2027 Actual Complete Real Exam Questions And Correct
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The RT tells you he is covering another unit and cannot
perform postural
drainage on your patient. He says your patient needs the
left upper lobes
drained if possible. The correct position to help
this patient is:
-Semi-
reclining
-Flat with hips
elevated
-
Supine
-Flat on left side - ANSWER-Semi-
reclining
A semi-reclining or upright position will promote
upper lobe drainage.
Fluid or secretions will collection if the
patient is positioned flat.
,The RT has just given your patient an aerosol
treatment. Which of the following
conditions is contraindicated for
this treatment:
-Pleural
effusions
-Head
injury
-
Asthma
-Stridor - ANSWER-Head
injury
If the head is lower than the body intracranial pressure is
increased. It is also best to avoid postural drainage in a woman
in the last 2 to 3 month of pregnancy, because the baby will
shift towards the lungs and may cause respiratory distress. It is
also a good idea to wait an hour after the patient eats before
giving an aerosol treatment so as to avoid nausea, vomiting,
and possible aspiration.
BiPAP is somewhat useful in acute respiratory distress
syndrome (ARDS)
because:
-BiPAP decreases cardiac output
,-BiPAP decreases venous return so the lungs drain more
effectively
-BiPAP prevents barotrauma
-BiPAP can open collapsed alveoli - ANSWER-BiPAP can open
collapsed alveoli
Answers A, B, and C are all complications of BiPAP. BiPAP
must be regulated
so as not to cause barotrauma, yet still keep alveoli from
collapsing during
expiration. The patient may have to be mechanically ventilated
at some point if
the BiPAP is not
effective.
Patients at risk for thrombosis formation have been classified
by a trio of factors
known
as:
-Beck's
Triad
-Belchod's
Triad
-Virchow's
Triad
-Goodman's Triad - ANSWER-
Virchow's Triad
, Virchow's triad consists of venous stasis, hypercoagulability of
blood, and injury
to vascular
endothelium.
Beck's Triad is indicative of cardiac tamponade.
An example of a beta₂-adrenergic agonist would be:
-Brethine
-Mucomyst
-Alupent
-Atrovert - ANSWER-Brethine
Beta₂-adrenergic agonists include Brethine, Bronkosol and
Proventil. These medications are preferred because they cause
fewer cardiovascular effects in patients with respiratory failure.
They are selective for respiratory stimulation.
Epinephrine and Isuprel are non-respiratory selective.
Atrovent is classified as a parasympatholytic
During a cardiopulmonary arrest, you note that the patient is
being forcefully ventilated by the RT using a bag-valve mask
device. You know the patient is at risk for:
-Alveolar
collapse