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TMC Green Sheet Review:part D Actual questions with rationale answers
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TMC Green Sheet Review:part D Actual questions with rationale answers
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TMC Green Sheet Review:part D Actual questions with rationale answersYour patient complains of difficulty in initiating the IPPB treatment breath. Which control should you adjust? - ANS Sensitivity
Sudden changes in TcO2 and TcCO2 and the values read that of O2 and CO2 in the room air, - ANS there might be a leak around the electrode or a loose electrode
Transcutaneous O2 electrode burning the infant's skin! - ANS move 2-3 hours
You just prepared a transcutaneous monitor. After calibration, you placed it on the patient's skin and there is no reading! - ANS the electrode needs to be changed!
The SpO2 alarm on your patient's ICU monitor is sounding continuously. Your initial assessment of the patient is that he is breathing normally. Next, you should... - ANS Check the connection to the patient, it's likely the connection is just bad, causing the alarm. In fact, most false alarms in medicine are caused by faulty connections, lose electrode, etc.
You are performing therapeutic bronchoscopy for an adult ventilator patient. As you are working, everything goes black in your view. What is the likely cause? - ANS The light source is disconnected, or the light source bulb has burnt out.
A therapist sees a flat line on a patient's ECG Monitor. What should be done first? - ANS Check pulse to be sure there is an actual problem. Many times, the flat line is just a loose electrode or lead wire! Don't call a Rapid Response, or bag, or do compressions until you know the flat line is real!
How do you determine that an arterial line is non-functioning? - ANS - You are not able to draw blood from it!
How to best disinfect a stethoscope - ANS 70% isopropyl alcohol
Ethylene Oxide Gas - ANS does provide true sterilization of instruments which are heat or moisture
sensitive and thus cannot be autoclaved.
Standard Precautions - ANS Gloves· Masks and goggles· Aprons, gowns, and shoe covers
Airborne precautions chickenpox, measles, and tuberculosis (TB) bacteria. - ANS N95 contact precautions Clostridium difficile (C. diff) and Norovirus. - ANS should wear a gown and gloves.
Droplet precautions influenza (flu), pertussis (whooping cough), and mumps - ANS should wear a surgical mask.
Pertussis is Whooping Cough, what type of isolation is required? - ANS droplet
What is the only technique which truly destroys all microorganisms (sterilize) on RT equipment. - ANS Autoclave
What Sterilization/High-level Disinfection for the Bronchoscope - ANS Glutaraldehyde 2% (brand name CidexTM)
How often should I perform biological monitoring (BI) (spore testing)? - ANS Whenever a new type of packaging material or tray is used. After training new sterilization personnel.
After a sterilizer has been repaired.
After any change in the sterilizer loading procedures.
You have one spirometer in the hospital and 4 patients to test today. What should you do between patients? - ANS just change the bacteria filter, provide a new one for each patient. No need to disinfect with glutaraldehyde or vinegar or wash with soap and water.
When collecting equipment for an arterial line set-up, you find the pressure tubing in a sterile package, but the corner of the package is open. What should you do? - ANS Obtain an unopened sterile pressure tubing package and proceed. Any breach of the sterile package is unacceptable.
What is considered the definitive method of monitoring the effectiveness of equipment sterilization? - ANS Biological Indicator
What would you use to disinfect a metal laryngoscope blade with? - ANS - 2% Glutaraldehyde
What would you use clean equipment with if used on a patient with active TB? - ANS Must be disposed of or autoclaved, or ethylene oxide.
All laboratory instruments, including blood gas instruments, are required to be evaluated for being "in control" how often? - ANS every 8 hours
What would be a good "outcome indicator" for your department's bronchodilator QA program? - ANS Average Length of Stay
If we are doing this well, patients will recover and be discharged more quickly.
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