A 40-year-old patient who smokes 2 packs of cigarettes per day has a carboxyhemoglobin level of 6.4%. Results consistent

Expected level for this patient

atropine through the endotracheal tube

Pre- and post-ductal blood gas studies

the patient requires decreased fluid intake

proceed with the insertion of the catheter

insert a chest tube and connect to a pleural suction system

check the transducer dome for air bubbles.

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Patient Assessment

75 termsStudBud Administration33 plays

Questions relating to physical examination of the patient, chest x-rays & other imaging procedures, interpretation of laboratory values, electrocardiograms, infant assessment, and non-invasive & invasive hemodynamic monitoring.

Flashcards75 cardsFPractice quizPHost liveL

Questions 75

Answers

1
Fine crepitant crackles are most commonly associated with which of the following conditions?
croup
bronchiectasis
congestive heart failure
pneumonia
2
A pleural friction rub is associated with all of the following conditions EXCEPT
pleurisy
pulmonary edema.
pneumonia.
tuberculosis
3
Which of the following drugs should the respiratory therapist recommend to lower a patient's blood pressure as well as d
Procainamide
Sodium nitroprusside
Norepinephrine
Propranolol
4
A balloon-tipped, flow-directed catheter is positioned in the pulmonary artery with the balloon deflated.
CVP
MAP
PAP
PWP
5
What is the normal range for the pulmonary artery systolic pressure in an adult?
4-12 mm Hg
2-6 mm Hg
9-18 mm Hg
21-28 mm Hg
6
While evaluating the A-P chest radiograph of a patient admitted to the Emergency Department with dyspnea
myocardial infarction
pulmonary embolism
pericardial effusion
cardiogenic shock
7
A unilateral wheeze would most likely indicate which of the following?
atelectasis
asthma
foreign body aspiration
epiglotitis
8
Assessment of skin integrity includes evaluation of all of the following EXCEPT
areas of discoloration
overall health of the skin.
area around tracheotomy stoma.
pressure sores
9
See question below
200 dynes/sec/cm-5
500 dynes/sec/cm-5
300 dynes/sec/cm-5
400 dynes/sec/cm-5
10
Based upon this information, the respiratory therapist would conclude that the patient
is polycythemic.
requires increased fluid intake
has a metabolic alkalosis.
is hyperkalemic
11
See question below
PaO2
SaO2
Hb
PAO2
12
A chest radiograph is taken in the lateral decubitus position in order to identify which of the following pathologies?
Pneumonia
Pulmonary embolus
Pneumothorax
Pleural effusion
13
See question below
Pneumothorax in the left lung
Atelectasis of the left lung
Pleural effusion on the left
Basilar pneumonia of the left lung
14
See question below
capnography
hemoximetry
FENO measurement
capillary blood gas measurement
15
A male infant born at 36 weeks gestation was delivered by Cesarean section
40% oxygen via hood
BiPAP ventilation
arterial blood gases
nasal CPAP at 5 cm H2O
16
A 40-year-old patient who smokes 2 packs of cigarettes per day has a carboxyhemoglobin level of 6.4%. Results consistent
History of dyspnea on exertion
Expected level for this patient
Need for supplemental oxygen
Severe COPD
17
A patient is admitted to the ICU complaining of nausea and chest pain
Cardiac enzymes
Serum electrolytes
Arterial blood gases
Digitalis levels
18
See question below
antibiotic therapy
IPPB
incentive spirometry
chest physical therapy
19
A patient is found in full cardiopulmonary arrest
Initially high, stays high
Initially low, stays low
Initially high, then falling
