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Respiratory Care,
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9th Edition byAlbert J.Heuer,
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Chapters 1-21 n n n
,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 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. 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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Chapter20. Home Care Patient Assessment
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Chapter 21. Documentation
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,Chapter1:PreparingforthePatientEncounter Test
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Bank
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MULTIPLECHOICE n
1. Whichofthe followingactivitiesis notpartoftheroleofrespiratorytherapists(RTs)in patient
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nassessment?
a. Assist thephysician withdiagnostic reasoning skills. n n n n n n
b. Help thephysician select appropriatepulmonaryfunction tests.
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c. Interpret arterialblood gas values and suggestmechanicalventilation changes. n n n n n n n n n
d. Documentthe patientdiagnosisinthepatient’s chart. n n n n n n n
ANSWER: D n
RTsarenotqualified tomakeanofficial diagnosis.Thisistheroleofthe attending physician.
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REF: Table1-1,pg.4 n n n n OBJ: 9 n n
2. In which ofthefollowing stages ofpatient–clinician interaction isthe reviewof physician orders
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ncarried out? n
a. Treatmentstage n
b. Introductorystage n
c. Preinteractionstage n
d. Initialassessmentstage n n
ANSWER: C n
Physicianordersshouldbereviewedinthepatient’schartbeforethephysicianseesthe patient.
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REF: Table1-1,pg.4 n n n n OBJ: 9 n n
3. In which stageofpatient–clinician interaction isthepatient identification bracelet checked?
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a. Introductorystage n
b. Preinteractionstage n
c. Initialassessmentstage n n
d. Treatmentstage n
ANSWER: A n
The patient IDbracelet mustbechecked before movingforward with assessment and treatment.
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REF: Table1-1,pg.4 n n n n OBJ: 9 n n
4. Whatshouldbedone justbeforethepatient’s ID bracelet is checked?
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a. Checkthepatient’sSpO2. n n n
b. Askthe patient for permission. n n n n
c. Check the chart for vital signs. n n n n n
d. Listen to breath sounds. n n n
ANSWER: B n
It is considered polite to ask thepatient for permission beforetouching and reading his or her ID
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bracelet.
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, REF: pg. 3 n n n OBJ: 3 |5 n n n n
5. Whatis the goal of the introductory phase?
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a. Assessthepatient’sapparentage. n n n n
b. Identifythepatient’sfamilyhistory. n n n n
c. Determinethepatient’sdiagnosis. n n n
d. Establish a rapport with the patient. n n n n n
ANSWER: D n
The introductoryphaseis allabout getting to know the patientand establishing arapport with him or her.
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REF: Table1-1,pg.4 n n n n OBJ: 3 n n
6. Whichof the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms n
b. Minimal eye contact n n
c. Brief answers to questions n n n
d. Asking the purpose of the treatment n n n n n
ANSWER: D n
If a patient asks aboutthe purpose of thetreatment you are aboutto give, this generally indicates that
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he or she is not upset.
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REF: Table1-1,pg.4 n n n n OBJ: 3 n n
7. Whatis the main purpose of the initial assessment stage?
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a. Toidentifyanyallergiesto medications n n n n n
b. Todocumentthepatient’ssmokinghistory n n n n n
c. Topersonallyget to knowthepatient better
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d. Toverifythat theprescribedtreatmentisstillneeded andappropriate
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ANSWER: D n
When you first see the patient, you are encouraged to perform a brief assessment to make sure the
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treatment order by the physician is still appropriate. The patient’s status may have changed abruptly
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recently.
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REF: Table1-1,pg.4 n n n n OBJ: 3 n n
8. Whatis the appropriate distance for the social space fromthe patient?
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a. 3 to 5 feet n n n
b. 4 to 12 feet n n n
c. 6 to 18 feet n n n
d. 8 to 20 feet n n n
ANSWER: B n
The social space is 4 to 12 feet.
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REF: pg. 5 n n n OBJ: 5 n n
9. Whatis the appropriate distancefor the personal space?
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