TMC Exam E

TMC Exam E d. Instruction on deep breathing and coughing techniques - --CORRECT ANSWER 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 tetracycline c. Administer cromolyn sodium d. Instruction on deep breathing and coughing techniques a. Untreated pneumothorax - --CORRECT ANSWER Which of the following conditions would be a contraindication for IPPB? a. Untreated pneumothorax b. Pulmonary edema c. A patient requiring bronchodilation AND lung expansion d. Fractured ribs b. The inner cannula is removed and the cuff deflated - --CORRECT ANSWER The respiratory therapist has an order to cap a patient with a fenestrated tracheostomy tube in preparation for speech therapy. Prior to applying the cap on the end of the tube, the therapist should also ensure a. The inner cannula is removed and the cuff inflated b. The inner cannula is removed and the cuff deflated c. The inner cannula is in place and the cuff deflated d. The inner cannula is in placed and the cuff inflated a. Size 7.0 mm ET tube with a large volume, low pressure cuff - --CORRECT ANSWER A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for mechanical ventilatory support, the patient is to be orally intubated. Which of the following artificial airways would be most appropriate for this patient? a. Size 7.0 mm ET tube with a large volume, low pressure cuff b. Size 7.5 mm fenestrated tracheostomy tube c. Size 8.0 mm ET tube with a small volume, high pressure cuff d. Jackson tracheostomy tube