RESPIRATORY DISEASE 8TH EDITION DES JARDINS chapters 1-45 latest
,Contents
Chapter 01: The Patient Interview ............................................................................ 4
Chapter 02: The Physical Examination .................................................................... 10
Chapter 03: The Pathophysiologic Basis for Common Clinical Manifestations .......... 16
Chapter 04: Pulmonary Function Testing................................................................. 21
Chapter 05: Blood Gas Assessment ......................................................................... 26
Chapter 06: Assessment of Oxygenation ................................................................. 33
Chapter 07: Assessment of the Cardiovascular System ............................................ 38
Chapter 08: Radiologic Examination of the Chest .................................................... 44
Chapter 09: Other Important Tests and Procedures ................................................ 51
Chapter 10: The Therapist-Driven Protocol Program ............................................... 58
Chapter 11: Respiratory Insufficiency, Respiratory Failure and Ventilatory
Management Protocols .......................................................................................... 63
Chapter 12: Recording Skills and Intra-professional Communication ....................... 68
Chapter 13: Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and
Emphysema ............................................................................................................ 74
Chapter 14: Asthma ................................................................................................ 81
Chapter 15: Cystic Fibrosis ...................................................................................... 88
Chapter 16: Bronchiectasis ..................................................................................... 97
Chapter 17: Atelectasis ......................................................................................... 106
Chapter 18: Pneumonia, Lung Abscess Formation, and Important Fungal Diseases 115
Chapter 19: Tuberculosis ...................................................................................... 130
Chapter 20: Pulmonary Edema ............................................................................. 138
Chapter 21: Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary
Hypertension ........................................................................................................ 146
Chapter 22: Flail Chest .......................................................................................... 155
Chapter 23: Pneumothorax ................................................................................... 162
Chapter 24: Pleural Effusion and Empyema........................................................... 169
Chapter 25: Kyphoscoliosis ................................................................................... 176
Chapter 26: Cancer of the Lung, Prevention and Palliation .................................... 183
,Chapter 27: Interstitial Lung Diseases ................................................................... 190
Chapter 28: Acute Respiratory Distress Syndrome ................................................ 198
Chapter 29: Guillain-Barré Syndrome .................................................................... 205
Chapter 30: Myasthenia Gravis ............................................................................. 213
Chapter 31: Cardiopulmonary Assessment and Care of Patients With Neuromuscular
Disease ................................................................................................................. 221
Chapter 32: Sleep Apnoea..................................................................................... 230
Chapter 33: Newborn Assessment and Management ............................................ 238
Chapter 34: Pediatric Assessment, Protocols, and PALS Management ................... 246
Chapter 35: Meconium Aspiration Syndrome ........................................................ 250
Chapter 36: Transient Tachypnea of the Newborn ................................................ 257
Chapter 37: Respiratory Distress Syndrome .......................................................... 264
Chapter 38: Pulmonary Air Leak Syndrome ........................................................... 272
Chapter 39: Respiratory Syncytial Virus Infection (Bronchiolitis) ........................... 279
Chapter 40: Chronic Lung Disease of Infancy ......................................................... 286
Chapter 41: Congenital Diaphragmatic Hernia ...................................................... 293
Chapter 42: Congenital Heart Disease ................................................................... 301
Chapter 43: Croup and Croup-like Syndromes: Laryngotracheobronchitis, Bacterial
Tracheitis, and Acute Epiglottitis........................................................................... 304
Chapter 44: Near Drowning/Wet Drowning .......................................................... 312
Chapter 45: Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication
............................................................................................................................. 319
,Chapter 01: The Patient Interview
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
interview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS:B
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
collection of subjective data about the patient’s feelings regarding his/her
condition. The history should be done before the interview. Although data can be reviewed, that is not
the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS:C N R I G B.C M
The personal qualities that a respiratory therapist must have to conduct a successful interview include
being an active listener, having a genuine concern for the patient, and having empathy. Leading
questions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
jargon can sound exclusionary and paternalistic to a patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
,5. Health insurance provider
a. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS:D
Age, chief complaint, present health, and family history are typically found on a health history form
because each can impact the patient’s health. Health insurance provider information, while needed for
billing purposes, would not be found on the history form.
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4. External factors the respiratory care practitioner should make efforts to provide during an
interview include which of the following?
1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
,External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,
or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3)
secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting,
absence of noise). An interviewer of either gender, who acts professionally, should be able to interview
a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to use open-
ended questions. Open-ended questions allow the therapist to do which of the following?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
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An open-ended question should be used to start the interview, introduce a new section of questions,
and gather more information from a patient’s topic. Closed or direct questions are used to gather
specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
, b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed questions are best to gather specific information and speed up the interview. Open-
ended questions are best suited to let the patient fully explain his/her situation and possibly help the
respiratory therapist show empathy.
7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch my
breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short of breath
climbing stairs.” This interviewing technique is called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:D
With reflection, part of the patient’s statement is repeated. This lets the patient know that what he/she
said was heard. It also encourages the patient to elaborate on the topic.
Clarification, modeling, and empathy are other communication techniques.
8. The respiratory therapist may choose to use the patient interview technique of silence in which
of the following situations?
a. To prompt the patient to ask a question
b. After a direct question
c. After an open-ended question
d. To allow the patient to review his/her history
ANS:C
After a patient has answered an open-ended question, the respiratory therapist should pause (use
silence) before asking the next question. This pause allows the patient to add something else before
moving on. The patient may also choose to ask a question.