Respiratory Therapist TMC Form B TMC 100% correct answers
7 views 0 purchase
Course
Respiratory Therapist TMC
Institution
Respiratory Therapist TMC
Respiratory Therapist TMC Form B TMC 100% correct answers
A patient with a PBW of 55 kg (121 lb) is receiving VC, A/C ventilation. Ventilator settings and blood gas analysis results are:
FIO2 0.70
Mandatory rate 14
VT 350 mL
PEEP 5 cm H2O
pH 7.35
PaCO2 35 mm Hg
PaO2 40 mm Hg
HCO3- ...
A patient with a PBW of 55 kg (121 lb) is receiving VC, A/C ventilation. Ventilator
settings and blood gas analysis results are:
FIO2 0.70
Mandatory rate 14
VT 350 mL
PEEP 5 cm H2O
,pH 7.35
PaCO2 35 mm Hg
PaO2 40 mm Hg
HCO3- 19 mEq/L
BE - 6 mEq/L
SO2 (calc) 74%
A respiratory therapist should recommend
A. changing to SIMV mode.
A
B. increasing to 10 cm H2O PEEP.
C. changing to 5 cm H2O CPAP.
VI
D. increasing to 400 mL VT. - ANSWER B. increasing to 10 cm H2O PEEP.
When instructing a patient on the administration of umeclidinium/vilanterol (Anoro
TU
Ellipta), which of the following is most important to emphasize?
A. Gargle immediately after use.
B. Inhale slowly with a breath hold.
IS
C. Breathe in fast and deep.
D. Shake medication vigorously before use. - ANSWER C. Breathe in fast and deep
Umeclidinium/vilanterol (Anoro Ellipta) is a DPI that requires rapid inhalation.
M
Following placement of a tracheostomy tube for long-term mechanical ventilation, which
O
of the following patient positions best prevents ventilator-associated pneumonia?
A.
A
prone
B.
N
Trendelenburg
C.
JP
supine
D.
semi-Fowler - ANSWER D. semi-Fowler
Routine use of semi-Fowler positioning with the head of the bed elevated at an angle of
30-45 degrees has been shown to decrease rates of ventilator-associated pneumonia.
Which of the following is used to monitor the partial pressure of transcutaneous carbon
dioxide?
,A.
red-light absorption sensor
B.
electromechanical transducer
C.
infrared analyzer
D.Stow-Severinghaus electrode - ANSWER D.Stow-Severinghaus electrode
A
An adult patient requires frequent blood sampling and medication administrations
through an IV for 1 month. The preferred vascular access is a
VI
A.
peripherally inserted central catheter.
TU
B.
subclavian central vascular line.
C.
standard peripheral IV line.
D.
IS
internal jugular catheter. - ANSWER A. peripherally inserted central catheter.
A PICC is the best choice for long-term IV access and allows for blood sampling.
M
A 170-cm (5-ft 7-in), 69-kg (152-lb) male with ARDS has the following ABG analysis
O
results:
pH 7.37
A
PCO2 43 mm Hg
PO2 95 mm Hg
N
HCO3- 25 mEq/L
BE -1 mEq/L
JP
SO2 (calc) 97%
The patient is receiving VC, A/C ventilation with the following settings:
FIO2 0.70
Mandatory rate 12
VT 450 mL
PEEP 8 cm H2O
, Which of the following is most appropriate?
A.
Decrease the FIO2 to 0.60.
B.
Change the PEEP to 5 cm H2O.
C.
Increase the minute ventilation.
D.
A
Maintain the current settings. - ANSWER A. Decrease the FIO2 to 0.60.
VI
Since the PaO2 is adequate, it is now appropriate to decrease the FIO2 .
Following an emergent C-section, a 35 year old is receiving VC, A/C ventilation. The
TU
following pressure-volume loop is observed:
IS
Which of the following ventilator settings should be adjusted?
A.
PEEP
M
B.
flow rate
O
C.
tidal volume
D.
A
trigger sensitivity - ANSWER D. trigger sensitivity
N
The patient is having difficultly triggering the breath, which is shown by the significant
negative force created before the breath is delivered. The trigger should be adjusted to
JP
be more sensitive to improve the patient's ability to trigger a breath.
Which of the following techniques is preferred for a quadriplegic patient having difficulty
expectorating secretions?
A.
pursed lip breathing
B.
abdominal thrust
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller JPNAOMISTUVIA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
