Grademasters

A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaeneous breathing trials to commence immediately. Which of the following medications would be most helpful to the patient? A. Romazicon B. Valium C. Meperidine D. Morphine sulfate - Answer Romazicon In preparation for ventilator weaning the physician requests a VD/VT ratio assessment. Which of the following is needed to determine the deadspace-tidal ...

A respiratory therapist has achieved the following weaning parameters on a post-operative patient who experienced a total knee replacement. The SpO2 is 97% on 35% oxygen. Spont VT 480 mL VC 1600 mL VE 7.0 L MIP -4 cm H2O The next best action would be to A. reduce FIO2 to 0.30 B. return to full mechanical ventilation C. evaluate the MEF D. check the pressure manometer for leaks - Answer D In preparation for a smoking cessation class, the therapist should include informatio...

While administering a treatment with Albuterol to a patient with COPD, the therapist notes a sudden change in the patient's color to marked cyanosis. The patient appears apneic and the heart rate on the pulse oximeter indicates 30/min. The therapist should FIRST A. go get help B. administer oxygen by non-rebreathing mask C. auscultate breath sounds D. begin mouth-to-mouth resuscitation - Answer D. begin mouth-to-mouth resuscitation A 70-kg (154-lb) female patient is receiving mecha...

The medication prostacyclin is used for which of the following purposes? A. decrease pulmonary hypertension B. bronchodilate large airways C. decrease systemic vascular resistance (SVR) D. improve cardiac contractility - Answer A. decrease pulmonary hypertension The respiratory therapist obtains the following blood gas data on a patient breathing spontaneously on room air: pH 7.35 PaCO2 45 torr PaO2 50 torr HCO3- 27 mEq/L BE +2 mEq/L The therapist could accurately estimate the pati...

A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaeneous breathing trials to commence immediately. Which of the following medications would be most helpful to the patient? A. Valium B. Romazicon (Flumazenil) C. Morphine sulfate D. Meperidine - Answer Answer: B. Romazicon (Flumazenil) In preparation for ventilator weaning the physician requests a VD/VT ratio assessment. Which of the following is need...

A patient is undergoing a cardiac workup and tolerance assessment while riding a stationary bicycle. After a few minutes of observing the patient, the respiratory therapist increases the tension to the cycle and observes the following change in blood pressure, SpO2, and heart rate: Before After HR 98 119 BP 122/85 mm Hg 149/98 mm Hg SpO2 0.97 0.95 A. administer Dobutrex (dobutamine). B. reduce the cycle tension to the previous level. C. continue the evaluation. D. discontinue...

A patient with a history of chronic bronchitis is post-operative for an exploratory laparotomy. Review of the medical record suggests the physician has concern about difficulty clearing secretions after the procedure. To assist the patient with mobilization and removal of secretions, the respiratory therapist should recommend A. administer tetracycline B. instruction on deep breathing and coughing techniques C. MDI therapy with an anti-inflammatory corticosteroid D. administer cromolyn...

1. A patient has undergone overnight oximetry. Data shows several episodes of O2 desaturation throughout the night. The RTT would expect orders for which of the following kinds of testing: a. V/Q scan b. pulmonary function testing c. polysomnography d. 24-hour Holter monitoring - Answer Your answer: C Correct answer: C The use of overnight oximetery is often used to detect O2 desaturation during the night that may be associated with central or obstructive sleep apnea. Because data ...

Define Maryland Health Connection - Answer The new marketplace in the state to compare health insurance options and enroll in health coverage. Name the important elements of the Maryland Health Connection - Answer 1. New Marketplace to shop and compare health insurance. 2. No Wrong Door 3. Only place to qualify for Advance Premium Tax Credits and Cost Sharing Reductions 4. Private and Government plans What are the four ways consumers can apply for health care coverage? - Answer 1. Onlin...

Medicare Part A - Answer Hospital Insurance Medicare Part B` - Answer Medical Insurance (out pt, Mental health services, ambulance, clinical research, premium requred Medicare Part C - Answer Medicare Advantage Plus (includes A and B) Replaces traditional medicare Medicare Part D - Answer Prescription drug coverage Qualified Medicare Beneficiary - Answer Pays part A and B premiums, deductibles, and co-insurance (Can be combined w Medicaid) Specified low income beneficiary - Ans...