#6 GRADED PASS
For a patient with severe mitral-valve stenosis, a balloon-tipped
flow-directed pulmonary artery catheter would be associated
with which of the following clinical data?
PAP 19 mm Hg and PCWP 7 mmHg
A. PAP 25/8 mmHg
B. PCWP 14 mm Hg and C.O. 4 L/M
C. CVP 9 mm Hg and PAP 9 mmHg - CORRECT ANSWERS -c)
PCWP 12 and CO 4
Mitral valve stenosis is a problem resulting from left heart
failure. Problems in the left heart are manifested
hemodynamically with high pulmonary capillary wedge pressure
(PCWP) and low or normal cardiac output.
which of the following should be excluded in an evaluation of a
pt's ability to learn self administration medication by MDI
a)manual dexterity
b)level of dementia
c)visual ability
d)language skills - CORRECT ANSWERS -c)visual ablilty
,While performing manual ventilation with a self-inflating
resuscitator bag through a properly placed endotracheal tube, a
respiratory therapist observes no chest rise. To troubleshoot the
problem, the therapist should?
A. assure the large bore reservoir tubing is connected.
B. adjust the PEEP valve
C. increase the flowrate.
D. check for proper function of the air inlet valve - CORRECT
ANSWERS -D) check for proper function of the air Intel valve.
The scenario suggests that the ET tube is properly placed,
therefore the problem must be in the resuscitator. When the
therapist squeezes the device, the air is not being delivered to
the patient, which is why there is no chest rise.
Which of the following equipment is required to determine VD/VT
ratio on a patient receiving mechanical ventilation?
A. capnograph
B. pressure differential pneumotachometer
C. Fleisch pneumotachometer
D. EZ® cap CO2 detector - CORRECT ANSWERS -A) capnography
This question is largely about memorization. You must know what
it takes to calculate of the VD/VT ratio. Of the equipment listed
,only a capnograph would be helpful because it relates end tidal
CO2.
A 38-week gestational age infant is to receive oxygen therapy by
a blender set at 100% with a heated large-volume nebulizer. To
ensure the delivery of the ordered FIO2, the respiratory therapist
should properly set the nebulizer FIO2 to
A. 100%
B. 21%
C. 0%
D. 50% - CORRECT ANSWERS -A) 100%
When using an air-oxygen blender, oxygen percentage is
predetermined prior to entering the large volume nebulizer
device. When this happens, the large volume nebulizer should be
set at 100% in order to avoid entraining additional room air and
lowering FIO2.
A respiratory therapist is asked to assist in the development of a
teaching plan for a 7-year-old asthmatic patient at home. The
plan should avoid instructions regarding
, A. daily monitoring of peak-expiratory flow rates
B. the water-float technique to determine MDI canister content
C. improving the patient and family's understanding of infection
control
D. theproper technique for the use of MDIs - CORRECT ANSWERS
-B) the water float tech to determine MDI canister content
Proper MDI technique, peak-flow monitoring, and improving the
understanding of infection control are all appropriate aspects of
a teaching plan for a pediatric patient. Determining MDI canister
content by floating the canister in water is never appropriate. The
proper way to assess content is by actuating the MDI and
observing the output.
Which of the following pre/post bronchodilator pulmonary
function test results is the most meaningful in suggesting that a
bronchodilator is indicated?