Assessment in Respiratory Care 7th Edition Heuer Questions & Answers with rationales (Chapter 1-21)

TestbankForWilkins clinicalassessmentin
f f f f f f




respiratory care8thedition by Huber,
f f f f f f




Chapters 1-21
f f f f

,Wilkins' ClinicalAssessmentinRespiratoryCare,7th Edition


Contents:
Chapter1. PreparingforthePatient Encounter
Chapter2. TheMedical Historyandthe Interview
Chapter3. CardiopulmonarySymptoms
Chapter4. Vital Signs
Chapter5. Fundamentals of Physical Examination
f




Chapter6. Neurologic Assessment
Chapter7.Clinical LaboratoryStudies
Chapter8. Interpretation ofBlood Gases
Chapter9. PulmonaryFunction Testing
Chapter10. Chest Imaging
Chapter11. Electrocardiography
Chapter12. Neonataland PediatricAssessment
Chapter13. OlderPatient Assessment
Chapter14. Monitoringin Critical Care
Chapter15. VascularPressureMonitoring
Chapter16. CardiacOutput Measurement
Chapter17. Bronchoscopy
Chapter18. Nutritional Assessment
Chapter19. Sleepand Breathing Assessment
f




Chapter20. HomeCare Patient Assessment
Chapter21. Documentation

,Chapter1:PreparingforthePatientEncounter Test f




Bank


MULTIPLECHOICE

1. Whichofthefollowingactivitiesisnotpartoftheroleofrespiratorytherapists(RTs)inpatient
assessment?
a. Assistthephysicianwithdiagnosticreasoning skills.
f f




b. Helpthephysicianselectappropriatepulmonaryfunctiontests.
c. Interpretarterialbloodgasvalues and suggestmechanicalventilation changes.
f f




d. Documentthepatientdiagnosisinthepatient’schart.
ANSWER: D
RTsarenotqualifiedtomakeanofficialdiagnosis.Thisistheroleoftheattendingphysician.
f f f f




REF: Table1-1,pg.4 OBJ: 9

2. Inwhichofthefollowingstagesofpatient–clinicianinteractionisthereviewofphysician
orderscarriedout?
a. Treatmentstage
b. Introductorystage
c. Preinteractionstage
d. Initialassessmentstage
ANSWER: C
Physicianordersshould bereviewed in thepatient’s chartbeforethephysicianseesthe patient.
f f f f




REF: Table1-1,pg.4 OBJ: 9

3. Inwhichstageofpatient–clinicianinteractionisthepatientidentification braceletchecked?
a. Introductorystage
b. Preinteractionstage
c. Initialassessmentstage
d. Treatmentstage
ANSWER: A
Thepatient IDbraceletmustbecheckedbeforemovingforwardwithassessmentand treatment.
f




REF: Table1-1,pg.4 OBJ: 9

4. What shouldbedonejustbeforethepatient’s IDbraceletis checked?
f f




a. Checkthepatient’sSpO2.f f




b. Ask thepatientforpermission.
f




c. Checkthechartforvitalsigns. f




d. Listentobreathsounds.
ANSWER: B
Itisconsideredpoliteto askthepatientforpermissionbeforetouching and reading hisorher ID
f f f




bracelet.

, REF: pg. 3 OBJ: 3 |5

5. What is thegoaloftheintroductoryphase?
f




a. Assessthepatient’s apparentage.
f f




b. Identifythepatient’sfamilyhistory.
f




c. Determinethepatient’sdiagnosis.
f




d. Establisharapportwiththepatient.
ANSWER: D
Theintroductoryphaseisallaboutgettingtoknowthepatientandestablishingarapportwithhimor
f




her.

REF: Table1-1,pg.4 OBJ: 3

6. Whichofthefollowing behaviorsis notconsistentwithresistivebehaviorofapatient?
f f




a. Crossedarms
b. Minimaleyecontact
c. Briefanswerstoquestions
d. Askingthepurposeofthetreatment
f




ANSWER: D
Ifapatient asksaboutthepurposeofthetreatmentyouareabouttogive,thisgenerallyindicates
thatheorsheisnotupset.

REF: Table1-1,pg.4 OBJ: 3

7. What isthemainpurposeof theinitialassessment stage?
f f




a. Toidentifyanyallergies tomedications
b. Todocumentthepatient’ssmokinghistory f




c. Topersonallygettoknowthepatientbetter
d. Toverifythattheprescribedtreatmentisstillneededand appropriate
f




ANSWER: D
When you first see the patient, you are encouraged to perform a brief assessment to make sure the
treatmentorderbythephysicianisstillappropriate.Thepatient’s statusmayhavechanged abruptly
recently.

REF: Table1-1,pg.4 OBJ: 3

8. What isthe appropriatedistanceforthesocialspacefromthepatient?
f




a. 3to 5 feet
b. 4to 12 feet
c. 6to 18 feet
d. 8to 20 feet
ANSWER: B
Thesocialspaceis 4to12 feet.

REF: pg. 5 OBJ: 5

9. Whatistheappropriatedistanceforthepersonalspace?
f