RCP 130 FINAL REVIEW QUESTIONS AND CORRECT
ANSWERS
ABG cnormal cranges: c- cCORRECT cANS✔✔pH: c7.35-7.45
PaCO2: c45-35
HCO3: c22-26
preferable csite cfor cABG cpuncture: c- cCORRECT cANS✔✔radial cor cbrachial
purpose cof cmodified callen's ctest: c- cCORRECT cANS✔✔proper ccirculation cfor cABG
indications cfor cABG: c- cCORRECT cANS✔✔- cevaluate cthe cadequacy cof cpt's cventilatory, cacid cbase, cand/or coxygenation cstatus
- cevaluate coxygen ccarrying ccapacity cand cintrapulmonary cshunt
- cquantify cthe cresponse cto ctherapeutic cintervention cand/or cdiagnostic cevaluation
-asses cgoal cdirected ctherapy cwith ccardiopulmonary cdisease
-monitor cseverity cand cprogression cof cdisease
indications cof cIPPB: c- cCORRECT cANS✔✔-need cto cimprove clung cexpansion
-presence cof cclinically cimportant catelectasis cwhen cother ctherapy cforms cwere cfound cunsuccessful
-need cfor cshort cterm cventilatory csupport
-need cto cdeliver caerosol cmedication
indications cfor cIS: c- cCORRECT cANS✔✔-presence cof cconditions cpredisposing cto cthe cdevelopment cof cpulmonary catelectasis,
csuch cas cupper cabdominal csurgery, cthoracic csurgery, csurgery cin cpatients cwith cchronic cobstructive cdisease
-presence cof cpulmonary catelectasis
-presence cof ca crestrictive clung cdefect cassociated cwith cquadriplegia cand/or cdysfunctional cdiaphragm
purpose cof cthe csensitivity cadjustment cin cIPPB ctherapy: c- cCORRECT cANS✔✔trigger ca cbreath
what ccan cdecrease cair ctrapping cin cpatients cwith casthma cand cCOPD? c- cCORRECT cANS✔✔BIPAP, cPEP cdevices, ctherapep,
cezpap
physiological cimpact cof cretained csecretions: c- cCORRECT cANS✔✔-atelectasis
-hypoxemia
-mucus cplugging
-shunting
identify cbronchial chygiene ctherapies: c- cCORRECT cANS✔✔-chest cpercussion
-manual/vibratory cperusers
-PEP
-flutter
-acapella
-autogenic cdrainage
-IPV
-theravest
-metaneb
-cough cassist
-quad ccough
-suctioning
what cis cnecessary cfor cnormal cairway cclearance? c- cCORRECT cANS✔✔-patent cairway
-functional cmucocilliary celevator
-adequate chydration
-effective ccoughs
phases cof ccough creflex: c- cCORRECT cANS✔✔irritation, cinspiration, ccompression, cexpulsion
, conditions/diseases cthat cimpair cmucocilliary ctransport: c- cCORRECT cANS✔✔muscular cdystrophy, cALS, cspinal cmuscular
catrophy, cMG, ccerebral cpalsy, cbronchiectasis, cCF, cciliary cdyskinetic csyndromes
what cimpairs cmucocilliary ctransport cin cthe cintubated cpatient? c- cCORRECT cANS✔✔ET ctube, ctrache, ctracheobronchial csuction,
cinadequate chumidification, chigh cFiO2 cvalues, cdrugs, cgeneral canesthetics, copiates, cnarcotics, cunderlying cpulmonary cdisease
signs c& csymptoms cof cof cretained csecretions: c- cCORRECT cANS✔✔-loose cineffective ccough
-labored cbreathing cpattern
-decreased cor cbronchial cbreath csounds
-coarse cinspiratory/expiratory ccrackles
-tachypnea
-tachycardia
-fever
general cposition cfor cpostural cdrainage: c- cCORRECT cANS✔✔diseased clung cis calways cup