Initially low, then rising
20
See question below
lidocaine by small volume nebulizer
atropine through the endotracheal tube
epinephrine by intra-cardiac injection
amiodarone by intraosseous injection
21
See Question below
bacterial infection
atelectasis
hemothorax
pneumonia
22
What is the correct interpretation of this ECG tracing?
SInus arrhythmia
Atrial fibrillation
Atrial flutter
Ventricular flutter
23
See question below
Hypervolemia
Cor pulmonale
Pulmonary hypertension
Congestive heart failure
24
While reviewing a patient’s medical record, the respiratory therapist notes that the patient has the following data
hypernatremia
hemophilia
hypokalemia
anemia
25
See question below
hypocarbia
hyperthermia
hypotension
hyperoxia
26
See question below
Capillary blood gas
Pre- and post-ductal blood gas studies
L/S ratio
New Ballard Score
27
See question below
lidocaine
atropine
digitalis
isuprel
28
A bilateral wheeze would most likely indicate which of the following?
Atelectasis
Epiglottitis
Foreign body aspiration
Asthma
29
See question below
Hb
PaO2
pH
SaO2
30
See question below
the patient has a metabolic alkalosis
the patient is polycythemic
the patient requires decreased fluid intake
the patient is hyperkalemic
31
See Question Below
Lateral neck X-ray
40% oxygen via cool mist tent
Oral intubation
Arterial blood gas
32
See Question Below
1, 2 & 4 only
2, 3, & 4 only
1, 2 & 3 only
1, 3 & 4 only
33
A 2-year-old child enters the emergency room...
orthopnea
aspirated a foreign object
a pneumothorax
tachyphylaxis
34
See question below
Pneumonia
Pleuritic inflammation
Epiglotitis
Bronchospasm
35
See question below
Epiglottitis
Pleural effusion
Pneumothorax
Pneumonia
36
A patient in the intensive care unit has the following hemodynamic measurements:
pulmonary embolism.
left heart failure.
right heart failure.
normal cardiac function.
37
All of the following would be associated with the presence of a pneumothorax EXCEPT:
respiratory distress
tracheal deviation
dull percussion
absent breath sounds
38
See question below
rinse the catheter with sterile water
run to get another sterile catheter
proceed with the insertion of the catheter
visually inspect the catheter for any debris
39
See question below
this is a normal wedge tracing
the transducer is placed too high
there is an obstruction in the catheter
there is pressure dampening.
40
What is the normal range for the mean pulmonary artery pressure in an adult?
2-6 mm Hg
4-12 mm Hg
21-28 mm Hg
9-18 mm Hg
41
See below
12 lead ECG
Serum electrolytes
Cardiac enzymes
Hb and Hct levels
42
See question below
obtain a STAT chest film
insert a chest tube and connect to a pleural suction system
suction the infant
perform a fiberoptic bronchoscopy
43
See question below
SpO2 monitoring
Hb & Hct levels
CO-oximetry results
Arterial blood gas results
44
A patient in the intensive care unit has the following hemodynamic measurements
Congestive heart failure
Hypervolemia
Pulmonary hypertension
Cor pulmonale
45
See question below
check the transducer dome for air bubbles.
check the position of the transducer.
attempt to draw blood from the line.
flush the catheter with heparin solution
46
A 1000 g neonate is stable in the NICU.
TcPCO2 and TcPO2 monitor
SpO2 monitor
Arterial blood gas analysis Q4 hours
Capillary gas analysis Q8 hours
47
See question below
Increased systemic vascular resistance
Hypervolemia
Increased cardiac output
Shock
48
What is the systemic vascular resistance?
1600 dynes/s/cm-5
2400 dynes/s/cm-5
1300 dynes/s/cm-5
800 dynes/s/cm-5
49
