RRT Final Exam

RRT Final Exam When checking a patient's intermittent positive-pressure breathing(IPPB) breathing circuit before use, you notice that the device will not cycle off, even when you occlude the mouthpiece. What would be the most appropriate action in this case? - check the circuit for leaks Atelectasis Maybe the result of which of the following. - A. Lung Compression B. Thoracic or abdominal surgery C. Low Tidal Breathing from sedation are pain meds D. Airway obstruction Correct instruction in the technique of Incentive Spirometry should include which of the following? - Diaphragmatic Breathing at slow to moderate flows Clinical signs and symptoms associated with atelectasis. Choose as many as are correct. - 1. dyspnea 2. absence or diminished breath sounds 3. dullness or percussion 4. fever, unrelated to infection Atelectasis will result in which of the following x-ray finding - a more white x-ray Which of the following patient groups should be considered for lung expansion therapy using intermittent positive-pressure breathing (IPPB)? - 1. Patients with clinically diagnosed atelectasis who are not responsive to other therapies 2. patients at high risk for atelectasis who cannot cooperate with other methods A significant Atelectasis results in which of the following. - A. V/Q mismatch B. lung volume loss C. Superimposed infections D. Hypoxemia Successful application of Incentive Spirometry depends mainly on what? - the effectiveness of patient teaching Which of the following is false about flow-oriented Incentive Spirometry devices? - They have proved less effective than volumetric systems A significant typical absorption Atelectasis may result in a mediastinal shift: - towards the affected lung Methods used for lung expansion therapy include which of the following. I. Incentive Spirometry - IS therapy II. Aerogen vibrating mesh nebulizer III. CPAP - Continuous Positive Airway Pressure IV. PEP - Positive Expiratory Pressure - I. Incentive Spirometry - IS therapy III. CPAP - Continuous Positive Airway Pressure IV. PEP - Positive Expiratory Pressure Ideally, Incentive Spirometry should be performed how often, minimally? - 10X per hour Treatment of atelectasis may include which of the following. Choose as many as are correct. - a. mechanical insufflation-explaination b. intrapulmonary percussive ventilation c. deep breathing and assisted cough d. chest physiotherarpy e. intermittent positive pressure breathing A post-op patient receiving lung inflation therapy complains of dizziness and numbness around the mouth after therapy sessions. What is the most likely cause of these symptoms? - hyperventilation In teaching a patient to perform the sustained maximal inspiration (SMI) maneuver during IS, what would you say? - D."Exhale normally, then inhale as deeply as you can, then hold your breath for 5 to 10 seconds Compression atelectasis may results when fluid is in the pleural space collapsing the lung. True or False - True