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RES 154 Classmate Final Exam – Questions & Answers
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RES 154 Classmate Final Exam – Questions & Answers
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RES 154 Classmate Final Exam – Questions & AnswersIma Sycamore:
You are a respiratory care student assigned to work in the ED with the
therapist who will be your clinical instructor for the day. A 58 year old female
with a history of COPD is admitted to the ED for acute dyspnea that has not
improved after a period of rest. She states that over the past week she has
experienced increased sputum production and is often lethargic. The ED
respiratory therapist is asked to assess the patient. The therapist instructor
asks you to perform the initial assessment. Which of the following would you
include in the assessment? Right Ans - 1. General appearance
2. Vital signs and blood pressure
3. Chest auscultation
4. Diagnostic percussion
5. Accessory muscle activity
6. Smoking history
7. Peripheral edema
8. Jugular venous distention
9. Recent medical history
10. Palpation of chest
Ima Sycamore:
Your instructor asks you to recommend the diagnostic tests that would be
helpful to further assess this patient. Which of the following would you now
recommend? Right Ans - 1. Chest radiograph
2. CBC
3. ECG
4. Electrolytes
5. Arterial blood gas
6. Sputum culture
Ima Sycamore:
Your instructor now asks what you think is contributing to the patient's acute
exacerbation of their pulmonary disease. Your conclusion is that the patient
has: Right Ans - Bacterial pneumonia
Ima Sycamore:
, Based on the patient information, the instructor asks you what initial therapy
the patient would benefit from. Which of the following would you now
recommend? Right Ans - Oxygen therapy
Ima Sycamore:
Which of the following is the most appropriate method for oxygen delivery?
Right Ans - 28% air entrainment mask
Ima Sycamore:
Your instructor asks what additional therapy you would recommend. You
would recommend: Right Ans - Albuterol via SVN
Ima Sycamore:
The results of the sputum culture reveal streptococcal pneumonia. Your
instructor asks you how you would treat the pneumonia. You would
recommend? Right Ans - Antibiotic therapy
Ima Sycamore:
Your instructor asks you to chart the appropriate information in the medical
record. Which of the following would you include in the respiratory progress
notes? Right Ans - 1. Subjective data from patient
2. Objective data collected
3. Assessment of all data available
4. Plan of treatment
Ima Sycamore:
Your instructor leaves to assess a new patient. You are left to complete the
charting. You are sitting at the main desk in the ED when there is a shout for
help from room #8 where a patient is in cardiac arrest. You go to observe the
medical team work to resuscitate the patient until the end of your clinical
shift. You accidentally leave the hospital without completing the charting on
your COPD patient. When you realize this omission, who should you contact
first? Right Ans - Clinical instructor
Harry Bach:
You are the respiratory care student working with a clinical instructor. You
are assigned to work in the cardiac step down unit and the medical care unit.
Following the shift report, your clinical instructor is paged to the 3rd floor and
asks you to come. Upon arrival, the physician gives a verbal order for a
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