Kettering TMC Practice Exam

Kettering TMC Practice Exam A respiratory therapist enters a patient's room during oxygen rounds. The patient has end - stage emphysema and appears to be sleeping. The patient doesn't respond to questions and his pulse is 20 bpm. The therapist should immediately. A. Confirm DNR status B. Go get help C. Begin rescue ventilation D. Begin chest compressions - Confirm DNR status Which of the following clinical observations is most commonly associated with right heart failure? A Peripheral edema B. Muscle wasting C. Tracheal deviation D. Skin flushing - Peripheral edema Which of the following is the definitive method of monitoring the effectiveness of equipment sterilization? A. Heat sensitive tape B. Chemical sensitive indicator C. Biologic indicator D. Time and temperature graph - Biologic indicator A patient who is receiving mechanical ventilation requires an FiO2 of 0.70 and 10 cm H2O PEEP to maintain an acceptable PaO2. The patient is restless and has become disconnected from the ventilator circuit several times, during which she experiences cardiac rhythm disturbances. A respiratory therapist should conclude that the patient with benefit from a: A. Sedative B. Mucolytic C. Neuromuscular blocker D. Pulmonary vasodilator - Sedative Lams and Pams What is signs? - What you see What is symptoms? - What the patient tells you What is the normal Urine output? - 40 ml What is Hypovolemia? What would you recommend? - low CVP Give fluids What is semicomatose? - Patient responds to pain only What is Lethargy/Somnolence? What would you recommend? - Sleepy Consider sleep apnea COPD patients is getting to much oxygen ADL are evaluated using the ___________________ system - Katz What is orthopnea? What patients would you see this in? - Cannot breathe laying flat Seen in CHF patients What is General Malaise? - Electrolyte imbalance What is dyspnea? - Shortness of breath What is dysphagia? - Having a hard time swallowing What is Peripheral Edema? What patients is it seen in? - Fluid in the arms and