b b b b b b
respiratorycare8theditionbyHuber,Chapters
b b b b b b b
1-21
b b b
,Wilkins'ClinicalAssessmentinRespiratoryCare,7thEdition
z
Contents:
Chapter1.PreparingforthePatientEncounter
Chapter2.TheMedicalHistoryandthe Interview z
Chapter3.CardiopulmonarySymptoms
Chapter4.VitalSigns
Chapter5.FundamentalsofPhysicalExamination
Chapter6.NeurologicAssessment
Chapter7.ClinicalLaboratoryStudies
Chapter8.InterpretationofBlood Gases
b b
Chapter9.PulmonaryFunctionTesting
Chapter10.ChestImaging
z
Chapter11.Electrocardiography
Chapter12.NeonatalandPediatricAssessment
Chapter13.OlderPatient Assessment
bz
Chapter14.MonitoringinCriticalCare
Chapter15.VascularPressureMonitoring
Chapter16.CardiacOutputMeasurement
Chapter17.Bronchoscopy
Chapter18.NutritionalAssessment
Chapter19.Sleepand BreathingAssessment
bz b
Chapter20.HomeCarePatientAssessment
b
Chapter21.Documentation
,Chapter1:PreparingforthePatientEncounterTest
Bank
z
MULTIPLECHOICE
1. Whichofthefollowingactivitiesisnotpartoftheroleofrespiratorytherapists(RTs)inpatient b b
zassessment?
a. Assistthephysicianwithdiagnosticreasoningskills.
b b b b
b. Helpthephysicianselectappropriatepulmonaryfunctiontests. b
c. Interpretarterialbloodgasvaluesandsuggestmechanicalventilation changes. b b b
d. Documentthepatientdiagnosisinthepatient’schart. b b
ANSWER:D z
RTsarenotqualifiedtomakeanofficialdiagnosis.Thisistheroleoftheattendingphysician.
b b
REF: Table1-1,pg.4
z b OBJ: 9 z
2. Inwhichofthefollowingstagesofpatient–clinicianinteractionisthereviewofphysicianorders
b
z carriedout?
a. Treatmentstage
b. Introductorystage
c. Preinteractionstage
d. Initialassessmentstage
ANSWER:C z
Physicianordersshouldbereviewedinthepatient’schartbeforethephysicianseesthepatient.
b b
REF: Table1-1,pg.4
z b OBJ: 9 z
3. Inwhichstageofpatient–clinicianinteractionisthepatientidentificationbraceletchecked? b b b b
a. Introductorystage
b. Preinteractionstage
c. Initialassessmentstage b
d. Treatmentstage
ANSWER:A z
ThepatientIDbraceletmustbecheckedbeforemovingforwardwithassessmentandtreatment.
b b b b b
REF: Table1-1,pg.4
z b OBJ: 9 z
4. Whatshouldbedonejustbeforethepatient’s IDbraceletischecked?
b b b z
a. Checkthepatient’sSpO2. b b
b. Askthepatientforpermission.
b
c. Checkthechartforvitalsigns. b
d. Listentobreathsounds.
ANSWER:B z
ItisconsideredpolitetoaskthepatientforpermissionbeforetouchingandreadinghisorherID
b b b b
zbracelet.
, REF: pg.3z OBJ: 3|5 z
5. Whatisthegoaloftheintroductoryphase?
b
a. Assessthepatient’sapparentage.b b
b. Identifythepatient’sfamilyhistory. b
c. Determinethepatient’sdiagnosis. b b
d. Establisharapportwiththepatient. b
ANSWER:D z
Theintroductoryphaseisallaboutgettingtoknowthepatientandestablishingarapportwithhimorher. b b b b b
REF: Table1-1,pg.4
z b OBJ: 3 z
6. Whichofthefollowingbehaviorsisnotconsistentwithresistivebehaviorofapatient?
b b
a. Crossedarms b
b. Minimaleyecontact
c. Briefanswerstoquestions b
d. Askingthepurposeofthetreatment b
ANSWER:D z
Ifapatientasksaboutthepurposeofthetreatment youareabouttogive,thisgenerallyindicatesthat
b b b z
zheorsheisnotupset. b
REF: Table1-1,pg.4
z b OBJ: 3 z
7. Whatisthemainpurposeoftheinitialassessmentstage?
b b b
a. Toidentifyanyallergiestomedications
b. Todocumentthepatient’ssmokinghistory b b
c. Topersonallygettoknowthepatientbetter b
d. Toverifythattheprescribed treatmentisstillneededandappropriate b
ANSWER:D z
When you first see the patient, you are encouraged to perform a brief assessment to make sure the
z z z z z z z z z z z z z z z z z
treatmentorderbythephysicianisstillappropriate. Thepatient’s statusmayhavechanged abruptly
z z z z
recently.
z
REF: Table1-1,pg.4
z b OBJ: 3 z
8. Whatistheappropriatedistanceforthesocialspacefromthepatient?
b b
a. 3to5feet
b. 4to12 feet b
c. 6to18feet
d. 8to20feet
ANSWER:B z
Thesocialspaceis4to12feet.
REF: pg.5z OBJ: 5 z
9. Whatisthe appropriatedistanceforthepersonalspace?
b b b