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Wilkins’ Clinical Assessment in Respiratory Care 7th Edition Heuer
9u 9u 9u 9u 9u 9u 9u 9u
Questions & Answers with rationales ,All Chapters 1-21 |Complete guide
9u 9u 9u 9u 9u 9u 9u 9u 9u 9u
Nursestar1 Stuvia 9u
,Wilkins' Clinical Assessment in Respiratory Care,
9u 9u 9u 9u 9u
Contents:
Chapter 9 u 1. 9 u Preparing 9 u for 9 u the 9 u Patient
9 u Encounter Chapter 9u 9 u 2. 9 u The 9 u Medical
9 u History 9 u and 9 u the 9 u Interview Chapter 9u 9 u 3.
9 u Cardiopulmonary 9 u Symptoms
Chapter 9 u 4. 9 u Vital 9 u Signs
Chapter 9 u 5. 9 u Fundamentals 9 u of 9 u Physical
9 u Examination Chapter 9u 9 u 6. 9 u Neurologic
9 u Assessment
Chapter 9 u 7. 9 u Clinical 9 u Laboratory 9 u Studies
9u Chapter 9 u 8. 9 u Interpretation 9 u of 9 u Blood
9 u Gases Chapter
9u 9 u 9. 9 u Pulmonary 9 u Function
9 u Testing Chapter9u 9 u 10. 9 u Chest 9 u Imaging
Chapter 9 u 11. 9 u Electrocardiography
Chapter 9 u 12. 9 u Neonatal 9 u and 9 u Pediatric
9 u Assessment Chapter 9u 9 u 13. 9 u Older 9 u Patient
9 u Assessment
Chapter 9 u 14. 9 u Monitoring 9 u in 9 u Critical
9 u Care Chapter
9u 9 u 15. 9 u Vascular 9 u Pressure
9 u Monitoring Chapter 9u 9 u 16. 9 u Cardiac
9 u Output 9 u Measurement Chapter 9u 9 u 17.
9 u Bronchoscopy
Chapter 18. Nutritional Assessment
,Chapter 1: Preparing for the Patient
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Encounter Test Bank
9u 9u 9 u
MULTIPLE CHOICE 9u
1. Which of the following activities is not part of the role of
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9 u respiratory therapists (RTs) in patient assessment?
9 u 9u 9 u 9 u 9 u
a. Assist the physician with diagnostic reasoning skills.
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b. Help the physician select appropriate pulmonary function tests.
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c. Interpret arterial blood gas values and suggest mechanical ventilation
9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u change
d. Document the patient diagnosis in the patient’s chart.
9 u 9 u 9 u 9 u 9 u 9 u 9 u
ANSWER: D
RTs are not qualified to make
9 u 9 u 9 u 9 u 9 u 9 u an 9 u official 9 u diagnosis. This 9u 9 u is 9 u the 9 u role
of the attending physician.
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REF: Table 9 u 1-1, 9 u pg. 9 u 4 OBJ: 9
2. In which of the following stages of patient–clinician
9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u interaction
9 u is the review of physician orders carried out?
9 u 9 u 9 u 9u 9 u 9 u 9 u
a. Treatment stage 9u
b. Introductory stage 9 u
c. Preinteraction stage 9 u
d. Initial assessment stage 9 u 9 u
ANSWER: C
Physician orders 9 u 9 u should be 9 u 9 u reviewed 9 u in 9 u the 9 u patient’s 9 u chart 9 u before 9 u the
physician sees
9 u 9 u 9 u the patient.9u
REF: Table 9 u 1-1, 9 u pg. 9 u 4 OBJ: 9
3. In which stage of patient–clinician
9 u 9 u 9 u 9 u 9 u interaction 9 u is 9 u the 9 u patient
9 u identification bracelet checked? 9 u 9u
a. Introductory stage 9 u
b. Preinteraction stage 9 u
c. Initial assessment stage 9 u 9 u
d. Treatment stage 9u
ANSWER: A
The patient ID bracelet must be
9 u 9 u 9 u 9 u 9 u 9 u checked 9 u before 9 u moving 9 u forward
with assessment and treatment.