The tip of a catheter used to measure the wedge pressure should be positioned in the
pulmonary vein
superior vena cava
right atrium
pulmonary artery
50
What would the therapist palpate when assessing a patient with a tension pneumothorax?
tracheal deviation
increased work of breathing
absent breath sounds
hyperresonance
51
See question below
21 mm Hg
33 mm Hg
90 mm Hg
15 mm Hg
52
See question below
Hypervolemia
Pulmonary hypertension
Congestive heart failure
Cor pulmonale
53
See question below
Hypokalemia
Hemophilia
Hypernatremia
Anemia
54
The respiratory therapist should_______
perform cardioversion
begin chest compressions
perform defibrillation
confirm the ECG in another lead
55
Which of the following should the respiratory therapist recommend FIRST?
Administering atropine
Administering epinephrine
Administering lidocaine
Administering 100% oxygen
56
See Question Below
endotracheal tube is too large
ventilation should be increased
compression depth is too low
cardiac output is increasing
57
What is the normal range for cardiac index in an adult?
0 – 2 L/min/m2
6 – 8 L/min/m2
2 – 4 L/min/m2
4 – 6 L/min/m2
58
See Question below
resolution of a pneumothorax.
bronchopulmonary dysplasia.
fluid overload
atelectasis
59
See question below
Increase the CPAP to 10 cmH2O
Draw an arterial blood gas sample
Discontinue the CPAP
Place the baby in an oxyhood at an FIO2 0.45
60
See question below
flexible bronchoscopy
arterial blood gas analysis
lateral decubitus chest radiograph
ventilation and perfusion scans
61
See question below
The TcPO2 electrode temperature setting is too low
The TcPO2 electrode needs to be repositioned
There was an error in the arterial blood gas results
The TcPO2 electrode has been dislodged
62
While performing an assessment of airway patency in a pre-operative patient
Mallampati Class II.
Mallampati Class III.
Mallampati Class I.
Mallampati Class IV.
63
See question below
1 & 3 only
1, 2 & 3 only
2 & 4 only
3 & 4 only
64
See question below
streptokinase
a STAT chest x-ray
administering 100% oxygen
a V/Q scan
65
See question below
14 mm Hg
33 mm Hg
40 mm Hg
21 mm Hg
66
A patient in the intensive care unit has the following hemodynamic measurements:
lidocaine.
bumex.
dopamine.
oxygen.
67
See question below
flail chest
pleural effusion
pneumonia
pneumothorax
68
What is the normal range for the mean arterial pressure in an adult?
60-80 mm Hg
85-100 mm Hg
2-6 mm Hg
10-20 mm Hg
69
See question below
polysomnography
electroencephalography
methacholine challenge test
tensilon challenge test
70
See below
request a STAT chest x-ray.
Empty choice
recommend a V/Q scan
Empty choice
71
See question below
atelectasis
pleural effusion
viral pneumonia
influenza
72
See below
atelectasis of the right lower lobe
basilar pneumonia of the right lung
right side pleural effusion
right side tension pneumothorax
73
Which of the following will determine the aortic pulse pressure?
systolic + diastolic + diastolic / 3
diastolic + pulse pressure / 3
stroke volume x heart rate x 10
systolic pressure - diastolic pressure
74
All of the following could cause a capnography reading to change from 36 torr to 30 torr EXCEPT
hyperventilation
endotracheal tube positioned in the right mainstem bronchus
pulmonary emboli
hypovolemia
75
The blood pressure obtained from the arterial line is higher than the blood pressure obtained from a sphygmomanometer
the patient was lying flat during the measurement of the arterial line pres
the transducer is placed too low
non-compliant tubing is being used
the transducer dome contained air bubbles

