CSE Practice Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!!

CSE Practice Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Problem 1 You are a respiratory therapist working in a 600-bed urban medical center and your assignment includes providing care to patients on the general medical floor. You are asked to assist in the care of a recently admitted 32-year-old male patient who is 180 cm (5'11") tall, and weighs 53 kg (117 lb). The patient is pale and complains of persistent cough and fever for over a week. The hospitalist ask you to evaluate the patient and report your findings. You arrive to the patient's room, introduce yourself, and explain the purpose of your visit. Which of the following should you include in your assessment? - Correct Answer: History or present illness: Flu like symptoms for the past week Vital signs: Temp 40C (104.1F), HR 42/min, RR 38/min, BP 122/85mmHg General appearance: Thin male patient, central pillar Sensorium: Conscious but somnolent and restless Respiratory pattern: Tachypnea, labored PMHX: HX of IV drug use, previous admissions for pneumonia Pulse oximetry: SpO2 86% on room air Breath sounds: Diminished aeration with coarse crackles throughout Diagnostic chest percussion: Dull percussion sound in the middle and lower lobes bilaterally. 2. You report your problems to the hospitalist, who ask for your recommendation. Based on your assessment, which of the following would you recommend? (Choose one) - Administer naloxone - Initiate antimicrobial therapy - Administer atropine sulfate - Assist ventilation with manual resuscitation bag - Administer oxygen by a nasal cannula at 5L/min - Correct Answer: Administer oxygen by nasal cannula at 5 L/min 3. The hospitalist asks what additional testing may be indicated. You should recommend - Correct Answer: Sputum culture - Sputum acid-fast stain - CBC: RBC 4.1 mill/mm3, HB 12g, Hct 40%, WBC 28,000/mm3 - Chest radiograph: consolidation in the middle and lower lobes bilaterally - Drug toxicology - 12-Lead Electrocardiogram: Sinus tachycardia - ABG: pH 7.37/45/80/25/+1/SaO2 95% -ELISA test -Serum Electrolytes - Urinalysis 4. An ELISA test confirms a diagnosis of HIV and a sputum acid fast stain is negative. Sputum culture confirms the presence of pneumocystis jiroveci. What additional therapy would you recommend at this time? (Choose one) - Albuterol sulfate - Streptomycin - Pentamidine - Penicillin - Ribavirin - Correct Answer: Pentamidine 5. Four hours later, arterial blood gas analysis on 40% oxygen reveals: pH 7.20/60/64/24/BE 0/ SaO2 91%.Breath sounds are diminished with bilateral wheezing. Which of the following would you recommend? (Choose one) - Increase the FIO2 to 0.50 - Repeat Pentamidine - Administer Potassium ChLoride - Initiate Mechanical Ventialtion - Administer albuterol - Correct Answer: Initiate mechanical ventilation 6. The physician ask you to determine the recommended initial vent settings. Which of the following would you suggest (Choose one) - VC/AC Vt 350, F 12/min, FIO2 0.50, +3 - PC/SIMV PIP 22, F 15/min, FIO2 0.60, +8 - VC/SIMV Vt 450, F 12/min, FIO2 0.50, +3 - PC/AC PIP 28, F 8/min, FIO2 0.40, +6 - VC/SIMV Vt 400,, F 10/min, FIO2 0.30, +4 - Correct Answer: VC/SIMV Vt 450, F 12/min, FIO2 0.50, +3