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Intro to respiratory final Pt 1 Flashcards | StudBud
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Intro to respiratory final Pt 1
Intro to respiratory final Pt 1
100 terms
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Answers
1
What is indicated by the breathing pattern known as abdominal paradox?
Diaphragm fatigue
Obstructive lung disease
Heart failure
2
Patient should wear proper barrier protection and during transport, place filter on expiratory side of Manual resusitor
False
True
3
The direct contact mode of transmission occurs most frequently in the health care environment.
False
True
4
Radiographically, into how many compartments is the mediastinum divided?
3
4
2
5
The sweat chloride level is used to diagnose which of the following disorders?
Hyperthyroidism
Hepatitis
Cystic fibrosis
Asthma
6
What disease is associated with a barrel chest?
Heart failure
Pneumonia
Emphysema
Pleural effusion
7
What is the normal anion gap?
35 to 45 mEq/L
8 to 14 mEq/L
5 to 10 mEq/L
8
Lifting heavy objects is best done with which of the following techniques?
Bent spine, straight legs
Straight spine, bent legs
Straight spine, straight legs
Bent spine, bent legs
9
Loud, tubular breath sounds with an expiratory component equal to the inspiratory component
Vesicular
Bronchial
10
_______% of patients admitted develop a HAI
6
5
4
7
11
Explain two of the major components or philosophies of Lean Management.
Non value added activities
Eliminating waste
Not this one
Not this one
12
all are true about fire ..They are more difficult to put out. They burn more quickly. They burn more intensely.
True
False
13
What term is used to describe an abnormal anteroposterior curvature of the spine?
Kyphosis
Pectus excavatum
14
Which of the following are methods for communicating empathy to your patients?
Use of authority
Key words
Touch
Eye contact
15
According to the GINA Pocket Guide, how is asthma severity assessed?
using the level of PaCO2 gathered from performing an ABG
using the level of treatment required to control symptoms
Peak flows
Chest X-rays
16
RT’s opinion on the best imaging technique for examining mediastinal masses.
MRI
Chest CT
Ultrasound
Conventional lateral chest radiology
17
0.7 to 2.1 mEq/L normal serum lactate level
False
True
18
statements best describe the typical findings on a chest radiograph for a patient with interstitial lung disease?
Diffuse bilateral infiltrates
Not this one
19
What is the most common cause of jugular venous distention (JVD)
Tension pneumothorax
Arterial hypoxemia
Right sided heart failure
20
Creating a safe culture is an important prevention strategy and is the responsibility of every health care worker.
False
True
21
structure in the body is responsible for regulating the body temperature?
Hypothalamus
Thymus gland
Pituitary gland
Thyroid gland
22
(CT) scanning of the chest would be least useful for which of the following?
evaluate the large vessels of the mediastinum
evaluate the pleura
evaluate lung masses
To evaluate patients with asthma
23
Which of the following is an example of indirect contact transmission involving fomites?
Drinking tap water
Use of a sterile needle
Use of a dirty laryngoscope blade on another patient
Inhaling TB
24
What is included in a Prevention Bundle?
2,3,4
3,4 only
1,2 only
1,2,3
25
What is the name used for immature neutrophils?
Segs
Neutros
Polys
Bands
26
When a small, usually imperceptible current is allowed to pass skin and follow direct low resistance pathway…
Microshock hazard
Grounding hazard
Isolation hazard
Macroshock hazard
27
Which of the following pulmonary disorders is most likely to result in hepatomegaly?
Acute asthma
Viral infections
Cor pulmonale
Atelectasis
28
Bronchoscopy, singing & coughing can cause respiratory droplets
No
Yes
29
Term used to describe breathing pattern in COPD, when lower costal margins of chest wall draw inward
Abdominal paradox sign
Hoovers sign
30
airborne droplet nuclei can remain suspended in air for long periods and can travel further distances than droplets
False
True
31
Which of the following is used to report electrical current?
Voltage
Cycles
Ohms
Amps
32
A patient with asthma would tend to exhibit which of the following
Not this one
Prolonged exhalation
Not this one
33
Which of the following is considered the primary source of infection in the health care setting?
Carpet
Medical equipment
Food & water
Humans
34
What is the advantage of COPD patients breathing through pursed lips during exhalation?
Reduces the patient’s anxiety level.
Helps the patient focus on breathing
Promotes more complete emptying of the lungs.
35
Which of the following is an example of a leading question?
How is your breathing now?
Is your breathing better now?
Where is your pain located
36
What is indicated by retractions?
Increase in PAO2
Decrease in blood flow to lungs
Increase work of breathing
37
findings on the chest radiograph is considered a secondary sign of emphysema
Widening of cardiac shadow
Flattening of diaphragm
38
Which of the following values represents a normal serum potassium level?
3.5 to 5.0 mEq/L
7 to 20 mEq/L
137 to 147 mEq/L
98 to 105 mEq/L
39
red blood cell (RBC) count that is below normal values?
Not this one
Anemia
40
What breathing pattern is associated with diabetic ketoacidosis
Apnea
Biots breathing
Kussmaul breathing
Apneustic breathing
41
Blunting of the costophrenic angles seen on the posteroanterior or lateral chest film typically indicates
Emphysema
Obesity
Excess pleural fluid
Rib fracture
42
Your patient has an abnormal sensorium. Which of the following is most likely true
Not this one
The patient is confused about where he or she is.
43
Which type of transmission occurs from insects, rats, or other vermin?
Vector-borne
Opportunistic
Obligate
Contamination
44
technical term for secretions from the tracheobronchial tree that have not been contaminated by the mouth?
