kettering respiratory therapy exam Questions & Answers Correctly Answered.

kettering respiratory therapy exam
signs - CORRECT ANSWER-objective, see and measure
color, pulse, edema, bp

symptoms - CORRECT ANSWER-subjective, pt tells you
dyspnea, pain, nausea, muscle weakness

advance directives - CORRECT ANSWER-set of instructions documenting what
treatment a patient would want if he was unable to make medical decisions

4 types of advance directives - CORRECT ANSWER-dnr, dni, living will, durable poa

pack years - CORRECT ANSWER-packs per day x years

respiratory care orders - CORRECT ANSWER-type of treatment
frequency
medication dosage
physician signature

normal urine output - CORRECT ANSWER-40 mL/hr (approximately 1 Liter/day)

intake exceeds output - CORRECT ANSWER-weight gain
electrolyte imbalance
increased hemodynamic pressures
decreased lung compliance

normal cvp - CORRECT ANSWER-2-6mm hg

decreased cvp - CORRECT ANSWER-<2mm hg
hypovolemia

increased cvp - CORRECT ANSWER->6mm hg
hypervolemia

medication reconciliation - CORRECT ANSWER-the process of ensuring that a pts
medication list is accurate
within 24 hours of admission

lethargic/somnolent - CORRECT ANSWER-consider sleep apnea or excessive o2
therapy in pt w copd

stuporous - CORRECT ANSWER-responds inappropriately, drug od, intoxication

,semicomatose - CORRECT ANSWER-responds only to painful stimuli

obtunded - CORRECT ANSWER-drowsy state, decreased cough or gag reflex, risk of
aspiration

coma - CORRECT ANSWER-does not respond to painful stimuli

inability to coorperate - CORRECT ANSWER-language difficulties
influence of medications
hearing loss
fear, apprehension


four critical life functions - CORRECT ANSWER-ventilation
oxygenation
circulation
perfusion

ventilation - CORRECT ANSWER-air in and out of lungs
resp rate, vt, chest movement, bs, paco2, etco2

oxygenation - CORRECT ANSWER-o2 into blood
hr, color, sensorium, pao2, spo2

circulation - CORRECT ANSWER-moving blood through body
hr and strength, co

perfusion - CORRECT ANSWER-o2 into tissue
bp, sensorium, temperature, uo, hemodynamics

the first priority is - CORRECT ANSWER-ventilation

most common problem is with - CORRECT ANSWER-oxygenation

reviewing pts medical record - CORRECT ANSWER-admitting diagnosis
history of present illness
chief complaint
past medical history
current medications


activities of daily living (ADL) - CORRECT ANSWER-basic tasks of everyday life
1. bathing
2. eating
3. dressing

, 4. toilet use
5. transferring
6. urine and bowel continence

ADL is measured using the ____ scoring system - CORRECT ANSWER-katz

orthopnea - CORRECT ANSWER-difficulty breathing except in the upright position
(CHF)

general malaise - CORRECT ANSWER-run down feeling, nausea, weakness, fatigue,
headache

dsypnea - CORRECT ANSWER-sob or difficulty breathing

dysphagia - CORRECT ANSWER-difficulty swallowing

4 factors when conducting pt interview - CORRECT ANSWER-open ended questions
simple language (KISS method)
use pictures, diagrams
identify pts major problems

patient learning needs - CORRECT ANSWER-influencing pt behavior and producing the
changes in knowledge attitudes and skills necessary to maintain or improve health

pts ability to learn is based upon - CORRECT ANSWER-1. social, cultural and religious
values
2. emotional barriers
3. desire and motivation to learn
4. physical and cognitive limitations
5. language barriers
6. age and educational level

reviewing pts nutritional status - CORRECT ANSWER-1. review dietary history
a. usual food intake
b. food likes and dislikes
c. appetite
d. food allergies
2. note weight loss/gain

peripheral edema - CORRECT ANSWER-presence of excess fluid known as pitting
edema
occurs in arms/ankles
recommend diuretic therapy

ascites - CORRECT ANSWER-accumulation of fluid in abdomen caused by liver failure