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REF: Table 9 u 1-1, 9 u pg. 9 u 4 OBJ: 9
4. What should 9 u 9 ube done just before the
9 u 9 u 9 u 9 u 9 u patient’s 9 u ID 9 u bracelet 9 u is 9 u checked?
a. Check the 9u 9upatient’s SpO2. 9 u
b. Ask the 9 u 9 u patient for permission. 9 u 9 u
c. Check the 9 u chart for vital signs.
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d. Listen to 9 u breath sounds.
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ANSWER: B
It is considered polite to ask the patient for
9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u permission 9 u before
9 u touching and reading his or her ID bracelet.
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, REF: pg. 9 u 3 OBJ: 3 9 u | 9 u 5
5. What is the goal of the introductory
9 u 9 u 9 u 9 u 9 u 9 u 9 u phase?
a. Assess the patient’s apparent age. 9 u 9 u 9 u 9 u
b. Identify the patient’s family history. 9 u 9 u 9 u 9 u
c. Determine the patient’s diagnosis. 9 u 9 u 9 u
d. Establish a rapport with the patient. 9 u 9 u 9 u 9 u 9 u
ANSWER: D
The introductory phase is all about
9 u 9 u 9 u 9 u 9 u 9 u getting 9 u to 9 u know 9 u the 9 u patient 9 u and
establishing a rapport with him or
9 u 9 u 9 u 9u 9 u 9 u 9 u her.
REF: Table 9 u 1-1, 9 u pg. 9 u 4 OBJ: 3
6. Which of the following behaviors is not
9 u 9 u 9 u 9 u 9 u 9 u 9 u consistent 9 u with 9 u resistive 9 u behavior 9
9 u a patient?
9 u
a. Crossed arms 9 u
b. Minimal eye contact 9 u 9 u
c. Brief answers to questions
9 u 9 u 9 u
d. Asking the purpose of the treatment
9 u 9 u 9 u 9 u 9 u
ANSWER: D
If a patient asks about the purpose of the treatment you
9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u are
9 u about to give, this generally indicates that he or she is
9 u 9 u 9 u 9u 9 u 9 u 9 u 9 u 9 u 9 u 9 u not
9 u upset.
REF: Table 9 u 1-1, 9 u pg. 9 u 4 OBJ: 3
7. What 9 u is the main purpose of the initial assessment stage?
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a. To 9 u identify any allergies to medications
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b. To 9u document the patient’s smoking history 9u 9u 9u 9 u
c. To 9 upersonally get to know the patient better 9 u 9 u 9 u 9 u 9 u 9 u
d. To 9 u verify that the prescribed treatment is still needed and
9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u 9 u appropriate
ANSWER: D
When you first see the 9 u 9 u 9 u 9 u 9 u patient, you are encouraged to perform a
9 u 9 u 9 u 9 u 9 u 9 u
brief assessment to make
9 u 9 u 9 u 9u 9 u sure the treatment order by the physician
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is still appropriate. The
9 u 9 u 9 u 9 u 9 upatient’s status may have changed abruptly
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recently.
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REF: Table 9 u 1-1, 9 u pg. 9 u 4 OBJ: 3
8. What 9 u is 9 u the appropriate 9 u 9 u distance 9 u for 9 u the 9 u social 9 u space 9 u from 9 u the 9 u patient?
a. 3 9 u to 9 u 5 feet 9 u
b. 4 9 u to 9 u 12 feet 9 u
c. 6 9 u to 9 u 18 feet 9 u
d. 8 9 u to 9 u 20 feet 9 u
ANSWER: B
The 9 u social 9 u space 9 u is 9 u 4 9 u to 9 u 12 9 u feet.
REF: pg. 9 u 5 OBJ: 5
9. What 9 u is 9 u the 9 u appropriate 9 u distance 9 u for 9 u the 9 u personal 9 u space?