areas cto cavoid cduring cchest cpercussion: c- cCORRECT cANS✔✔bony; csurgical; cfractures
define caerosol: c- cCORRECT cANS✔✔suspension cof csolid cor cliquid cparticles cin ca cgas
particle cdeposition cof caerosol cparticle csize c>10 cum: c- cCORRECT cANS✔✔nasopharyngeal c& coropharyngeal c(nasal cspray)
particle cdeposition cof caerosol cparticle csize c5-10 cum: c- cCORRECT cANS✔✔oropharyngeal c(may cget cto ccentral cairways)
particle cdeposition cof caerosol cparticle csize c2-5 cum: c- cCORRECT cANS✔✔lower crespiratory ctract; clast c5 cto c6 cgenerations
particle cdeposition cof caerosol cparticle csize c0.8-3 cum: c- cCORRECT cANS✔✔terminal cairways c& calveoli
what cis cthe cbest cway cto cdetermine ca cpatient cunderstands chow cto cuse ca cmedication cdelivery cdevice? c- cCORRECT
cANS✔✔have cthe cpatient cteach cback
adverse ceffects cof ca cbronchodilator? c- cCORRECT cANS✔✔-tachycardia
-palpitations
-shakiness
-nervousness
-headache
-insomnia
-nervousness
device cthat crequires ca cspacer? c- cCORRECT cANS✔✔MDI
breath csounds cindicating cpositive cresponse cto ca cbronchodilator: c- cCORRECT cANS✔✔improved caeration; cclear cbreath
csounds
clinical cindications cfor ccool caerosol? c- cCORRECT cANS✔✔-presence cof cupper cairway cedema
-laryngotracheobronchitis
-subglottic cedema
-postextubation cedema
-post cop cmanagement cof cupper cairway
-presence cof cbypassed cupper cairway
-need cfor csputum cspecimens
-mobilization cof csecretions
what ccan cbubble chumidifiers cproduce cat cflows cgreater cthan c6 cLPM? c- cCORRECT cANS✔✔produce caerosols cwhich ccan
ctransmit cpathogenic cbacteria cfrom cthe chumidifier creservoir cto cthe cpatient
purpose cof ca creservoir cO2 ctherapy cdevice? c- cCORRECT cANS✔✔stores cO2, callows cpt cto creceive clarger cspurts cof cO2 cat ca
ctime cwith ceach cinhale; cconserves cO2; creduces cO2 cuse cas cmuch cas c50% cto c75%; chumidification cnot cneeded
FiO2 cdelivery crange cof can centrainment cmask: c- cCORRECT cANS✔✔24% cto c50%
retinopathy cof cprematurity c(ROP) c- cCORRECT cANS✔✔caused cby cblindness ccaused cby clong cterm cO2 cuse; cblindness
coccurring cin cpremature cinfants c& cnewborns cas ca cresult cof cincreased cPaO2; cexcessive cblood cO2 clevels ccause cretinal
cvasoconstriction cand cnecrosis
oxygen ctoxicity: c- cCORRECT cANS✔✔affects clungs c& cCNS; cprolonged cexposure cto cincreased cFiO2 ccan ccause cinfiltrates cin
clung cparenchyma; ccauses cV/Q cmismatch c& cshunting
absorptive catelectasis: c- cCORRECT cANS✔✔can coccur cwith cFiO2 cabove c50%; ccaused cby cnitrogen cwash cout cof calveoli cdue
cto clong cterm cO2 ctherapy
what cis cthe chypoxic cdrive? c- cCORRECT cANS✔✔peripheral cchemoreceptors care csensitive cto cthe clevels cof cO2 cin cthe cbody;
cthey cwill csend ca csignal cto cbreathe cwhen cthe cpartial cpressure cof cO2 cbegins cto cfall
CO2 cretention cwith ca csimple cmask: c- cCORRECT cANS✔✔>5 cLPM cwill ccause cpt cto crebreathe cCO2
