TMC Exam E | 140 Questions with 100% Correct Answers

d. Instruction on deep breathing and coughing techniques - A patient with a history of chronic bronchitis is post-operative for an exploratory laparotomy. Review of the medical record suggests the physician has concern about difficulty clearing secretions after the procedure. To assist the patient with mobilization and removal of secretions, the respiratory therapist should recommend a. MDI therapy with an anti-inflammatory corticosteroid b. Administer tetracycline c. Administer cromolyn sodium d. Instruction on deep breathing and coughing techniques a. Untreated pneumothorax - Which of the following conditions would be a contraindication for IPPB? a. Untreated pneumothorax b. Pulmonary edema c. A patient requiring bronchodilation AND lung expansion d. Fractured ribs b. The inner cannula is removed and the cuff deflated - The respiratory therapist has an order to cap a patient with a fenestrated tracheostomy tube in preparation for speech therapy. Prior to applying the cap on the end of the tube, the therapist should also ensure a. The inner cannula is removed and the cuff inflated b. The inner cannula is removed and the cuff deflated c. The inner cannula is in place and the cuff deflated d. The inner cannula is in placed and the cuff inflated a. Size 7.0 mm ET tube with a large volume, low pressure cuff - A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for mechanical ventilatory support, the patient is to be orally intubated. Which of the following artificial airways would be most appropriate for this patient? a. Size 7.0 mm ET tube with a large volume, low pressure cuff b. Size 7.5 mm fenestrated tracheostomy tube c. Size 8.0 mm ET tube with a small volume, high pressure cuff d. Jackson tracheostomy tube c. Body box - Which of the following devices is needed to determine a patient's airway resistance? a. Turbine pneumotachometer b. Wheatstone bridge helium analyzer c. Body box d. Geissler tube nitrogen analyzerd. Examine chest rise and auscultate breath sounds - A patient is receiving manual ventilatory support with a bag-valve connected to a size 8.0 mm ET tube. While transporting the patient from CT scan back to the intensive care unit, the respiratory therapist notices oxygen saturation has dropped to 88% and that the bag-valve is easier to squeeze than normal. Suspecting mal-positioning of the ET tube, the respiratory therapist should first a. Perform diagnostic chest percussion b. Obtain an arterial blood gas c. Call for a chest radiograph d. Examine chest rise and auscultate breath sounds