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1. A patient has undergone overnight oximetry. Data shows several
episodes of O2 desaturation throughout the night. The RTT would expect
orders for which of the following kinds of testing:
a. V/Q scan
b. pulmonary function testing
,c. polysomnography
d. 24-hour Holter monitoring - 🧠ANSWER ✔✔Your answer: C
Correct answer: C
The use of overnight oximetery is often used to detect O2 desaturation
during the night that may be associated with central or obstructive sleep
apnea. Because data indicates some periodic desaturation, the practitioner
should suspect possible sleep apnea and should order diagnostic testing
that will confirm or rule out the suspicion.
A routine screening blood gas performed on an asymptomatic patient prior
to surgery shows the following:
pH: 7.38
PaCO2: 42
PaO2: 80
HCO3: 26
SaO2: 96%
,COHb: 24%
What should the RRT do?
a. place the patient on a NRB mask
b. report the findings and emphasize that the patient is likely a smoker
c. evaluate saturation using a single wave-length spectrophotometer
d. run quality control material and evaluate the accuracy of the co-oximeter
- 🧠ANSWER ✔✔your answer: D
correct answer: D
In this case the patient is presented as asyptomatic. A patient with a COHb
level of 24% would feel dyspnea and present with tachypnea. Therefore,
the RRT should evaluate the accuracy of the lab results, specifically the
COHb. When checking accuracy of lab results, one would use quality
control measures.
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, The infection control department of a small hospital informs the RRT
supervisor that the biological control accompanying some durable
autoclaved equipment shows viable spores. The supervisor should do
which of the following with the equipment:
a. incinerate
b. record date and place into service
c. wipe with isopropyl alcohol before use
d. resterilize - 🧠ANSWER ✔✔your answer: D
correct answer: D
The presence of viable spores indicates the possibility of living organisms
developing in the sterilized package or on the sterilized equipment.
Sterilization suggest the absence of living organisms, therefore the
presence of viable spores indicates the need to resterilize.