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b7 Respiratory Care, b7
9th Edition by Albert J. Heuer,
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Chapters 1 - 21 b7 b7 b7
,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
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Test Bank
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MULTIPLE CHOICE b7
1. Which of the following activities is not part of the role of respiratory therapists
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(RTs) in patient assessment?
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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. b7 b7 b7 b7 b7 b7 b7
ANSWER: b 7 D
RTs are not qualified to make an official diagnosis. This is the role of the attending
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physician.
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REF: b 7 Table 1-1, pg. 4 b7 b7 b7 OBJ: b 7 b 7 9
2. In which of the following stages of patient–clinician interaction is the review of
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physician orders carried out?
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a. Treatment stage b7
b. Introductory stage b7
c. Preinteraction stage b7
d. Initial assessment stage b7 b7
ANSWER: b 7 C
Physician orders should be reviewed in the patient’s chart before the physician sees the
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patient.
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REF: b 7 Table 1-1, pg. 4 b7 b7 b7 OBJ: b 7 b 7 9
3. In b7 which stage of patient–clinician interaction is the patient identification bracelet checked?
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a. Introductory stage b7
b. Preinteraction stage b7
c. Initial assessment stage b7 b7
d. Treatment stage b7
ANSWER: b 7 A
The patient ID bracelet must be checked before moving forward with assessment and
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treatment.
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REF: b 7 Table 1-1, pg. 4 b7 b7 b7 OBJ: b 7 b 7 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. b7 b7 b7
b. Ask the patient for permission.
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c. Check the chart for vital signs. b7 b7 b7 b7 b7
d. Listen to breath sounds. b7 b7 b7
ANSWER: b 7 B
It is considered polite to ask the patient for permission before touching and reading his
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or her ID bracelet.
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, REF: b7 b7 pg. 3 b7 OBJ: b 7 b 7 3 | 5 b7 b7
5. What is the goal of the introductory phase?
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a. Assess the patient’s apparent age.
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b. Identify the patient’s family history. b7 b7 b7 b7
c. Determine the patient’s diagnosis. b7 b7 b7
d. Establish a rapport with the patient. b7 b7 b7 b7 b7
ANSWER: b 7 D
The introductory phase is all about getting to know the patient and establishing a rapport
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with him or her.
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REF: b 7 Table 1-1, pg. 4 b7 b7 b7 OBJ: b 7 b 7 3
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms b7
b. Minimal eye contact b7 b7
c. Brief answers to questions b7 b7 b7
d. Asking the purpose of the treatment b7 b7 b7 b7 b7
ANSWER: b 7 D
If a patient asks about the purpose of the treatment you are about to give, this generally
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indicates that he or she is not upset.
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REF: b 7 Table 1-1, pg. 4 b7 b7 b7 OBJ: b 7 b 7 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: b 7 D
When you first see the patient, you are encouraged to perform a brief assessment to
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make sure the treatment order by the physician is still appropriate. The patient’s status
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may have changed abruptly recently.
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REF: b 7 Table 1-1, pg. 4 b7 b7 b7 OBJ: b 7 b 7 3
8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet
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b. 4 to 12 feet
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c. 6 to 18 feet
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d. 8 to 20 feet
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ANSWER: b 7 B
The social space is 4 to 12 feet.
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REF: b7 b7 pg. 5 b7 OBJ: b 7 b 7 5
9. What is the appropriate distance for the personal space?
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