RCP 140 FINAL QUESTIONS AND ANSWERS
Patient states that there sputum production is 40 ml/day what kind of information is this?
- Answers - Subjective
Objective Date - Answers - Lab results, observation of sleep apnea, doctors
interpretation of EKG
Patient is admitted to the floor with possible pneumonia which of the following is the
least invasive way to monitor oxygen? - Answers - Pulse Ox
SOAP? - Answers - subjective, objective, assessment, plan
Pulmonary Fibrosis- what would you see on a pft? (restrictive) - Answers - Decreased
FVC and FEV1
Acute Ventilatory Failure- MG & GB what test do we wanna do ? - Answers - MIP & NIF
In addition to O2 therapy what other mechanical ventilatory mode would you apply to a
patient with cardiogenic pulmonary edema? - Answers - CPAP
-Edema of the bronchial mucosa
-Excessive Mucus production
-Constriction of Bronchial Smooth Muscle - Answers - Asthma
When would you see an absence in tissue lung markings? - Answers - -Pneumothorax
-Emphysema
-Pneumonectomy
-Underexposed X-Ray
Heart failure and cirrhosis of the liver what kind of fluid would we see in a pleural
effusion? - Answers - Transudative
What PFT values are decreased in a patient with an obstructive lung disease - Answers
- FEV1 & FEV1%
What do we do with a CVP line? - Answers - Right heart pressure, large amounts of
fluids
Best definition of sputum? - Answers - expectorated secretions from the mouth
What should be considered if Step 1 is worsening periodically? - Answers - Move to
step 2- low dose corticosteroid (anti-inflammatory)
First line agents in treatment in TB? - Answers - Rifampin & Isoniazid
, What patients benefit from bland aerosol therapy? - Answers - -Patients with upper
airway edema
-When a sputum sample is needed
-
Assessing an outpatient for bronchopulmonary hygiene therapy, no CF, effective cough
and good hydration, sputum production 35-50 ml/day - Answers - PEP Therapy
Alert outpatient is awaiting a bronchoscopy with an SpO2 81% on room air, no
distress/hypoxemia. What would you do? - Answers - Check the pulse ox
Which of the following not a use of capnometry? - Answers - PEEP levels
What does the plateau indicate on a capnogram indicate? - Answers - Alveolar gas
Normal gradient between PaCO2 & ETCO2 - Answers - 5-10mmHg
As an RCP, when treating a child with cystic fibrosis which protocol is indicated? -
Answers - Bronchopulmonary Hygiene
Central components of a therapy driven protocol include? - Answers - Evaluation of the
patients response to care, bedside pt. assessment, selection of appropriate care,
identification of clinical indicators for care,
POMR - will contain which of the following? - Answers - assessment of pt. data
subjective data
treatment plan
evaluation of pt.'s response to care
Young female, with no prior lung disease went thru a C-Section what lung expansion
protocol would you use? - Answers - IS
What is the most common complication of suctioning? - Answers - Hypoxemia
total suctioning time should be no longer than? - Answers - 15 seconds
primary goal of heated humidity therapy - Answers - to obtain normal physiological
conditions
clinical indications for cool aerosol therapy - Answers - -post extubation edema
-croup
-epiglottitis
polycythemia - Answers - -condition of too many RBCs
-body's response to chronic hypoxemia
Patient states that there sputum production is 40 ml/day what kind of information is this?
- Answers - Subjective
Objective Date - Answers - Lab results, observation of sleep apnea, doctors
interpretation of EKG
Patient is admitted to the floor with possible pneumonia which of the following is the
least invasive way to monitor oxygen? - Answers - Pulse Ox
SOAP? - Answers - subjective, objective, assessment, plan
Pulmonary Fibrosis- what would you see on a pft? (restrictive) - Answers - Decreased
FVC and FEV1
Acute Ventilatory Failure- MG & GB what test do we wanna do ? - Answers - MIP & NIF
In addition to O2 therapy what other mechanical ventilatory mode would you apply to a
patient with cardiogenic pulmonary edema? - Answers - CPAP
-Edema of the bronchial mucosa
-Excessive Mucus production
-Constriction of Bronchial Smooth Muscle - Answers - Asthma
When would you see an absence in tissue lung markings? - Answers - -Pneumothorax
-Emphysema
-Pneumonectomy
-Underexposed X-Ray
Heart failure and cirrhosis of the liver what kind of fluid would we see in a pleural
effusion? - Answers - Transudative
What PFT values are decreased in a patient with an obstructive lung disease - Answers
- FEV1 & FEV1%
What do we do with a CVP line? - Answers - Right heart pressure, large amounts of
fluids
Best definition of sputum? - Answers - expectorated secretions from the mouth
What should be considered if Step 1 is worsening periodically? - Answers - Move to
step 2- low dose corticosteroid (anti-inflammatory)
First line agents in treatment in TB? - Answers - Rifampin & Isoniazid
, What patients benefit from bland aerosol therapy? - Answers - -Patients with upper
airway edema
-When a sputum sample is needed
-
Assessing an outpatient for bronchopulmonary hygiene therapy, no CF, effective cough
and good hydration, sputum production 35-50 ml/day - Answers - PEP Therapy
Alert outpatient is awaiting a bronchoscopy with an SpO2 81% on room air, no
distress/hypoxemia. What would you do? - Answers - Check the pulse ox
Which of the following not a use of capnometry? - Answers - PEEP levels
What does the plateau indicate on a capnogram indicate? - Answers - Alveolar gas
Normal gradient between PaCO2 & ETCO2 - Answers - 5-10mmHg
As an RCP, when treating a child with cystic fibrosis which protocol is indicated? -
Answers - Bronchopulmonary Hygiene
Central components of a therapy driven protocol include? - Answers - Evaluation of the
patients response to care, bedside pt. assessment, selection of appropriate care,
identification of clinical indicators for care,
POMR - will contain which of the following? - Answers - assessment of pt. data
subjective data
treatment plan
evaluation of pt.'s response to care
Young female, with no prior lung disease went thru a C-Section what lung expansion
protocol would you use? - Answers - IS
What is the most common complication of suctioning? - Answers - Hypoxemia
total suctioning time should be no longer than? - Answers - 15 seconds
primary goal of heated humidity therapy - Answers - to obtain normal physiological
conditions
clinical indications for cool aerosol therapy - Answers - -post extubation edema
-croup
-epiglottitis
polycythemia - Answers - -condition of too many RBCs
-body's response to chronic hypoxemia
