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All of the following could cause a patient's right-hemidiaphragm to be elevated,
EXCEPT
A. right lower lobe atelectasis.
B. right side hyperlucency, absent vascular markings.
C. hepatomegaly.
D. right lower lobe consolidation with air bronchograms.
B. right side hyperlucency, absent vascular markings
A 64-year-old, 70 kg (154 lb) man with severe COPD is receiving independent
(differential) lung ventilation following thoracotomy and right lower lobectomy.
Which of the following setting combinations would be most appropriate for
this patient?
A. Right lung 50 mL; left lung 650 mL
B. Right lung 150 mL; left lung 550 mL
C. Right lung 350 mL; left lung 350 mL
D. Right lung 550 mL; left lung 150 mL
B. Right lung 150 mL; left lung 550 mL
,A patient in the intensive care unit has the following hemodynamic
measurements:
CVP (mm Hg)
5 PAP (mm Hg)
29/8 PCWP
(mm Hg) 8
BP (mm Hg) 130/70
Cardiac output (L/min) 5.1
Cardiac index (L/min/m2)
2.7 What is the pulse
pressure?
A. 15 mm Hg
B. 21 mm Hg
C. 60 mm Hg
D. 90 mm Hg
C. 60 mm Hg
A 2-year-old child with croup has been intubated for 4 days with a 4 mm ID uncuffed
endotracheal tube. Heated aerosol at an FIO2 of 0.30 has been delivered to the
patient.
The physician asks the respiratory therapist to evaluate the patient for possible
extubation. Which of the following would most likely indicate that the patient is
ready for extubation?
A. The patient is making normal quiet ventilatory efforts.
B. A negative sputum culture and sensitivity has been reported.
C. The patient's ABG are within normal range.
D. Breath sounds are heard around the tube on auscultation.
D. Breath sounds are heard around the tube on auscultation.
,A patient is seen in the Emergency Department for complaints of nausea and
vomiting. A nasogastric tube has been inserted and the patient is started on
lasix. Which of the
following should the respiratory therapist monitor?
A. Cardiac enzymes
B. Serum electrolytes
C. Arterial blood gases
D. Cell hydration level
B. Serum electrolytes
While instructing a patient prior to a vital capacity maneuver, the respiratory
therapist should direct the patient to
A. exhale to residual volume and inhale to inspiratory capacity.
B. inhale to total lung capacity then exhale to residual volume.
C. exhale normally then inhale to total lung capacity.
D. inhale normally then exhale to functional residual capacity.
B. inhale to total lung capacity then exhale to residual volume.
A patient involved in an automobile accident is brought to the ED with tachypnea,
tracheal deviation to the right, splinting, asymmetrical chest movement, and
decreased breath sounds on the left side. The respiratory therapist should
initially
A. insert a chest tube.
B. administer 100% oxygen via mask.
C. perform endotracheal intubation.
D. initiate non-invasive positive pressure ventilation.
B. administer 100% oxygen via mask.
, A 77-year-old male patient is admitted to the emergency room with shortness of
breath, fine basilar crackles, +2 pitting edema and a chest radiogram with a
butterfly pattern.
These results are most consistent with which of the following?
A. Pulmonary edema
B. Pulmonary interstitial emphysema
C. Pneumothorax
D. Emphysema
A. Pulmonary edema
Which of the following formulas will determine the total flow being delivered
to a patient with a 28% venturi mask running at 6 L/min?
A. total flow = 6 x 2
B. total flow = 6 x 4
C. total flow = 6 x 5
D. total flow = 6 x 11
D. total flow = 6 x 11
Fine crepitant crackles are most commonly associated with which of the
following conditions?
A. Bronchitis
B. Pulmonary edema
C. Pneumonia
D. Foreign body aspiration
B. Pulmonary edema