TMC Form E Test with Questions and Answers

TMC Form E Test with Questions and Answers A patient with a history of chronic bronchitis is post-operative for an exploratory laparotomy. Review of the medical record suggests the physician has concern about difficulty clearing secretions after the procedure. To assist the patient with mobilization and removal of secretions, the respiratory therapist should recommend A. MDI therapy with an anti-inflammatory corticosteroid B. administer cromolyn sodium C. administer tetracycline D. instruction on deep breathing and coughing techniques tixck The correct answer is : D Explanation : After surgery a primary concern is secretion removal. The easiest way to increase secretion removal is to teach people how to breathe deeply and cough. An MDI may be tempting but it will not remove secretions. The other options are not related. Which of the following conditions would be a contraindication for IPPB? A. pulmonary edema B. a patient requiring bronchodilation AND lung expansion C. untreated pneumothorax D. fractured ribs tixck The correct answer is : C Explanation : Pneumothorax is a contraindication for IPPB due to positive pressure which will exacerbate barotrauma of the lung.