Tmc exam stuvia - Study guides, Class notes & Summaries

A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with A. liver failure. B. pulmonary embolism. C. heart failure. D. electrolyte imbalances -ANSWER- Heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist discovers that breath sounds are absent in the left chest with a hyperresonant percussion note. The trachea is...

A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaeneous breathing trials to commence immediately. Which of the following medications would be most helpful to the patient? A. Valium B. Romazicon (Flumazenil) C. Morphine sulfate D. Meperidine - Answer Answer: B. Romazicon (Flumazenil) In preparation for ventilator weaning the physician requests a VD/VT ratio assessment. Which of the following is need...

A patient is receiving O2 from an E cylinder at 4 L/min through a nasal cannula. The cylinder pressure is 1900 psig. How long will the cylinder run until it is empty? A. 47 min B. 1.7 h C. 2.2 h D. 3.6 h - ANSWER-E cylinder = 0.28 1900x0.28/4 = 133/60 = 2.21 Answer: C. 2 hours, 21 minutes After the Respiratory Therapist sets up a nonrebreathing mask on a patient at a flow rate of 10 L/min, the reservoir bag collapses before the patient finishes inspiring. The RT should do which of...

While administering a treatment with Albuterol to a patient with COPD, the therapist notes a sudden change in the patient's color to marked cyanosis. The patient appears apneic and the heart rate on the pulse oximeter indicates 30/min. The therapist should FIRST A. go get help B. administer oxygen by non-rebreathing mask C. auscultate breath sounds D. begin mouth-to-mouth resuscitation - Answer D. begin mouth-to-mouth resuscitation A 70-kg (154-lb) female patient is receiving mecha...

Condensation has developed on the fuel cell of a galvanic oxygenation analyzer. Which of the following is true? A. The fuel cell should be replaced B. The analyzer will still function properly C. The gold grid in the analyzer should be replaced D. The reading will be erroneous - Answer D. The reading will be erroneous Condensation on the fuel cell of a galvanic-type oxygen analyzer may result in an erroneous reading of oxygen percentage. A sputum gram stain report indicates the p...

The medication prostacyclin is used for which of the following purposes? A. decrease pulmonary hypertension B. bronchodilate large airways C. decrease systemic vascular resistance (SVR) D. improve cardiac contractility - Answer A. decrease pulmonary hypertension The respiratory therapist obtains the following blood gas data on a patient breathing spontaneously on room air: pH 7.35 PaCO2 45 torr PaO2 50 torr HCO3- 27 mEq/L BE +2 mEq/L The therapist could accurately estimate the pati...

a Rt is helping a patient with COPD prepared to be discharged home. The RT is reviewing alernative activities of daily living with the patient. Which of the following is considered ADLs? - Answer 2 and 3 shaving and grocery shopping during a preoperative test of a mechanical ventilator, the RT notices the ventilator is not delivering sufficient VT to the test lung compared to the set VT volume. The following settings are being used mand rate- 20 VT- 800 FiO2- 30% PEEP- 5 flow 40 whi...

A patient Who has mild strider following endotracheal extubation would benefit most from which of the following? - Answer Racemic epinephrine Which of the following is most indicative of a pulmonary embolism - Answer Increase PAP, decreased PCWP A patient receiving mechanical ventilation has receive Halcion in the last 20 minutes. The physician orders the institution of spontaneous breathing trial to commence immediately. Which of the following medications would be helpful to the patients?...

After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of A. empyema. B. congestive heart failure. C. lung carcinoma. D. hemothorax. - ANSWERSB. congestive heart failure. Which of the following would be most important to evaluate for a patient who is entering a smoking cessation program? A. Height B. Smoking history C. Weight D. Diet - ANSWERSB. Smoking h...

A patient on VC ventilation demonstrates auto-PEEP on ventilator graphics. Which of the following controls, when adjusted independently, would increase expiratory time? 1. Tidal volume 2. Respiratory Rate 3. Inspiratory flow 4. Sensitivity -ANSWER *A. 1, 2, and 3 only B. 1, 2, and 4 only C. 1, 3, and 4 only D. 2, 3, and 4 only Which of the following would be the most appropriate therapy for a dyspneic patient who has crepitus with tracheal deviation to the left and absent breath ...