C&S TMC Exam 3 ALL QUESTIONS INCLUDED WITH VERIFIED ANSWERS LATEST UPDATED 2024 WITH SATISFIED SOLUTIONS

C&S TMC Exam 3 ALL QUESTIONS INCLUDED WITH VERIFIED ANSWERS LATEST UPDATED 2024 WITH SATISFIED SOLUTIONS An adult pt is orally intubated and receiving continuous MV. While performing a routine cuff pressure measurement, the RT observes that the cuff pressure monometer's indicator needle continuously reads zero. No vent alarms are activated and the pt appears to be resting. The RT should do: Replace cuff manometer A pt in ICU requires aggressive fluid and electrolyte replacement therapy. Implementation of which of the following would be most appropriate to evaluate the effectiveness of therapy? ECG monitoring Data obtained from an orally intubated, MV adult pt are as follows: 8:00 AM 10:00AM Mode SIMV SIMV VT 470mL 470mL Rate 14/min 14/min PetCO2 36mmHg 44mmHg PaCO2 38 mmHg 46mmHg Spo2 92% 91% SaO2 95% 95% Which of the following best explains these data: Alveolar ventilation has decreased An orally intubated 18 yr old male was bought to the ED by EMS. A cuff pressure reading of 4 cmH2O was recorded at the time of initial assessment. The most likely finding of this cuff pressure is: The pt is at high risk for aspiration If the airway resistance of a pt who is being MV via a volume ventilator increases, which of the following would also increase? Peak pressure Following abdominal surgery, a pt has developed a productive cough and a temp of 103.3 degrees F (39.6 degrees Celcius) Auscultation of the chest reveals fine crackles throughout the left lower lung field. These findings are consistent with: Pneumonia Which of the following is true regarding the 4th heart sound (S4)? May be a sign of diastolic heart failure Which of the following pathological conditions would cause tracheal deviation toward the diseased side:4. Yes, Yes, Yes, No An RT has been asked to initiate O2 therapy for a 33 year old female pt. While reviewing the physician's orders, the therapist notes that the physician ordered oxygen via simple mask at 3 L/m. Which of the following should the therapist do? Clarify the order with the physician An RT is asked to evaluate and recommend care for a 79 yr old female who has end-stage COPD and who has just been brought to the ED by her daughter. Which of the following should the therapist consider first before recommending aggressive care for this pt? DNR/DNI status An RT is asked to assess a COPD pt is in a pulmonary rehab program. During the interview, the pt tells the therapist that he has been working with a resistive training device for 2 weeks and that he is able to tolerate the device for 15 mins. What should the therapist do? Insert a smaller restrictive orifice in the device A 36 weeks gestation, 4 hour post-delivery neonate has the following ABG results while on a 35% oxyhood: pH: 7.34 PaCO2: 47 mmHg PaO2: 57 mmHg HCO3: 25 mmHg The RT should recommend: Maintain current therapy and continue to monitor A pt with AIDS is to be given treatment for the prevention of Pneumocystis carinii pneumonia. Which of the following is most appropriate therapy for this pt? Pentamidine (NebuPent) via Respigard once every 4 weeks An intubated pt is being mechanically ventilated via a volume neb. The physician has asked the RT to begin weaning the pt. Which of the following modes would be appropriate? 2 (A/C-NO, SIMV-YES, IRV-NO PSV-YES) An adult pt being treated in the ED is receiving O2 by NC at 5 L/m. Over the last hour, the pt's respirations have become irregular and shallow. ABG's show: pH: 7.24 PaCO2: 86 mmHg PaO2: 89 mmHg HCO3: 36 The most appropriate recommendation: Decrease the O2 liter flow An RT is asked to assess a pt with history of CO2 retention & air trapping. The pt complains that he has become increasingly SOB and is having difficulty coughing up secretions. Upon auscultation, the therapist notes scattered coarse crackles and an occasional expiratory wheeze. Most appropriate? Aerosol bronchodilator with PEP therapy