TMC

Which of the following tests would be most useful in diagnosing a pulmonary emboli? a. Chest x-ray b. PFT c. Ventilation-perfusion scan (V/Q) d. ABG c. V/Q scan it would show a lack of blood flow in the affected region of the pulmonary circulation While examining a patient in the ICU, you note that he appears somewhat edematous, and the nurse has indicated that the patient's urine output is "minimal." In which section of the record would you find the patient's fluid balance? a. Phys...

The respiratory therapist should evaluate which of the following to develop a teaching plan for a patient who will be using a small volume nebulizer at home? a. manual dexterity b. highest grade level achieved in school c. spousal support d. English speaking proficiency a. manual dexterity Which of the following would be most beneficial in resolving microatelectasis? a. chest tubes b. percutaneous ventilation c. thoracentesis d. bronchoscopy d. bronchoscopy A 45 year-old patient is re...

A patient with CHF has the following input/output history Yesterday Today IN 1900 mL 2100 mL OUT 1000 mL 1100 mL Which of the following clinical findings is most likely to be observed? A. bronchial wheezing B. friction rub C. decreased egophony D. moist crepitant rales The correct answer is : D Explanation : This CHF patient is obviously retaining fluid because he is receiving more fluid in that he is putting out. The clinical finding most associated with fluid retention is moist crepi...

4 critical life functions 1. Ventilation 2. Oxygenation 3. Circulation 4. Perfusion Findings that indicate patient's fluid intake exceeds urine output 1. Weight gain 2. Electrolyte imbalance 3. Increased hemodynamic pressures 4. Decreased lung compliance Reading that indicates hypovolemia CVP < 2 mmHg Reading that indicates hypervolemia CVP > 6 mmHg Semicomatose Responds only to painful stimuli

Romazicon (flumazenil) -antidote for benzodiazepines such as -GABA receptor antagonist - It can treat drowsiness caused by sedatives following surgery or drug overdose. Which of the following can be used to estimate the level of Hemoglobin? RBC -RBC X 3 = hemoglobin with the use of pressure control the most important alarm is low volume -because the ventilator does not care about volume, the practitioner must. The most important alarm on a volume-cycled ventilator would be high pressure a...

After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of A. empyema. B. congestive heart failure. C. lung carcinoma. D. hemothorax. B. congestive heart failure. Which of the following would be most important to evaluate for a patient who is entering a smoking cessation program? A. Height B. Smoking history C. Weight D. Diet B. Smoking history

A 52 year-old post-operative cholecystectomy patient's breath sounds become more coarse upon completion of postural drainage with percussion. The respiratory therapist should recommend: A. Continuing the therapy until breath sounds improve. B. administering dornase alpha. C. administering albuterol therapy. D. deep breathing and coughing to clear secretions. D. deep breathing and coughing to clear secretions. See Patient Assessment A healthy adult female can exhale what portion of her f...

A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with A. liver failure. B. pulmonary embolism. C. heart failure. D. electrolyte imbalances Heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist discovers that breath sounds are absent in the left chest with a hyperresonant percussion note. The trachea is shifted to ...

Preliminary Treatment the 1st stage of sewage treatment where large debris, such as sticks, grit, and rags pas through a screen followed by a grit chamber, where the flow of water is slowed enough to allow for sedimentation. What stage of treatment is grit removal usually accomplished in? preliminary treatment Rotating Biological Contactor a type of biological secondary treatment process How are protozoa (cause of amoebic dysentery) destroyed? disinfection Other than stream dischar...

