TEST BANK Des Jardins Clinical Manifestations and Assessment of Respiratory Disease,
8th Edition
Table of Contents
Chapter 01: The Patient Interview ............................................................................................................ 3
Chapter 02: The Physical Examination ..................................................................................................... 7
Chapter 03: The Pathophysiologic Basis for Common Clinical Manifestations ........................................ 11
Chapter 04: Pulmonary Function Testing ................................................................................................ 15
Chapter 05: Blood Gas Assessment ....................................................................................................... 19
Chapter 06: Assessment of Oxygenation ............................................................................................... 23
Chapter 07: Assessment of the Cardiovascular System ......................................................................... 27
Chapter 08: Radiologic Examination of the Chest .................................................................................. 31
Chapter 09: Other Important Tests and Procedures ................................................................................ 35
Chapter 10: The Therapist-Driven Protocol Program .............................................................................. 39
Chapter 11: Respiratory Insufficiency, Respiratory Failure and VentilatoryManagement Protocols .......... 42
Chapter 12: Recording Skills and Intra-professional Communication ...................................................... 46
Chapter 13: Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema ................... 49
Chapter 14: Asthma ............................................................................................................................... 54
Chapter 15: Cystic Fibrosis .................................................................................................................... 58
Chapter 16: Bronchiectasis .................................................................................................................... 64
Chapter 17: Atelectasis .......................................................................................................................... 70
Chapter 18: Pneumonia, Lung Abscess Formation, and Important Fungal Diseases .............................. 75
Chapter 19: Tuberculosis ....................................................................................................................... 84
Chapter 20: Pulmonary Edema .............................................................................................................. 89
Chapter 21: Pulmonary Vascular Disease: Pulmonary Embolism and PulmonaryHypertension .............. 94
Chapter 22: Flail Chest ........................................................................................................................ 100
Chapter 23: Pneumothorax .................................................................................................................. 104
Chapter 24: Pleural Effusion and Empyema ......................................................................................... 109
Chapter 25: Kyphoscoliosis .................................................................................................................. 113
Chapter 26: Cancer of the Lung, Prevention and Palliation................................................................... 117
Chapter 27: Interstitial Lung Diseases .................................................................................................. 121
Chapter 28: Acute Respiratory Distress Syndrome .............................................................................. 125
Chapter 29: Guillain-Barré Syndrome ................................................................................................... 130
Chapter 30: Myasthenia Gravis ............................................................................................................ 135
Chapter 31: Cardiopulmonary Assessment and Care of Patients With NeuromuscularDisease............. 140
Chapter 32: Sleep Apnea ..................................................................................................................... 146
Chapter 33: Newborn Assessment and Management........................................................................... 151
Chapter 34: Pediatric Assessment, Protocols, and PALS Management................................................ 156
Chapter 35: Meconium Aspiration Syndrome ....................................................................................... 159
1|Page
,Chapter 36: Transient Tachypnea of the Newborn ................................................................................ 164
Chapter 37: Respiratory Distress Syndrome ......................................................................................... 168
Chapter 38: Pulmonary Air Leak Syndrome .......................................................................................... 173
Chapter 39: Respiratory Syncytial Virus Infection (Bronchiolitis) ........................................................... 178
Chapter 40: Chronic Lung Disease of Infancy ...................................................................................... 182
Chapter 41: Congenital Diaphragmatic Hernia ..................................................................................... 186
Chapter 42: Congenital Heart Disease ................................................................................................. 191
Chapter 43: Croup and Croup-like Syndromes: Laryngotracheobronchitis, BacterialTracheitis, and Acute
Epiglottitis ............................................................................................................................................ 194
Chapter 44: Near Drowning/Wet Drowning ........................................................................................... 198
Chapter 45: Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication ........................... 203
2|Page
,Chapter 01: The Patient Interview
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a patient interview. The main purpose of
thisinterview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the
patient. It allows thecollection of subjective data about the patient’s feelings regarding
his/her condition. The history should be done before the interview. Although data can be
reviewed,that is not the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
The personal qualities that a respiratory therapist must have to conduct a successful
interview include being an active listener, having a genuine concern for the patient, and having
empathy. Leading questions must be avoided. Reassurance may provide a false sense of comfort
to the patient. Medicaljargon can sound exclusionary and paternalistic to a patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance provider
a. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a
health history form because each can impact the patient’s health. Health insurance
provider information, whileneeded for billing purposes, would not be found on the history
form.
4. External factors the respiratory care practitioner should make efforts to provide during
aninterview include which of the following?
3|Page
, 1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process.
Regardless of the interview setting (the patient’s bedside, a crowded emergency room, an
office in the hospital or clinic,or the patient’s home), efforts should be made to (1) ensure
privacy, (2) prevent interruptions, and (3)secure a comfortable physical environment (e.g.,
comfortable room temperature, sufficient lighting, absence of noise). An interviewer of either
gender, who acts professionally, should be able to interview a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to
useopen-ended questions. Open-ended questions allow the therapist to do which of
the following?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question should be used to start the interview, introduce a new section
of questions,and gather more information from a patient’s topic. Closed or direct questions are
used to gather specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed questions are best to gather specific information and speed up the
interview. Open- ended questions are best suited to let the patient fully explain his/her
situation and possibly help therespiratory therapist show empathy.
