Kettering TMC workbook (patient assessment) with Solutions
1. List 4 critical life functions Ventilation Oxy-
genation Circulation
Perfusion
2. What life function is first priority? Ventilation
3. What assessments would determine how well a pa- -RR
tient is ventilating? -Vt
-Chest Movement
-Breath Sounds
-PaCo2
-EtCO2
4. How would the therapist determine if a patient has -HR
a problem with oxygenation? -Color
-Sensorium
-PaO2/SpO2
5. What information would help the therapist deter- -HR and Strength
mine if a patient's circulation is adequate? -CO
6. What changes may indicate if a patient doesn't have -HR
adequate perfusion? -BP
-Sensorium
-Temperature
-Urine Output
-Hemodynamics
7. Signs are objective informa-
tion - things you can
see and measure
-color
-pulse
-edema
-vital signs
8. symptoms are subjective informa-
tion - things patient
tells you
-dyspnea
, Kettering TMC workbook (patient assessment) with Solutions
-pain level
-nausea
-muscle weakness
9. 5 items that are important to review in a patients 1. Allergies
medical record 2. Signs/Symptoms
3. History
4. Advanced direc-
tives
5. HPI
10. advanced directive set of instructions
documenting what
Tx a patient wants if
they were unable to
make medical deci-
sions
11. what are 4 types of advanced directives 1. living will -
Tx patient wants if
became terminally
ill; doesn't appoint
someone else to
make medical deci-
sions
2. DNI order - do not
intubate (can venti-
late)
3. DNR order - do
not resuscitate
4. durable power
of attorney - health
care proxy; only in
affect when patient
can't make health-
care decisions
12. A properly written order for respiratory care should 1. type of treatment
include what 4 factors? 2. frequency
3. medica-
, Kettering TMC workbook (patient assessment) with Solutions
tion/dosage
4. physician signa-
ture
13. The respiratory therapist has just finished adminis- date, time, reac-
tering an aerosol treatment with albuterol to a child tions, etc.
with asthma. What should be included in documen- respiratory notes
tation of the treatment?
14. What is the normal value for urine output 40mL/hour (approx.
1 liter/day)
15. What findings might indicate a patients fluid intake weight gain
has exceeded his urine output? electrolyte imbal-
ance
increased hemody-
namic pressures
decreased lung
compliance
16. Changes in what value can indicate hypovolemia? CVP - less than 2
need fluid (IV) ther-
apy
17. Describe medication reconciliation ensuring patients
medication list is ac-
curate and up to
date as possible.
Must be done within
first 24 hours of ad-
mission
18. Semicomatose responds to only
painful stimuli
19. lethargic/somnolent sleepy
consider sleep ap-
nea, excessive O2
therapy with COPD
patients
1. List 4 critical life functions Ventilation Oxy-
genation Circulation
Perfusion
2. What life function is first priority? Ventilation
3. What assessments would determine how well a pa- -RR
tient is ventilating? -Vt
-Chest Movement
-Breath Sounds
-PaCo2
-EtCO2
4. How would the therapist determine if a patient has -HR
a problem with oxygenation? -Color
-Sensorium
-PaO2/SpO2
5. What information would help the therapist deter- -HR and Strength
mine if a patient's circulation is adequate? -CO
6. What changes may indicate if a patient doesn't have -HR
adequate perfusion? -BP
-Sensorium
-Temperature
-Urine Output
-Hemodynamics
7. Signs are objective informa-
tion - things you can
see and measure
-color
-pulse
-edema
-vital signs
8. symptoms are subjective informa-
tion - things patient
tells you
-dyspnea
, Kettering TMC workbook (patient assessment) with Solutions
-pain level
-nausea
-muscle weakness
9. 5 items that are important to review in a patients 1. Allergies
medical record 2. Signs/Symptoms
3. History
4. Advanced direc-
tives
5. HPI
10. advanced directive set of instructions
documenting what
Tx a patient wants if
they were unable to
make medical deci-
sions
11. what are 4 types of advanced directives 1. living will -
Tx patient wants if
became terminally
ill; doesn't appoint
someone else to
make medical deci-
sions
2. DNI order - do not
intubate (can venti-
late)
3. DNR order - do
not resuscitate
4. durable power
of attorney - health
care proxy; only in
affect when patient
can't make health-
care decisions
12. A properly written order for respiratory care should 1. type of treatment
include what 4 factors? 2. frequency
3. medica-
, Kettering TMC workbook (patient assessment) with Solutions
tion/dosage
4. physician signa-
ture
13. The respiratory therapist has just finished adminis- date, time, reac-
tering an aerosol treatment with albuterol to a child tions, etc.
with asthma. What should be included in documen- respiratory notes
tation of the treatment?
14. What is the normal value for urine output 40mL/hour (approx.
1 liter/day)
15. What findings might indicate a patients fluid intake weight gain
has exceeded his urine output? electrolyte imbal-
ance
increased hemody-
namic pressures
decreased lung
compliance
16. Changes in what value can indicate hypovolemia? CVP - less than 2
need fluid (IV) ther-
apy
17. Describe medication reconciliation ensuring patients
medication list is ac-
curate and up to
date as possible.
Must be done within
first 24 hours of ad-
mission
18. Semicomatose responds to only
painful stimuli
19. lethargic/somnolent sleepy
consider sleep ap-
nea, excessive O2
therapy with COPD
patients