4 critical life functions 1. Ventilation 2. Oxygenation 3. Circulation 4. Perfusion Findings that indicate patient's fluid intake exceeds urine output 1. Weight gain 2. Electrolyte imbalance 3. Increased hemodynamic pressures 4. Decreased lung compliance Reading that indicates hypovolemia CVP < 2 mmHg Reading that indicates hypervolemia CVP > 6 mmHg Semicomatose Responds only to painful stimuli

A 44 week old gestational age infant is delivered via C-section and is gasping, grunting and has tachycardia and tachypnea. At one minute his APgar score is 4 and at 5 minutes the score is at 5. The infant is most likely suffering from transient tachypnea of the newborn meconium aspiration bronchopulmonary dysplasia apnea of prematurity meconium aspiration All of the following could cause a patient's right-hemidiaphragm to be elevated, Except... right lower lobe atelectasis

A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with A. liver failure. B. pulmonary embolism. C. heart failure. D. electrolyte imbalances Heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist discovers that breath sounds are absent in the left chest with a hyperresonant percussion note. The trachea is shift...

After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of A. empyema. B. congestive heart failure. C. lung carcinoma. D. hemothorax. B. congestive heart failure. Which of the following would be most important to evaluate for a patient who is entering a smoking cessation program? A. Height B. Smoking history C. Weight D. Diet B. Smoking history

A 52 year-old post-operative cholecystectomy patient's breath sounds become more coarse upon completion of postural drainage with percussion. The respiratory therapist should recommend: A. Continuing the therapy until breath sounds improve. B. administering dornase alpha. C. administering albuterol therapy. D. deep breathing and coughing to clear secretions. D. deep breathing and coughing to clear secretions. See Patient Assessment A healthy adult female can exhale what portion of...

What formula is used to determine cardiac output? Fick Equation What is the normal range for cardiac output? 4-8 LPM What are the units that measure cardiac index? L/min/m^2 (cardiac index = cardiac output / body surface area) [body surface area for most patients is about 2 m^2] What is the normal range for cardiac index? 2-4 L/min/m^2 If a patient is bleeding during bronchoscopy, you would administer _______________ down the bronchoscope. Epinephrine (a vasoconstrictor) If a pa...

Which of the following tests would be most useful in diagnosing a pulmonary emboli? a. Chest x-ray b. PFT c. Ventilation-perfusion scan (V/Q) d. ABG c. V/Q scan it would show a lack of blood flow in the affected region of the pulmonary circulation While examining a patient in the ICU, you note that he appears somewhat edematous, and the nurse has indicated that the patient's urine output is "minimal." In which section of the record would you find the patient's fluid balance? ...

Romazicon (flumazenil) -antidote for benzodiazepines such as -GABA receptor antagonist - It can treat drowsiness caused by sedatives following surgery or drug overdose. Which of the following can be used to estimate the level of Hemoglobin? RBC -RBC X 3 = hemoglobin with the use of pressure control the most important alarm is low volume -because the ventilator does not care about volume, the practitioner must. The most important alarm on a volume-cycled ventilator would be high pres...

The respiratory therapist should evaluate which of the following to develop a teaching plan for a patient who will be using a small volume nebulizer at home? a. manual dexterity b. highest grade level achieved in school c. spousal support d. English speaking proficiency a. manual dexterity Which of the following would be most beneficial in resolving microatelectasis? a. chest tubes b. percutaneous ventilation c. thoracentesis d. bronchoscopy d. bronchoscopy A 45 year-old patie...

A patient with CHF has the following input/output history Yesterday Today IN 1900 mL 2100 mL OUT 1000 mL 1100 mL Which of the following clinical findings is most likely to be observed? A. bronchial wheezing B. friction rub C. decreased egophony D. moist crepitant rales The correct answer is : D Explanation : This CHF patient is obviously retaining fluid because he is receiving more fluid in that he is putting out. The clinical finding most associated with fluid retention is moi...

Which of the following statements is consistent with a high-quality radiographic image? 1. Head of clavicles are level. 2. Spaces between vertebrae are distinct. 3. Lung parenchyma appear black and without blood vessels. 4. Cervical vertebral spaces are smaller than thoracic vertebral spaces. 1 and 2 only An elevated brain natriuretic protein (BNP) level would be consistent with a diagnosis of.... Congestive Heart Failure While monitoring the pressure waveform during insertion of a Sw...