NBRC questions with complete solution graded A+

A patient with COPD complains of difficulty breathing when he is ambulating. His SpO2 is 88% at rest. Which of the following would you recommend? A. Oxygen therapy B. PEEP therapy C. Antibiotic therapy D. Aerosolized bronchodilator therapy - A An alert 18 year old patient is admitted with difficulty breathing. The patient receives a diagnosis of asthma, and you are asked to instruct the patient in the use of an MDI. An MDI is a device used for A) Oxygen therapy B) PEEP therapy C) antibiotic therapy D) aerosolized bronchodilator therapy - D A patient with pneumonia is receiving oxygen via nasal cannula at 2 L/min. The SpO2 is 89%, heart rate is 110 beats/min, and respiratory rate is 24 breaths/min. Which of the following would you recommend? A) increase the liter per minute flow to the cannula B) Intubate and begin mechanical ventilation C) initiated aerosolized bronchodilator therapy D) initiate postural drainage - A A respiratory therapist has completed SOAP charting in the progress notes following a bronchodilator treatment. While signing the chart form, she notices that the wrong amount for the medication has been entered. Which of the following should be done at this time?1. Draw a line through the error 2. Notify the physician of the error 3. Write "Error" and initial 4. Recopy the progress notes A) 1 and 2 B) 1 and 3 C) 2 and 4 D) 3 and 4 - B A patient with asthma has orders for albuterol by medication nebulizer every 2 hours. During the shift, the patient improves, and the order is changed to every 4 hours. In regard to the new frequency, what action should you take? 1. Not the change in your charting 2. Inform the registered nurse of the order 3. Frequency will change during your shift A) 1 and 2 B) 1 and 3 C) 2 and 3 D) 1, 2, and 3 - D A patient's heart rate increases from 88 to 134 beats/min following a breathing treatment. After reassuring the patient, the respiratory therapist should: A) discontinue the therapy B) reduce the dosage of the medication C) place the patient on oxygen D) notify the physician - DThe following question refer to this situation: A 72-year old female patient with COPD has a tracheostomy tube in place following prolonged intubation and mechanical ventilation. She is currently in the medical ICU. After you take her off the ventilator, you will need to set up a heated aerosol system with an FiO2 of 40%. What type of water should be placed in the nebulizer? A) Distilled water B) Tap water C) Normal saline solution D) Sterile distilled water -D The following question refer to this situation: A 72-year old female patient with COPD has a tracheostomy tube in place following prolonged intubation and mechanical ventilation. She is currently in the medical ICU. After you take her off the ventilator, you will need to set up a heated aerosol system with an FiO2 of 40%. To help lower the risk of nosocomial infection when using heated aerosol systems, the respiratory therapist should do which of the following? 1. Label the equipment with the date and time it is started 2. Avoid draining the tubing to prevent contamination 3. Use aseptic technique during the initial setup 4. Use a filter or heat and moisture exchanger (HME) to reduce airborne bacteria A) 1 and 3 B) 1 and 2 C) 2 and 4D) 3 and 4 - A The following question refer to this situation: A 72-year old female patient with COPD has a tracheostomy tube in place following prolonged intubation and mechanical ventilation. She is currently in the medical ICU. After you take her off the ventilator, you will need to set up a heated aerosol system with an FiO2 of 40%.