Complete Test Bank Wilkins’ Clinical Assessment in Respiratory Care 7th Edition Heuer Questions & Answers with rationales (Chapter 1-21)

Testbank ForWilkinsclinical assessmentin
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respiratory care 8thedition byHuber,Chapters
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1- 21
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,Wilkins' Clinical Assessment inRespiratory Care, 7th Edition
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Contents:
Chapter1. Preparing for the Patient Encounter
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Chapter2. TheMedical Historyand the Interview
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Chapter3. CardiopulmonarySymptoms
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Chapter4. Vital Signs
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Chapter5. Fundamentals ofPhysical Examination
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Chapter6. Neurologic Assessment
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Chapter7. Clinical LaboratoryStudies
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Chapter8. Interpretation ofBlood Gases
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Chapter9. PulmonaryFunction Testing
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Chapter10. Chest Imaging
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Chapter11. Electrocardiography
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Chapter12. Neonatal and Pediatric Assessment
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Chapter13. Older Patient Assessment
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Chapter14. Monitoringin Critical Care
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Chapter15. VascularPressure Monitoring
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Chapter16. Cardiac Output Measurement
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Chapter17. Bronchoscopy
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Chapter18. Nutritional Assessment
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Chapter19. Sleepand BreathingAssessment
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Chapter20. Home Care Patient Assessment
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Chapter21. Documentation
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,Chapter1:PreparingforthePatientEncounter Test
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Bank
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MULTIPLE CHOICE b




1. Whichofthefollowingactivitiesisnotpartofthe roleofrespiratorytherapists (RTs)in patient
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bassessment?
a. Assistthephysician with diagnostic reasoningskills. b b b b b b




b. Helpthe physician select appropriate pulmonaryfunction tests.
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c. Interpretarterial blood gas values andsuggest mechanicalventilation changes. b b b b b b b b b




d. Documentthepatientdiagnosisinthepatient’s chart. b b b b b b b




ANSWER: D b




RTsarenotqualified to makeanofficial diagnosis.This istheroleofthe attendingphysician.
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REF: Table1-1,pg.4 b b b b OBJ: 9 b




2. Inwhich ofthefollowing stagesofpatient–clinician interaction isthereviewofphysician orders
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bcarried out? b




a. Treatmentstage b




b. Introductorystage b




c. Preinteractionstage b




d. Initialassessmentstage b b




ANSWER: C b




Physicianordersshouldbereviewedinthepatient’schartbeforethephysicianseesthe patient.
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REF: Table1-1,pg.4 b b b b OBJ: 9 b




3. Inwhich stageofpatient–clinician interactionisthe patientidentification bracelet checked?
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a. Introductorystage b




b. Preinteractionstage b




c. Initialassessmentstage b b




d. Treatmentstage b




ANSWER: A b




Thepatient IDbracelet mustbechecked before movingforwardwith assessment and treatment.
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REF: Table1-1,pg.4 b b b b OBJ: 9 b




4. Whatshouldbedone justbeforethe patient’s ID bracelet ischecked?
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a. Checkthepatient’sSpO2. b b b




b. Askthe patient for permission. b b b b




c. Check thechart forvital signs. b b b b b




d. Listento breath sounds. b b b




ANSWER: B b




It is considered polite to ask thepatient forpermission beforetouchingand readinghis or her ID
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bracelet.
b

, REF: pg. 3 b b b OBJ: 3 |5 b b b




5. What is the goal of the introductoryphase?
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a. Assessthepatient’sapparentage. b b b b




b. Identifythepatient’sfamilyhistory. b b b b




c. Determinethepatient’sdiagnosis. b b b




d. Establish arapport with the patient. b b b b b




ANSWER: D b




Theintroductoryphaseis allabout gettingto knowthe patientand establishingarapportwith him or her.
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REF: Table1-1,pg.4 b b b b OBJ: 3 b




6. Whichof the following behaviors is not consistent with resistivebehavior of apatient?
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a. Crossedarms b




b. Minimaleye contact b b




c. Brief answersto questions b b b




d. Askingthe purpose of the treatment b b b b b




ANSWER: D b




If apatient asks about the purposeof thetreatment you areabout to give, this generally indicates that
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he or she is not upset.
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REF: Table1-1,pg.4 b b b b OBJ: 3 b




7. Whatis the main purpose of theinitialassessment stage?
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a. Toidentifyanyallergies to medications b b b b b




b. Todocumentthe patient’ssmokinghistory b b b b b




c. Topersonallyget to knowthepatient better b b b b b b b




d. Toverifythat theprescribed treatmentis stillneeded and appropriate
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ANSWER: D b




When you first see the patient, you are encouraged to perform a brief assessment to make sure the
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treatment order by the physician is still appropriate. The patient’s status may have changed abruptly
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recently.
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REF: Table1-1,pg.4 b b b b OBJ: 3 b




8. What isthe appropriate distance for the social space fromthe patient?
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a. 3 to 5 feet b b b




b. 4 to 12 feet b b b




c. 6 to 18 feet b b b




d. 8 to 20 feet b b b




ANSWER: B b




The social space is 4 to 12 feet.
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REF: pg. 5 b b b OBJ: 5 b




9. Whatisthe appropriate distancefor the personal space?
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