Test bank For Wilkins clinical assessment in respiratory care 8th edition by Huber,Chapters 1 - 21

Test bank For Wilkins clinical assessment in
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respiratory care 8th edition by Huber,
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Chapters 1 - 21 ty ty ty

,Wilkins' Clinical Assessment in Respiratory Care, 7th Edition
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Contents:
Chapter 1. Preparing for the Patient Encounter
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Chapter 2. The Medical Historyand the Interview
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Chapter 3. CardiopulmonarySymptoms
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Chapter 4. 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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Chapter 9. PulmonaryFunction Testing
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Chapter 10. Chest Imaging
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Chapter 11. Electrocardiography
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Chapter12. 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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Chapter19. Sleepand Breathing Assessment
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Chapter20. Home Care Patient Assessment
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Chapter 21. Documentation
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,Chapter1:PreparingforthePatientEncounter Test Bank
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MULTIPLE CHOICE ty




1. Whichofthe followingactivities is notpartofthe roleofrespiratorytherapists (RTs)in patient
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assessment?
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a. Assistthe physician with diagnostic reasoning skills. ty ty ty ty ty ty




b. Help the physician select appropriate pulmonaryfunction tests. ty ty ty ty ty ty ty




c. Interpretarterial blood gas values and suggest mechanical ventilation changes. ty ty ty ty ty ty ty ty ty




d. Documentthe patient diagnosisin thepatient’s chart. ty ty ty ty ty ty ty




ANSWER: D t y




RTsarenotqualified to makean official diagnosis.This is the roleofthe attendingphysician.
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REF: t y Table1-1,pg. 4 ty ty ty OBJ: t y 9

2. Inwhich of thefollowing stagesofpatient–clinician interaction isthereviewofphysician orders
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carried out?
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a. Treatmentstage ty




b. Introductorystage ty




c. Preinteractionstage ty




d. Initial assessment stage ty ty




ANSWER: C t y




Physician ordersshould bereviewedinthepatient’schartbeforethe physician seesthe patient. ty ty ty ty ty ty ty ty ty ty ty ty ty ty




REF: t y Table1-1,pg. 4 ty ty ty OBJ: t y 9

3. Inwhich stageof patient–clinician interaction is the patient identification bracelet checked?
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a. Introductorystage ty




b. Preinteractionstage ty




c. Initial assessment stage ty ty




d. Treatmentstage ty




ANSWER: A t y




Thepatient ID bracelet must be checked before movingforward with assessment and treatment.
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REF: t y Table1-1,pg. 4 ty ty ty OBJ: t y 9

4. Whatshould bedone just before the patient’s ID bracelet is checked?
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a. Checkthepatient’sSpO2. ty ty ty




b. Ask the patient for permission. ty ty ty ty




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




d. Listento breath sounds. ty ty ty




ANSWER: B t y




It is considered polite to ask the patient for permission before touchingand reading his or her ID
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bracelet.
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, REF: pg. 3 t y t y ty OBJ: t y 3 |5 ty ty




5. What is the goal of the introductoryphase? ty ty ty ty ty ty ty




a. Assessthepatient’sapparentage. ty ty ty ty




b. Identifythepatient’sfamilyhistory. ty ty ty ty




c. Determinethepatient’s diagnosis. ty ty ty




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




ANSWER: D t y




The introductoryphaseis all about getting to knowthe patient and establishing arapportwith him or her.
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REF: t y Table1-1,pg. 4 ty ty ty OBJ: t y 3

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




b. Minimal eye contact ty ty




c. Brief answers to questions ty ty ty




d. Asking the purpose of the treatment ty ty ty ty ty




ANSWER: D t y




If a patient asks about the purpose of the treatment you are about to give, this generally indicates that
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he or she is not upset.
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REF: t y Table1-1,pg. 4 ty ty ty OBJ: t y 3

7. What is the main purpose of the initial assessment stage?
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a. Toidentifyanyallergies to medications ty ty ty ty ty




b. Todocumentthe patient’ssmoking history ty ty ty ty ty




c. Topersonallyget to know thepatient better ty ty ty ty ty ty ty




d. Toverifythat theprescribed treatment is still needed and appropriate
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ANSWER: D t y




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: t y Table1-1,pg. 4 ty ty ty OBJ: t y 3

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




b. 4 to 12 feet ty ty ty




c. 6 to 18 feet ty ty ty




d. 8 to 20 feet ty ty ty




ANSWER: B t y




The social space is 4 to 12 feet.
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REF: pg. 5 t y t y ty OBJ: t y 5

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