Respiratory Care,
9th Edition by Albert J. Heuer,
Chapters 1 - 21
,Wilkins'r Clinicalr Assessmentr inr Respiratoryr Care,
Contents:
Chapterr 1.r Preparingr forr ther Patientr Encounter
Chapterr 2.r Ther Medicalr Historyr andr ther Interview
Chapterr 3.r Cardiopulmonaryr Symptoms
Chapterr 4.r Vitalr Signs
Chapterr 5.r Fundamentalsr ofr Physicalr Examination
Chapterr 6.r Neurologicr Assessment
Chapterr 7.r Clinicalr Laboratoryr Studies
Chapterr 8.r Interpretationr ofr Bloodr Gases
Chapterr 9.r Pulmonaryr Functionr Testing
Chapterr 10.r Chestr Imaging
Chapterr 11.r Electrocardiography
Chapterr 12.r Neonatalr andr Pediatricr Assessment
Chapterr 13.r Olderr Patientr Assessment
Chapterr 14.r Monitoringr inr Criticalr Care
Chapterr 15.r Vascularr Pressurer Monitoring
Chapterr 16.r Cardiacr Outputr Measurement
Chapterr 17.r Bronchoscopy
Chapterr 18.r Nutritionalr Assessment
Chapterr 19.r Sleepr andr Breathingr Assessment
Chapterr 20.r Homer Carer Patientr Assessment
Chapterr 21.r Documentation
,Chapterr1:rPreparingrforrtherPatientrEncounterrTre
strBank
MULTIPLErCHOICE
1. Whichrofr ther followingr activitiesrisr notr partrofr ther roler ofr respiratoryrtherapistsr (RTrs)rinr
patientrassessment?
a. Assistr ther physicianr withr diagnosticr reasoningr skills.
b. Helpr ther physicianr selectr appropriater pulmonaryr functionr tests.
c. Interpretr arterialr bloodr gasr valuesr andr suggestr mechanicalr ventilationr changes.
d. Documentr ther patientr diagnosisr inr ther patient’sr chart.
ANSWER:r D
RTsr arernotr qualifiedr tor maker anr officialr diagnosis.r Thisr isr ther roler ofr ther attendingr physiciarn.
REF: Tabler 1-1,r pg.r 4 OBJ: 9
2. Inr whichr ofr ther followingr stagesr ofr patient–
clinicianr interactionr isr ther reviewr ofr physicianr ordersr carriedr out?
a. Treatmentr stage
b. Introductoryr stage
c. Preinteractionr stage
d. Initialr assessmentr stage
ANSWER:r C
Physicianrordersrshouldr berreviewedr inrtherpatient’srchartrbeforertherphysicianrseesrther pr atien
t.
REF: Tabler 1-1,r pg.r 4 OBJ: 9
3. Inr whichr stager ofr patient–clinicianr interactionr isr ther patientr identificationr braceletr checked?
a. Introductoryr stage
b. Preinteractionr stage
c. Initialr assessmentr stage
d. Treatmentr stage
ANSWER:r A
TherpatientrIDrbraceletrmustrbercheckedrbeforermovingrforwardrwithrassessmentrandrtrear tme
nt.
REF: Tabler 1-1,r pg.r 4 OBJ: 9
4. Whatr shouldr ber doner justr beforer ther patient’sr IDr braceletr isr checked?
a. Checkr ther patient’sr SpO2.
b. Askr ther patientr forr permission.
c. Checkr ther chartr forr vitalr signs.
d. Listenr tor breathr sounds.
ANSWER:r B
Itr isr consideredr politer tor askr therpatientr forr permissionr beforertouchingr andr readingr hisr orrherrIDr
bracelet.
, REF: pg.r 3 OBJ: 3r |r 5
5. Whatr isr ther goalr ofr ther introductoryr phase?
a. Assessr ther patient’sr apparentr age.
b. Identifyr ther patient’sr familyr history.
c. Determiner ther patient’sr diagnosis.
d. Establishr ar rapportr withr ther patient.
ANSWER:r D
Ther introductoryr phaser isr allr aboutr gettingr tor knowr ther patientr andr establishingr ar rapportr wirthrhi
mrorrher.
REF: Tabler 1-1,r pg.r 4 OBJ: 3
6. Whichr ofr ther followingr behaviorsr isr notr consistentr withr resistiver behaviorr ofr ar patient?
a. Crossedr arms
b. Minimalr eyer contact
c. Briefr answersr tor questions
d. Askingr ther purposer ofr ther treatment
ANSWER:r D
Ifr ar patientr asksr aboutr ther purposer ofr ther treatmentr your arer aboutr tor give,r thisr generallyr irndicatesrth
atrherorrsherisrnotrupset.
REF: Tabler 1-1,r pg.r 4 OBJ: 3
7. Whatr isr ther mainr purposer ofr ther initialr assessmentr stage?
a. Tor identifyr anyr allergiesr tor medications
b. Tor documentr ther patient’sr smokingr history
c. Tor personallyr getr tor knowr ther patientr better
d. Tor verifyr thatr ther prescribedr treatmentr isr stillr neededr andr appropriate
ANSWER:r D
Whenryourfirstrseertherpatient,ryourarerencouragedrtorperformrarbriefrassessmentrtormakersurerther
treatmentrorderrbyrtherphysicianrisrstillrappropriate.rTherpatient’srstatusrmayrhaverchangedrabrup
tlyrrecently.
REF: Tabler 1-1,r pg.r 4 OBJ: 3
8. Whatr isr ther appropriater distancer forDther socialr spacer fromr ther patient?
a. 3r tor 5r feet
b. 4r tor 12r feet
c. 6r tor 18r feet
d. 8r tor 20r feet
ANSWER:r B
Ther socialr spacer isr 4r tor 12r feet.
REF: pg.r 5 OBJ: 5
9. Whatr isr ther appropriater distancer forr ther personalr space?