Patient Assessment Flashcards | StudBud

Patient Assessment

75 termsStudBud Administration33 plays

Flashcards75 cardsFPractice quizPHost liveL

Questions 75

Answers

1
Fine crepitant crackles are most commonly associated with which of the following conditions?
croup
bronchiectasis
congestive heart failure
pneumonia
2
A pleural friction rub is associated with all of the following conditions EXCEPT
pleurisy
pulmonary edema.
pneumonia.
tuberculosis
3
Which of the following drugs should the respiratory therapist recommend to lower a patient's blood pressure as well as d
Procainamide
Sodium nitroprusside
Norepinephrine
Propranolol
4
A balloon-tipped, flow-directed catheter is positioned in the pulmonary artery with the balloon deflated.
CVP
MAP
PAP
PWP
5
What is the normal range for the pulmonary artery systolic pressure in an adult?
4-12 mm Hg
2-6 mm Hg
9-18 mm Hg
21-28 mm Hg
6
While evaluating the A-P chest radiograph of a patient admitted to the Emergency Department with dyspnea
myocardial infarction
pulmonary embolism
pericardial effusion
cardiogenic shock
7
A unilateral wheeze would most likely indicate which of the following?
atelectasis
asthma
foreign body aspiration
epiglotitis
8
Assessment of skin integrity includes evaluation of all of the following EXCEPT
areas of discoloration
overall health of the skin.
area around tracheotomy stoma.
pressure sores
9
See question below
200 dynes/sec/cm-5
500 dynes/sec/cm-5
300 dynes/sec/cm-5
400 dynes/sec/cm-5
10
Based upon this information, the respiratory therapist would conclude that the patient
is polycythemic.
requires increased fluid intake
has a metabolic alkalosis.
is hyperkalemic
11
See question below
PaO2
SaO2
Hb
PAO2
12
A chest radiograph is taken in the lateral decubitus position in order to identify which of the following pathologies?
Pneumonia
Pulmonary embolus
Pneumothorax
Pleural effusion
13
See question below
Pneumothorax in the left lung
Atelectasis of the left lung
Pleural effusion on the left
Basilar pneumonia of the left lung
14
See question below
capnography
hemoximetry
FENO measurement
capillary blood gas measurement
15
A male infant born at 36 weeks gestation was delivered by Cesarean section
40% oxygen via hood
BiPAP ventilation
arterial blood gases
nasal CPAP at 5 cm H2O
16
A 40-year-old patient who smokes 2 packs of cigarettes per day has a carboxyhemoglobin level of 6.4%. Results consistent
History of dyspnea on exertion
Expected level for this patient
Need for supplemental oxygen
Severe COPD
17
A patient is admitted to the ICU complaining of nausea and chest pain
Cardiac enzymes
Serum electrolytes
Arterial blood gases
Digitalis levels
18
See question below
antibiotic therapy
IPPB
incentive spirometry
chest physical therapy
19
A patient is found in full cardiopulmonary arrest
Initially high, stays high
Initially low, stays low
Initially high, then falling
Initially low, then rising
20
See question below
lidocaine by small volume nebulizer
atropine through the endotracheal tube
epinephrine by intra-cardiac injection
amiodarone by intraosseous injection
21
See Question below
bacterial infection
atelectasis
hemothorax
pneumonia
22
What is the correct interpretation of this ECG tracing?
SInus arrhythmia
Atrial fibrillation
Atrial flutter
Ventricular flutter
23
See question below
Hypervolemia
Cor pulmonale
Pulmonary hypertension
Congestive heart failure
24
While reviewing a patient’s medical record, the respiratory therapist notes that the patient has the following data
hypernatremia
hemophilia
hypokalemia
anemia
25
See question below
hypocarbia
hyperthermia
hypotension
hyperoxia
26
See question below
Capillary blood gas
Pre- and post-ductal blood gas studies
L/S ratio
New Ballard Score
27
See question below
lidocaine
atropine
digitalis
isuprel
28
A bilateral wheeze would most likely indicate which of the following?
Atelectasis
Epiglottitis
Foreign body aspiration
Asthma
29
See question below
Hb
PaO2
pH
SaO2
30
See question below
the patient has a metabolic alkalosis
the patient is polycythemic
the patient requires decreased fluid intake
the patient is hyperkalemic
31
See Question Below
Lateral neck X-ray
40% oxygen via cool mist tent
Oral intubation
Arterial blood gas
32
See Question Below
1, 2 & 4 only
2, 3, & 4 only
1, 2 & 3 only
1, 3 & 4 only
33
A 2-year-old child enters the emergency room...
orthopnea
aspirated a foreign object
a pneumothorax
tachyphylaxis
34
See question below
Pneumonia
Pleuritic inflammation
Epiglotitis
Bronchospasm
35
See question below
Epiglottitis
Pleural effusion
Pneumothorax
Pneumonia
36
A patient in the intensive care unit has the following hemodynamic measurements:
pulmonary embolism.
left heart failure.
right heart failure.
normal cardiac function.
37
All of the following would be associated with the presence of a pneumothorax EXCEPT:
respiratory distress
tracheal deviation
dull percussion
absent breath sounds
38
See question below
rinse the catheter with sterile water
run to get another sterile catheter