7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch
my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short
4|Page
8th Edition
Table of Contents
Chapter 01: The Patient Interview ............................................................................................................ 3
Chapter 02: The Physical Examination ..................................................................................................... 7
Chapter 03: The Pathophysiologic Basis for Common Clinical Manifestations ........................................ 11
Chapter 04: Pulmonary Function Testing ................................................................................................ 15
Chapter 05: Blood Gas Assessment ....................................................................................................... 19
Chapter 06: Assessment of Oxygenation ............................................................................................... 23
Chapter 07: Assessment of the Cardiovascular System ......................................................................... 27
Chapter 08: Radiologic Examination of the Chest .................................................................................. 31
Chapter 09: Other Important Tests and Procedures ................................................................................ 35
Chapter 10: The Therapist-Driven Protocol Program .............................................................................. 39
Chapter 11: Respiratory Insufficiency, Respiratory Failure and VentilatoryManagement Protocols .......... 42
Chapter 12: Recording Skills and Intra-professional Communication ...................................................... 46
Chapter 13: Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema ................... 49
Chapter 14: Asthma ............................................................................................................................... 54
Chapter 15: Cystic Fibrosis .................................................................................................................... 58
Chapter 16: Bronchiectasis .................................................................................................................... 64
Chapter 17: Atelectasis .......................................................................................................................... 70
Chapter 18: Pneumonia, Lung Abscess Formation, and Important Fungal Diseases .............................. 75
Chapter 19: Tuberculosis ....................................................................................................................... 84
Chapter 20: Pulmonary Edema .............................................................................................................. 89
Chapter 21: Pulmonary Vascular Disease: Pulmonary Embolism and PulmonaryHypertension .............. 94
Chapter 22: Flail Chest ........................................................................................................................ 100
Chapter 23: Pneumothorax .................................................................................................................. 104
Chapter 24: Pleural Effusion and Empyema ......................................................................................... 109
Chapter 25: Kyphoscoliosis .................................................................................................................. 113
Chapter 26: Cancer of the Lung, Prevention and Palliation................................................................... 117
Chapter 27: Interstitial Lung Diseases .................................................................................................. 121
Chapter 28: Acute Respiratory Distress Syndrome .............................................................................. 125
Chapter 29: Guillain-Barré Syndrome ................................................................................................... 130
Chapter 30: Myasthenia Gravis ............................................................................................................ 135
Chapter 31: Cardiopulmonary Assessment and Care of Patients With NeuromuscularDisease............. 140
Chapter 32: Sleep Apnea ..................................................................................................................... 146
Chapter 33: Newborn Assessment and Management........................................................................... 151
Chapter 34: Pediatric Assessment, Protocols, and PALS Management................................................ 156
Chapter 35: Meconium Aspiration Syndrome ....................................................................................... 159
1|Page
,Chapter 36: Transient Tachypnea of the Newborn ................................................................................ 164
Chapter 37: Respiratory Distress Syndrome ......................................................................................... 168
Chapter 38: Pulmonary Air Leak Syndrome .......................................................................................... 173
Chapter 39: Respiratory Syncytial Virus Infection (Bronchiolitis) ........................................................... 178
Chapter 40: Chronic Lung Disease of Infancy ...................................................................................... 182
Chapter 41: Congenital Diaphragmatic Hernia ..................................................................................... 186
Chapter 42: Congenital Heart Disease ................................................................................................. 191
Chapter 43: Croup and Croup-like Syndromes: Laryngotracheobronchitis, BacterialTracheitis, and Acute
Epiglottitis ............................................................................................................................................ 194
Chapter 44: Near Drowning/Wet Drowning ........................................................................................... 198
Chapter 45: Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication ........................... 203
2|Page
,Chapter 01: The Patient Interview
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a patient interview. The main purpose of
thisinterview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the
patient. It allows thecollection of subjective data about the patient’s feelings regarding
his/her condition. The history should be done before the interview. Although data can be
reviewed,that is not the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
The personal qualities that a respiratory therapist must have to conduct a successful
interview include being an active listener, having a genuine concern for the patient, and having
empathy. Leading questions must be avoided. Reassurance may provide a false sense of comfort
to the patient. Medicaljargon can sound exclusionary and paternalistic to a patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance provider
a. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a
health history form because each can impact the patient’s health. Health insurance
provider information, whileneeded for billing purposes, would not be found on the history
form.
4. External factors the respiratory care practitioner should make efforts to provide during
aninterview include which of the following?
3|Page
, 1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process.
Regardless of the interview setting (the patient’s bedside, a crowded emergency room, an
office in the hospital or clinic,or the patient’s home), efforts should be made to (1) ensure
privacy, (2) prevent interruptions, and (3)secure a comfortable physical environment (e.g.,
comfortable room temperature, sufficient lighting, absence of noise). An interviewer of either
gender, who acts professionally, should be able to interview a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to
useopen-ended questions. Open-ended questions allow the therapist to do which of
the following?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question should be used to start the interview, introduce a new section
of questions,and gather more information from a patient’s topic. Closed or direct questions are
used to gather specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed questions are best to gather specific information and speed up the
interview. Open- ended questions are best suited to let the patient fully explain his/her
situation and possibly help therespiratory therapist show empathy.
7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch
my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short
4|Page
