PREPARATION 2026-2027 NEWEST VERSION WITH COMPLETE
QUESTIONS AND ACCURATE DETAILED ANSWERS (RATIONALES)
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GRADED A+
b. administer albumin
A patient has a decreased oncotic pressure. What can be done to increase it?
a.Implement a high-salt diet
b.Administer albumin
c.Administer milrinone
d.Administer morphine
sulfate
a. provide supplemental oxygen
A patient with pulmonary edema is cyanotic and complaining of difficulty
breathing. What should be recommended by the respiratory therapist?
a. Provide supplemental oxygen.
b. Begin mechanical ventilation.
c. Have the patient use pursed-lip breathing.
d. Begin bronchopulmonary hygiene therapy.
,B. 10 to 15 mmhg
what is the normal hydrostatic pressure in the pulmonary capillaries?
a. 5 to 10 mmhg
b. 10 to 15 mmhg
c. 15 to 20 mmhg
d. 20 to 25 mmhg
D. 20 to 25 mmhg
What is the normal oncotic pressure of the blood?
a. 10 to 15 mmhg
b. 15 to 20 mmhg
c. 20 to 25 mmhg
d. 20 to 25 mmhg
,D. A craniotomy or other head surgery does not increase the risk for
atelectasis. Thoracic surgery (e.g., open heart surgery) and upper abdominal
surgery (e.g., gallbladder removal or splenectomy) increase the risk for
atelectasis.
Examples of the types of surgical procedures that often result in atelectasis
include:
1. open heart surgery.
2. craniotomy.
3. gallbladder removal.
4. splenectomy.
a. 1
b. 2, 3
c. 2, 3, 4
d. 1, 3, 4
D. The development of immediate postoperative atelectasis is almost always related to
excessive bronchial secretions.
The development of immediate postoperative atelectasis is commonly related to
which of the following?
a.Inappropriate tidal volumes settings during surgery
b.The patient's comorbidities
c.Medication reactions and side effects
d.Excessive bronchial secretions
The most common cause of pulmonary edema is increased pressure.
Pulmonary capillary hydrostatic pressure
, A. COPD does not usually lead to atelectasis. All of the other listed
conditions are restrictive in nature and can lead to atelectasis.
Which of the following conditions is least likely to lead to
atelectasis? a.chronic obstructive pulmonary disease (COPD).
b.acute respiratory distress syndrome (ARDS).
c.pleural effusion.
d.pneumothorax.
Increased capillary permeability stemming from infectious, inflammatory, and
other processes will result in the development of ____.
Pulmonary edema
Most common cause of pulmonary edema
left sided heart failure
PULMONARY EDEMA: ETIOLOGY
■ Over-hydration with intravenous fluids
■ Inflammation in lungs
■ Low plasma protein levels (hypoproteinemia,
hypoalbuminemia) –Decreases osmotic pressure of plasma
Caused by kidney or liver disease
■ Blocked lymphatic drainage
■ Pulmonary hypertension
Unknown causes: neurogenic condition, opioid overdose, high altitude