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NBRC Exam Therapeutic Procedures-questions with correct answers 2024
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NBRC Exam Therapeutic Procedures-questions with correct answers 2024
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NBRC Exam Therapeutic Procedures-questions with correct answers2024
1. Breathing Techniques Describe the ideal breathing pattern for improving ventilation regardless of the type of therapy being administrated (SMI, IPPB, aerosol therapy etc): 1) Slow, deep inspiration (from resting exhalation 2). Inspiratory pause/hold (1-3 seconds)
3). Exhalation is slow, passive and relaxed 4). Patient may relax in between maneuvers with normal tidal volume breathing 2.
Describe how a patient should be positioned to enhance oxygenation with the following pathologies: CHF- Fowlers position
Obesity- Lateral Fowler's position ARDS- prone position Unilateral lung disease- Good lung down
3.Describe inspiratory Muscle Training and the concepts.: 1). Increasing their
muscle strength and endurance, decreasing dyspnea, the need for medication and hospital visits. 2). Training is based on the concept of progressive resistance over time, greater resistance is imposed on the inspiratory muscle. This should increase muscle strength and endurance, impair patients exercise tolerance. 3). Before training begins, the patients maximal inspiratory pressure (MIP) is measured and compared to established normal values
4.What ids the procedure of IMT?: If the patient's inspiratory pressure is less than 30% of their measured MIP, increase the resistance level until a 30% effort
is achieved consistently.
5.Hyperinflation/Lung Expansion Therapy State the main indication for Incentive Spiormetry (IS) or Sustained Maximal
Inspiration (SMI): Prevention or treatment of atelectasis for patients who are
willing and able to spontaneously take a deep breath.
6.what are two motivation requirements Incentive Spirometry utilizes?: Visual motivation and feedback to encourage patients to take a deep breath.
7.When should Incentive Spirometry be performed and how long?: IS or SMI
therapy should be performed hourly while the patient is awake for approximately
10 breaths 8.When is the best time to instruct a surgical patient on Incentive Spirometry technique?: Prior to surgery so that they better understand the procedure and the therapist can establish a post-op volume goal
9.Post-op patients, the respiratory therapist should expect a patient to achieve approximately: One half of the patient's pre-op inspiratory capacity. 10. If a patient is unable to achieve the targeted volume during Incentive Spirometry therapy, the respiratory therapist should?: a. Often patients must be reminded to inhale and not exhale into device b.Check connections and patient's mouth seal before reducing target
c.Auscultate breath sounds before and after treatment to evaluate the effectiveness of the therapy
11. Intermittent Positive Pressure Breathing (IPPB) Therapy
Describe the 5 indications for IPPB therapy (IPPDD): a. Prevent or correct atelectasis in patients unable or unwilling to take a deep breath b. Prevent or decrease pulmonary edema c.Decrease the work of breathing (decrease accessory muscle use in patient's with COPD) d.Distribute aerosols more evenly in the airways for better deposition of medications
e.Improve and promote cough mechanism
12. List the four contraindications for IPPB therapy: a. Unskilled practitioners and users
b.Hypotension c.Untreated pneumothorax d.Elevated intracranial pressures
13.Hyperventilation are hazards of IPPB therapy. Describe the effects of each of these hazards of therapy: a. Hyperventilation- patient will complain of 1). Dizziness 2). Tingling of the fingers (from excessive elimination of CO2) Instruct the patient to breathe slower.
14.Impending Venous Return are hazards of IPPB therapy. Describe the effects of each of these hazards of therapy`: 15.Impending venous return are hazards of IPPB therapy. Describe the effects of each of these hazards of therapy.: 1). Decreased cardiac output 2). Increased intracrainal pressures
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