ANSWERS
ABG cnormal cranges: c- cCORRECT cANS✔✔pH: c7.35-7.45
PaCO2: c45-35
HCO3: c22-26
preferable csite cfor cABG cpuncture: c- cCORRECT cANS✔✔radial cor cbrachial
purpose cof cmodified callen's ctest: c- cCORRECT cANS✔✔proper ccirculation cfor cABG
indications cfor cABG: c- cCORRECT cANS✔✔- cevaluate cthe cadequacy cof cpt's cventilatory, cacid cbase, cand/or coxygenation cstatus
- cevaluate coxygen ccarrying ccapacity cand cintrapulmonary cshunt
- cquantify cthe cresponse cto ctherapeutic cintervention cand/or cdiagnostic cevaluation
-asses cgoal cdirected ctherapy cwith ccardiopulmonary cdisease
-monitor cseverity cand cprogression cof cdisease
indications cof cIPPB: c- cCORRECT cANS✔✔-need cto cimprove clung cexpansion
-presence cof cclinically cimportant catelectasis cwhen cother ctherapy cforms cwere cfound cunsuccessful
-need cfor cshort cterm cventilatory csupport
-need cto cdeliver caerosol cmedication
indications cfor cIS: c- cCORRECT cANS✔✔-presence cof cconditions cpredisposing cto cthe cdevelopment cof cpulmonary catelectasis,
csuch cas cupper cabdominal csurgery, cthoracic csurgery, csurgery cin cpatients cwith cchronic cobstructive cdisease
-presence cof cpulmonary catelectasis
-presence cof ca crestrictive clung cdefect cassociated cwith cquadriplegia cand/or cdysfunctional cdiaphragm
purpose cof cthe csensitivity cadjustment cin cIPPB ctherapy: c- cCORRECT cANS✔✔trigger ca cbreath
what ccan cdecrease cair ctrapping cin cpatients cwith casthma cand cCOPD? c- cCORRECT cANS✔✔BIPAP, cPEP cdevices, ctherapep,
cezpap
physiological cimpact cof cretained csecretions: c- cCORRECT cANS✔✔-atelectasis
-hypoxemia
-mucus cplugging
-shunting
identify cbronchial chygiene ctherapies: c- cCORRECT cANS✔✔-chest cpercussion
-manual/vibratory cperusers
-PEP
-flutter
-acapella
-autogenic cdrainage
-IPV
-theravest
-metaneb
-cough cassist
-quad ccough
-suctioning
what cis cnecessary cfor cnormal cairway cclearance? c- cCORRECT cANS✔✔-patent cairway
-functional cmucocilliary celevator
-adequate chydration
-effective ccoughs
phases cof ccough creflex: c- cCORRECT cANS✔✔irritation, cinspiration, ccompression, cexpulsion
, conditions/diseases cthat cimpair cmucocilliary ctransport: c- cCORRECT cANS✔✔muscular cdystrophy, cALS, cspinal cmuscular
catrophy, cMG, ccerebral cpalsy, cbronchiectasis, cCF, cciliary cdyskinetic csyndromes
what cimpairs cmucocilliary ctransport cin cthe cintubated cpatient? c- cCORRECT cANS✔✔ET ctube, ctrache, ctracheobronchial csuction,
cinadequate chumidification, chigh cFiO2 cvalues, cdrugs, cgeneral canesthetics, copiates, cnarcotics, cunderlying cpulmonary cdisease
signs c& csymptoms cof cof cretained csecretions: c- cCORRECT cANS✔✔-loose cineffective ccough
-labored cbreathing cpattern
-decreased cor cbronchial cbreath csounds
-coarse cinspiratory/expiratory ccrackles
-tachypnea
-tachycardia
-fever
general cposition cfor cpostural cdrainage: c- cCORRECT cANS✔✔diseased clung cis calways cup