proceed with the insertion of the catheter
visually inspect the catheter for any debris
39
See question below
this is a normal wedge tracing
the transducer is placed too high
there is an obstruction in the catheter
there is pressure dampening.
40
What is the normal range for the mean pulmonary artery pressure in an adult?
2-6 mm Hg
4-12 mm Hg
21-28 mm Hg
9-18 mm Hg
41
See below
12 lead ECG
Serum electrolytes
Cardiac enzymes
Hb and Hct levels
42
See question below
obtain a STAT chest film
insert a chest tube and connect to a pleural suction system
suction the infant
perform a fiberoptic bronchoscopy
43
See question below
SpO2 monitoring
Hb & Hct levels
CO-oximetry results
Arterial blood gas results
44
A patient in the intensive care unit has the following hemodynamic measurements
Congestive heart failure
Hypervolemia
Pulmonary hypertension
Cor pulmonale
45
See question below
check the transducer dome for air bubbles.
check the position of the transducer.
attempt to draw blood from the line.
flush the catheter with heparin solution
46
A 1000 g neonate is stable in the NICU.
TcPCO2 and TcPO2 monitor
SpO2 monitor
Arterial blood gas analysis Q4 hours
Capillary gas analysis Q8 hours
47
See question below
Increased systemic vascular resistance
Hypervolemia
Increased cardiac output
Shock
48
What is the systemic vascular resistance?
1600 dynes/s/cm-5
2400 dynes/s/cm-5
1300 dynes/s/cm-5
800 dynes/s/cm-5
49
The tip of a catheter used to measure the wedge pressure should be positioned in the
pulmonary vein
superior vena cava
right atrium
pulmonary artery
50
What would the therapist palpate when assessing a patient with a tension pneumothorax?
tracheal deviation
increased work of breathing
absent breath sounds
hyperresonance
51
See question below
21 mm Hg
33 mm Hg
90 mm Hg
15 mm Hg
52
See question below
Hypervolemia
Pulmonary hypertension
Congestive heart failure
Cor pulmonale
53
See question below
Hypokalemia
Hemophilia
Hypernatremia
Anemia
54
The respiratory therapist should_______
perform cardioversion
begin chest compressions
perform defibrillation
confirm the ECG in another lead
55
Which of the following should the respiratory therapist recommend FIRST?
Administering atropine
Administering epinephrine
Administering lidocaine
Administering 100% oxygen
56
See Question Below
endotracheal tube is too large
ventilation should be increased
compression depth is too low
cardiac output is increasing
57
What is the normal range for cardiac index in an adult?
0 – 2 L/min/m2
6 – 8 L/min/m2
2 – 4 L/min/m2
4 – 6 L/min/m2
58
See Question below
resolution of a pneumothorax.
bronchopulmonary dysplasia.
fluid overload
atelectasis
59
See question below
Increase the CPAP to 10 cmH2O
Draw an arterial blood gas sample
Discontinue the CPAP
Place the baby in an oxyhood at an FIO2 0.45
60
See question below
flexible bronchoscopy
arterial blood gas analysis
lateral decubitus chest radiograph
ventilation and perfusion scans
61
See question below
The TcPO2 electrode temperature setting is too low
The TcPO2 electrode needs to be repositioned
There was an error in the arterial blood gas results
The TcPO2 electrode has been dislodged
62
While performing an assessment of airway patency in a pre-operative patient
Mallampati Class II.
Mallampati Class III.
Mallampati Class I.
Mallampati Class IV.
63
See question below
1 & 3 only
1, 2 & 3 only
2 & 4 only
3 & 4 only
64
See question below
streptokinase
a STAT chest x-ray
administering 100% oxygen
a V/Q scan
65
See question below
14 mm Hg
33 mm Hg
40 mm Hg
21 mm Hg
66
A patient in the intensive care unit has the following hemodynamic measurements:
lidocaine.
bumex.
dopamine.
oxygen.
67
See question below
flail chest
pleural effusion
pneumonia
pneumothorax
68
What is the normal range for the mean arterial pressure in an adult?
60-80 mm Hg
85-100 mm Hg
2-6 mm Hg
10-20 mm Hg
69
See question below
polysomnography
electroencephalography
methacholine challenge test
tensilon challenge test
70
See below
request a STAT chest x-ray.
Empty choice
recommend a V/Q scan
Empty choice
71
See question below
atelectasis
pleural effusion
viral pneumonia
influenza
72
See below
atelectasis of the right lower lobe
basilar pneumonia of the right lung
right side pleural effusion
right side tension pneumothorax
73
Which of the following will determine the aortic pulse pressure?
systolic + diastolic + diastolic / 3
diastolic + pulse pressure / 3
stroke volume x heart rate x 10
systolic pressure - diastolic pressure
74
All of the following could cause a capnography reading to change from 36 torr to 30 torr EXCEPT
hyperventilation
endotracheal tube positioned in the right mainstem bronchus
pulmonary emboli
hypovolemia
75
The blood pressure obtained from the arterial line is higher than the blood pressure obtained from a sphygmomanometer
the patient was lying flat during the measurement of the arterial line pres
the transducer is placed too low
non-compliant tubing is being used
the transducer dome contained air bubbles