Edition Test Bank By Kacmarek || Answer Key
for the Workbook | All Chapters Complete.
Chapter 01: History of Respiratory Care
Answer Key for the Workbook
CHAPTER OBJECTIVES
1. Define respiratory care. (Q: 4, 15)
2. Summarize some of the major events in the history of science and medicine. (Q: 18)
3. Explain how the respiratory care profession got started. (Q: 20)
4. Describe the historical development of the major clinical areas of respiratory care. (Q: 21)
5. Name some of the important historical figures in respiratory care. (Q: 24) 6. Describe the
major respiratory care educational, credentialing, and professional associations. (Q: 16)
7. Explain how the important respiratory care organizations got started. (Q: 16)
8. Describe the development of respiratory care education. (Q: 17)
9. Predict future trends for the respiratory care profession. (Q: 23)
WORD WIZARD
Reference: Glossary
1. M. physician assistant
2. A. AARC
3. F. respiratory therapy
4. E. respiratory care (Number 3 and 4 are often interchanged.)
5. I. aerosol medications
6. H. oxygen (O2) therapy
7. C. NBRC
8. J. mechanical ventilation
9. B. CoARC
10. D. cardiopulmonary system
11. L. pulmonary function testing
12. N. respiratory care practitioner(s)
13. G. respiratory therapist(s) (The terms in 13 and 14 are often interchanged.)
14. K. airway management
,MEET THE OBJECTIVES
15. References: Pages 4, 11
The actual definition of respiratory therapy is “the health care discipline that specializes in
the promotion of optimal cardiopulmonary function and health.”
Main concepts may include the assessment, treatment, management, control, diagnostic
evaluation, education, and care of patients with deficiencies and abnormalities of the Answer
Key for the Workbook 1-2
cardiopulmonary system. Respiratory care is increasingly involved in the prevention of
respiratory disease, the management of patients with chronic respiratory disease, and the
promotion of health and wellness.
The Inhalation Therapy Association (ITA) was the first professional association in respiratory
care. The ITA became the American Association for Inhalation Therapists (AAIT) in 1954,
the American Association for Respiratory Therapy (ARRT) in 1973, and the American
Association for Respiratory Care (AARC) in 1982.
16. Reference: Page 14
The first course in inhalation therapy was offered in 1950. Programs in the 1960s focused
on teaching students the proper application of O2 therapy, O2 delivery systems, humidifiers,
and nebulizers and the use of various IPPB devices. The new standard requires an associate
degree for entry into the profession. There will be a need for individuals with more
education so more baccalaureate and graduate education is needed. Technician programs
no longer exist.
SUMMARY CHECKLIST
17. Reference: Page 4 Prevent; treat
18. Reference: Page 11
AARC; 1947; the Inhalation Therapy Association
19. Reference: Page 9
Polio
FOOD FOR THOUGHT
20. The general answer is management, supervision, research, and education. You can also
become a case manager, a drug representative, or go on for graduate education in anesthesia
or as a physician assistant.
21. This question is a simple classic that has many possible answers.
,Dr. David Pierson promoted the science of respiratory care and the use of protocols. He
helped us elevate our practice. Joseph Priestley discovered O2, and Thomas Beddoes first
used it. I would like to be a therapist who becomes a pioneer of a new and vital
technique.
Kacmarek: Egan's Fundamentals of Respiratory Care, 11th Edition
Chapter 02: Delivering Evidence-Based Respiratory Care
Answer Key for the Workbook
CHAPTER OBJECTIVES
1. Understand the elements for delivering quality respiratory care. (Q: 5)
2. Explain how respiratory care protocols improve the quality of respiratory care services.
(Q: 6, 7)
3. Understand the evidence-based medicine. (Q: 9)
WORD WIZARD
1. CoARC Responsible for quality of schools
2. The Joint Commission Uses site visits to check quality of care
3. Evidence-based medicine Uses meta-analyses to find best care
4. NBRC Responsible for quality of credentialing exams
MEET THE OBJECTIVES
5. Reference: Page 20
A. Equipment
B. Personnel
C. Method of delivery of services
6. Reference: Page 31
A. Institutional: Skills check-offs and classes and competencies
B. Governmental: Monitors like CMS or The Joint Commission accredits institutions based
on quality monitoring standards over nine or more areas.
7. Reference: Tables 2-1, 2-2, 2-3, and 2-5
Protocols improve the allocation of respiratory resources by reducing misallocations such as
over-ordering. Protocols also reduce costs. Care may be enhanced.
8. Reference: Pages 36-38
, The ARDSNet studies produced scientific evidence. When analyzed, they showed that you
could decrease patient mortality by following specific guidelines for volume ventilation.
Using 4 to 8 ml/kg as the breath size saved lives.
SUMMARY CHECKLIST
Reference: Page 38
9. Misallocation
Answer Key for the Workbook 2-2
10. Protocols
11. Registered (RRT)
12. National Board for Respiratory Care (NBRC)
13. Evidence-based
CASE STUDIES
Case 1
Reference: Page 26, Figure 2-2
14. A. SOB
B. Tachycardia
C. Diaphoresis, confusion, etc.
15. The pulse oximeter shows a good saturation. The patient has no clinical signs of
hypoxemia and no history that suggests heart or lung disease. Respiratory rate and heart rate
are normal. Oxygen (O2) therapy is not indicated.
16. Place the patient on room air and recheck the saturation. The history of abdominal
surgery suggests starting the patient on postoperative protocol like incentive spirometry.
Discontinue the O2 if the saturations are good.
Case 2
Reference: Page 25, Figure 2-1
17. He has a history of smoking, lung disease, and has had surgery. His x-ray shows
atelectasis. He is wheezing, so he needs a bronchodilator. Step 1: Patient is alert
Step 2: Can take a deep breath
Step 3: Does not meet MDI criteria
Step 4: Select SVN