areas cto cavoid cduring cchest cpercussion: c- cCORRECT cANS✔✔bony; csurgical; cfractures
define caerosol: c- cCORRECT cANS✔✔suspension cof csolid cor cliquid cparticles cin ca cgas
particle cdeposition cof caerosol cparticle csize c>10 cum: c- cCORRECT cANS✔✔nasopharyngeal c& coropharyngeal c(nasal cspray)
particle cdeposition cof caerosol cparticle csize c5-10 cum: c- cCORRECT cANS✔✔oropharyngeal c(may cget cto ccentral cairways)
particle cdeposition cof caerosol cparticle csize c2-5 cum: c- cCORRECT cANS✔✔lower crespiratory ctract; clast c5 cto c6 cgenerations
particle cdeposition cof caerosol cparticle csize c0.8-3 cum: c- cCORRECT cANS✔✔terminal cairways c& calveoli
what cis cthe cbest cway cto cdetermine ca cpatient cunderstands chow cto cuse ca cmedication cdelivery cdevice? c- cCORRECT
cANS✔✔have cthe cpatient cteach cback
adverse ceffects cof ca cbronchodilator? c- cCORRECT cANS✔✔-tachycardia
-palpitations
-shakiness
-nervousness
-headache
-insomnia
-nervousness
device cthat crequires ca cspacer? c- cCORRECT cANS✔✔MDI
breath csounds cindicating cpositive cresponse cto ca cbronchodilator: c- cCORRECT cANS✔✔improved caeration; cclear cbreath
csounds
clinical cindications cfor ccool caerosol? c- cCORRECT cANS✔✔-presence cof cupper cairway cedema
-laryngotracheobronchitis
-subglottic cedema
-postextubation cedema
-post cop cmanagement cof cupper cairway
-presence cof cbypassed cupper cairway
-need cfor csputum cspecimens
-mobilization cof csecretions
what ccan cbubble chumidifiers cproduce cat cflows cgreater cthan c6 cLPM? c- cCORRECT cANS✔✔produce caerosols cwhich ccan
ctransmit cpathogenic cbacteria cfrom cthe chumidifier creservoir cto cthe cpatient
purpose cof ca creservoir cO2 ctherapy cdevice? c- cCORRECT cANS✔✔stores cO2, callows cpt cto creceive clarger cspurts cof cO2 cat ca
ctime cwith ceach cinhale; cconserves cO2; creduces cO2 cuse cas cmuch cas c50% cto c75%; chumidification cnot cneeded
FiO2 cdelivery crange cof can centrainment cmask: c- cCORRECT cANS✔✔24% cto c50%
retinopathy cof cprematurity c(ROP) c- cCORRECT cANS✔✔caused cby cblindness ccaused cby clong cterm cO2 cuse; cblindness
coccurring cin cpremature cinfants c& cnewborns cas ca cresult cof cincreased cPaO2; cexcessive cblood cO2 clevels ccause cretinal
cvasoconstriction cand cnecrosis
oxygen ctoxicity: c- cCORRECT cANS✔✔affects clungs c& cCNS; cprolonged cexposure cto cincreased cFiO2 ccan ccause cinfiltrates cin
clung cparenchyma; ccauses cV/Q cmismatch c& cshunting
absorptive catelectasis: c- cCORRECT cANS✔✔can coccur cwith cFiO2 cabove c50%; ccaused cby cnitrogen cwash cout cof calveoli cdue
cto clong cterm cO2 ctherapy
what cis cthe chypoxic cdrive? c- cCORRECT cANS✔✔peripheral cchemoreceptors care csensitive cto cthe clevels cof cO2 cin cthe cbody;
cthey cwill csend ca csignal cto cbreathe cwhen cthe cpartial cpressure cof cO2 cbegins cto cfall
CO2 cretention cwith ca csimple cmask: c- cCORRECT cANS✔✔>5 cLPM cwill ccause cpt cto crebreathe cCO2
