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

Test Bank for Wilkins’ Clinical Assessment in
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Respiratory Care,
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9th Edition by Albert J. Heuer,
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Chapters 1 - 21n n n

,Wilkins' Clinical Assessment in Respiratory Care,
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Contents:
Chapter 1. Preparing for the Patient Encounter
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Chapter 2. The Medical History and the Interview
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Chapter 3. Cardiopulmonary Symptoms
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Chapter 4. Vital Signs
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Chapter 5. Fundamentals of Physical Examination
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Chapter 6. Neurologic Assessment
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Chapter 7. Clinical Laboratory Studies
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Chapter 8. Interpretation of Blood Gases
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Chapter 9. Pulmonary Function Testing
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Chapter 10. Chest Imaging
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Chapter 11. Electrocardiography
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Chapter 12. Neonatal and Pediatric Assessment
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Chapter 13. Older Patient Assessment
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Chapter 14. Monitoring in Critical Care
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Chapter 15. Vascular Pressure Monitoring
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Chapter 16. Cardiac Output Measurement
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Chapter 17. Bronchoscopy
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Chapter 18. Nutritional Assessment
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Chapter 19. Sleep and Breathing Assessment
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Chapter 20. Home Care Patient Assessment
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Chapter 21. Documentation
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,Chapter 1: Preparing for the Patient Encounter Test
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Bank
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MULTIPLE CHOICE n




1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
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npatient assessment? n




a. Assist the physician with diagnostic reasoning skills. n n n n n n




b. Help the physician select appropriate pulmonary function tests.
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c. Interpret arterial blood gas values and suggest mechanical ventilation changes. n n n n n n n n n




d. Document the patient diagnosis in the patient’s chart. n n n n n n n




ANSWER: D n




RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
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REF: Table 1-1, pg. 4 n n n n OBJ: 9 n n




2. In which of the following stages of patient–clinician interaction is the review of physician
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norders carried out? n n




a. Treatment stage n




b. Introductory stage n




c. Preinteraction stage n




d. Initial assessment stage n n




ANSWER: C n




Physician orders should be reviewed in the patient’s chart before the physician sees the patient.
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REF: Table 1-1, pg. 4 n n n n OBJ: 9 n n




3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
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a. Introductory stage n




b. Preinteraction stage n




c. Initial assessment stage n n




d. Treatment stage n




ANSWER: A n




The patient ID bracelet must be checked before moving forward with assessment and treatment.
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REF: Table 1-1, pg. 4 n n n n OBJ: 9 n n




4. What should be done just before the patient’s ID bracelet is checked?
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a. Check the patient’s SpO2. n n n




b. Ask the patient for permission. n n n n




c. Check the chart for vital signs. n n n n n




d. Listen to breath sounds. n n n




ANSWER: B n




It is considered polite to ask the patient for permission before touching and reading his or her ID
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bracelet.
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, REF: pg. 3 n n n OBJ: 3 | 5 n n n n




5. What is the goal of the introductory phase?
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a. Assess the patient’s apparent age. n n n n




b. Identify the patient’s family history. n n n n




c. Determine the patient’s diagnosis. n n n




d. Establish a rapport with the patient. n n n n n




ANSWER: D n




The introductory phase is all about getting to know the patient and establishing a rapport with him or
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her.
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REF: Table 1-1, pg. 4 n n n n OBJ: 3 n n




6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms n




b. Minimal eye contact n n




c. Brief answers to questions n n n




d. Asking the purpose of the treatment n n n n n




ANSWER: D n




If a patient asks about the purpose of the treatment you are about to give, this generally indicates
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that he or she is not upset.
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REF: Table 1-1, pg. 4 n n n n OBJ: 3 n n




7. What is the main purpose of the initial assessment stage?
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a. To identify any allergies to medications
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b. To document the patient’s smoking history
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c. To personally get to know the patient better
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d. To verify that the prescribed treatment is still needed and appropriate
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ANSWER: D n




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




8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet n n n




b. 4 to 12 feet n n n




c. 6 to 18 feet n n n




d. 8 to 20 feet n n n




ANSWER: B n




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




9. What is the appropriate distance for the personal space?
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