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A 36 weeks gestation, 4 hour post-delivery neonate has the following ABG results
while on a 35% oxyhood:
pH: 7.34
PaCO2: 47 mmHg
PaO2: 57 mmHg
HCO3: 25 mmHg
The RT should recommend: - CORRECT ANSWER-Maintain current therapy and
continue to monitor
An adult pt is orally intubated and receiving continuous MV. While performing a
routine cuff pressure measurement, the RT observes that the cuff pressure
monometer's indicator needle continuously reads zero. No vent alarms are
activated and the pt appears to be resting. The RT should do: - CORRECT
ANSWER-Replace cuff manometer
,A pt in ICU requires aggressive fluid and electrolyte replacement therapy.
Implementation of which of the following would be most appropriate to evaluate
the effectiveness of therapy? - CORRECT ANSWER-ECG monitoring
A pt with AIDS is to be given treatment for the prevention of Pneumocystis carinii
pneumonia. Which of the following is most appropriate therapy for this pt? -
CORRECT ANSWER-Pentamidine (NebuPent) via Respigard once every 4 weeks
An intubated pt is being mechanically ventilated via a volume neb. The physician
has asked the RT to begin weaning the pt. Which of the following modes would be
appropriate? - CORRECT ANSWER-2 (A/C-NO, SIMV-YES, IRV-NO PSV-YES)
An adult pt being treated in the ED is receiving O2 by NC at 5 L/m. Over the last
hour, the pt's respirations have become irregular and shallow. ABG's show:
pH: 7.24
PaCO2: 86 mmHg
PaO2: 89 mmHg
HCO3: 36
The most appropriate recommendation: - CORRECT ANSWER-Decrease the O2
liter flow
, An RT is asked to assess a pt with history of CO2 retention & air trapping. The pt
complains that he has become increasingly SOB and is having difficulty coughing
up secretions. Upon auscultation, the therapist notes scattered coarse crackles
and an occasional expiratory wheeze. Most appropriate? - CORRECT ANSWER-
Aerosol bronchodilator with PEP therapy
28 week gestation neonate is being manually ventilated following delivery. Chest
excursion is poor despite respiratory ventilation with high peak pressures. Most
appropriate action? - CORRECT ANSWER-Intubate the patient
Following a traumatic nasal intubation, the pt begins to bleed profusely from the
nasopharynx. The RT should: - CORRECT ANSWER-Keep the NT tubes cuff
inflated and suction pharynx as needed
A pt's PaO2 measured by ABG is 255 mmHg. The analyzer on which the sample
was analyzed is calibrated to a PaO2 of 150 mmHg. Most acceptable action? -
CORRECT ANSWER-Recalibrate the analyzer to accommodate this unusual
value
Data obtained from an orally intubated, MV adult pt are as follows:
8:00 AM 10:00AM
Mode SIMV SIMV