CLINICAL MANIFESTATIONS & ASSESSMENT OF
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RESPIRATORY DISEASE 8TH EDITION BY TERRY DES
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JARDINS e
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,Tableofcontent e e
Chapter l The Patient Interview Chapter
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2 The Physical Examination
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Chapter 3 The Pathophysiologic Basis for Common Clinical Manifestations Chapter 4
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Pulmonary Function Testing
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Chapter 5 Blood Gas Assessment
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Chapter 6 Assessment of Oxygenation
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Chapter 7 Assessment of the Cardiovascular System
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Chapter 8 Radiologic Examination of the Chest Chapter
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9 Other Important Tests and Procedures Chapter lO The
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Therapist-Driven Protocol Program
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Chapter II Respiratory Insufficiency, Respiratory Failure, and Ventilatory Management Protocols Chapter
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12 Recording Skills and Intraprofessional Communication
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Chapter 13 Chronic Obstructive Pulmonary Disease, Chronic Bronchitis, and Emphysema Chapter
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14 Asthma
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Chapter 15 Cystic Fibrosis Chapter
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16 Bronchiectasis
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Chapter 17 Atelectasis e e
Chapter 18 Pneumonia, Lung Abscess Formation, and Important Fungal Diseases
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Chapter I9 Tuberculosis
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Chapter 20 Pulmonary Edema
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Chapter 21 Pulmonary Vascular Disease
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Chapter 22 Flail Chest
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Chapter 23 Pneumothorax e e
Chapter 24 Pleural Effusion and Empyema
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Chapter 25 Kyphoscoliosis
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Chapter 26 Cancer of the Lung Chapter
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27 Interstitial Lung Diseases
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Chapter 28 Acute Respiratory Distress Syndrome
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Chapter 29 Guillain-Barr~ Syndrome
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Chapter 30 Myasthenia Gravis
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Chapter 31 Cardiopulmonary Assessment and Care of Patients with Neuromuscular Disease Chapter
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32 Sleep Apnea
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Chapter 33 Newborn Assessment and Management
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Chapter 34 Pediatric Assessment and Management
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Chapter 35 Meconium Aspiration Syndrome
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Chapter 36 Transient Tachypnea of the Newborn
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Chapter 37 Respiratory Distress Syndrome
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eChapter 38 Pulmonary Air Leak Syndromes
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Chapter 39 Respiratory Syncytial Virus Infection (Bronchiolitis) Chapter
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40 Chronic Lung Disease of Infancy
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Chapter 41 Congenital Diaphragmatic Hernia
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Chapter 42 Congenital Heart Diseases
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Chapter 43 Croup and Croup-Like Syndromes
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Chapter 44 Near Drowning/Wet Drowning
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Chapter 45 Smoke Inhalation. Thermal Lung Iniuries. and Carbon Mono
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,Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th Edition
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Chapter01:The Patient Interview
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MULTIPLE CHOICE e
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
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interview is to:
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a. review data with the patient. e e e e
b. gather subjective data from the patient. e e e e e
c. gather objective data from the patient. e e e e e
d. fill out the history form or checklist. e e e e e e
ANS: B e
The interview is a meeting between the respiratory care practitioner and the patient. It allows
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the collection of subjective data about the patient’s feelings regarding his/her condition. The
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history should be done before the interview. Although data can be reviewed, that isnot the
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primary purpose of the interview.
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2. For there to be a successful interview, the respiratory therapist must:
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a. provide leading questions to guide the patient. e e e e e e
b. reassure the patient. e e
c. bean active listener. e e e
d. use medical terminology to show knowledge of the subject matter.
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ANS: C e
The personal qualities that arespUiratoSry tNhe raTpi st m uO
e s t haveto conduct asuccessful interview includebeing
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e an active listener, having a genuine concern for the patient, and having empathy. Leading
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e questions must be avoided. Reassurance may provide a false sense of comfort to the patient.
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e Medical jargon can sound exclusionary and paternalistic to a patient.
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3. Which of the following would be found on a history form? e e e e e e e e e e
1. Age
2. Chief complaint e
3. Present health e
4. Family history e
5. Health insuranceprovidera. 1, e e e
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b. 2, 3 e
c. 3, 4, 5 e e
d. 1, 2, 3, 4 e e e
ANS: D e
Age, chief complaint, present health, and family history are typically found on a health history form
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because each can impact the patient’s health. Health insurance provider information, while needed
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forbilling 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
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interview include which of the following?
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1. Minimize or prevent interruptions. e e e
2. Ensure privacy during discussions. e e e
3. Interviewer is the same sex as the patient to prevent bias. e e e e e e e e e e
4. Becomfortable forthe patient and interviewer. e e e e e e
a. 1, 4 e
b. 2, 3 e
c. 1, 2, 4 e e
d. 2, 3, 4 e e
ANS: C e
External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
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interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic, or the
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patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3) secure a
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comfortable physical environment (e.g., comfortable room temperature, sufficient lighting, absence of
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noise). An interviewer of either gender, who acts professionally, should be able to interview a patient of
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either gender.
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5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
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open-ended questions. Open-ended questions allow the therapist to do which of the
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following? e
1. Gather information when a patient introduces a new topic. e e e e e e e e
2. Introduce a new subject area. e e e e
3. Begin the interview process. e e e
4. Gather specific information. e e
a. 4 NURSINGTB.COM
b. 1, 3 e
c. 1, 2, 3 e e
d. 2, 3, 4 e e
ANS: C e
An open-ended question should be used to start the interview, introduce a new section of questions, and
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gather more information from a patient’s topic. Closed or direct questions are used to gather specific
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information.
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6. The direct question interview format is used to:
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1. speed up the interview. e e e
2. let the patient fully explain his/her situation.
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3. help the respiratory therapist show empathy. e e e e e
4. gather specific information. e e
a. 1, 4 e
b. 2, 3 e
c. 3, 4 e
d. 1, 2, 3 e e
ANS: A e
Direct or closed questions are best to gather specific information and speed up the interview. Open-
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ended questions are best suited to let the patient fully explain his/her situation and possibly help the
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respiratory therapist show empathy.
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