Phlegm
Mucus
Sputum
Pus
45
The total carbon dioxide (CO2) value is linked to what electrolyte in the blood serum?
Sodium
Bicarbonate
Chloride
Potassium
46
What is the purpose of the two-patient identifier system?
Clarifying treatment
Improve nonverbal communication
Improve accuracy
Perception checking
47
strategies for conflict resolution represents a middle-ground strategy that combines assertiveness and cooperation?
Accommodating
Avoiding
Competing
Compromising
48
What term is used to describe sputum that has pus in it?
Tenacious
Mucoid
Fetid
Purulent
49
Which test is best used to classify the severity of COPD?
Spirometers
Peak flow
ABG
50
TJC (The Joint Commission) requires hospitals to collect data and monitor their own performance.
False
True
51
patient who repeats the words “ninety-nine,” you note an area of increased tactile fremitus over the left lower lobe
Pneumothorax
Pneumonia
Emphysema
52
Oxygen is flammable and combustible
True
False
53
depth and rate first increase, then decrease, followed by a period of apnea.
Cheyne-stokes
Biots
Apneustic breathing
54
All these techniques to ensure understanding of all parties.
1. Clarifying 2. Paraphrasing 3. Perception checking 4. Attending
Not this answer
55
an interview question is initially unclear. Which of the following responses on your part would be most appropriate?
Please explain that to me again
You seem to be anxious
Yes, i think i understand
Please go on
56
60-90 mmhg is the normal diastolic BP in the adult PT?
True
False
57
What term is used to describe difficult breathing in the reclining position?
Orthopnea
Platypnea
Eupnea
58
term is used to describe a sodium concentration that is below normal in the blood serum?
Hyponatremia
Hyperglycemia
Hypokalemia
59
In which of the following clinical settings would hypokalemia be a significant problem?
In a patient with kyphoscoliosis
During weaning from mechanical ventilation
During a bronchial challenge test
60
optimal position of the endotracheal tube following intubation as seen on the chest radiograph?
1-2 cm above carina
5-7 cm above carina
61
If renal function needs to be evaluated, which of the following tests would you recommend?
Not this one
Creatinine
62
What type of white blood cell increases in response to allergic reactions
Monocytes
Neutrophils
Lymphocytes
Eosinophils
63
chest x-ray shows bilateral fluffy infiltrates with a “bat’s wing” configuration
Acute coronary syndrome
LEFT HEART FAILURE
COPD EXACERBATION
64
Which of the following host factors increase the risk patients for developing a health care–associated infection?
HIV
Extremes of age
Sex
Poor controlled diabetes mellitus
65
CT angiography is most often used to evaluate the patient for which of the following conditions?
Pulmonary embolism
Not this one
66
What is the upper limit of normal for the fasting blood glucose level?
85 mg/dl
120 mg/dl
140 mg/dl
67
Which of the following diseases are transmitted primarily by airborne transmission?
Smallpox
Tuberculosis
Fever
Measles
68
90-140 Mmhg is the normal range for systolic blood pressure in the adult patient?
True
False
69
What techniques are used by most hospitals to maintain a healthy workforce?
Immunization
Wear n95
Surveillance
Blood testing
70
(30 cigarettes) per day for 30 years. What is the patient’s smoking history?
40 pack
45 pack
30 pack
71
136 to 145 mEq/L is normal serum sodium
True
False
72
What is the name used for mature neutrophils?
Polys
Neutros
Bands
Segs
73
O2 requirements and amount of peep keeps increasing in your mech ventilated PT you should suspect
Pvap
Ivac
VAC
74
The second heart sound (S2) is created primarily by which of the following?
Closure of the semilunar valves
Opening of the atrioventricular valves
Opening of the semilunar valves
75
Which medical test environment must be kept free of metal?
CAT SCAN
X-RAY
MRI (capitalize this on test)
CATH LAB PROCEDURES
76
Atelectasis can develop from extended bed rest
True
False
77
major limitation of magnetic resonance imaging (MRI) of the chest?
Interpretation is difficult
Don’t use with Pacemakers
78
Nonverbal communication includes all of the following? 1. Gesture 2. Touch 3. Voice tone 4. Space
False
True
79
What is the minimum recommended time for handwashing in the health care environment?
15
30
60
5
80
RACE plan has been suggested. What does the letter “C” stand for in this approach?
Capture
Call for help
Contain
Collapse
81
abnormality in the complete blood count is often seen in a patient with significant hypoxemia
Anemia
Polycythemia
82
What of the following communication terms is used to describe the method used to transmit a message
Feedback
Channel
Receiver
Sender
83
What is indicated by an elevation of the anion gap?
Metabolic alkalosis
Metabolic acidosis
Renal failure
Respiratory failure
84
The first heart sound (S1) is created primarily by which of the following?
Opening of the semilunar valves
Opening of the atrioventricular valves
Closure of the atrioventricular valves
Closure of the semilunar valves
85
What are the two most common reasons for placing a chest tube?
To place medicine in the pleural space and to withdraw excess fluid
Hemothorax and hydrothorax
Pneumothorax and pleural effusion
Pneumothorax and empyema
86
What is indicated by the presence of central cyanosis?
Anemia
Respiratory failure
Hypotension
87
Which of the following techniques should not be used to improve one’s effectiveness as a sender of messages?
Effective nonverbal communication
Eliminate threatening behavior
Share info rather than telling
Emphasize agreement over disagreement
88
Which of the following are methods of quality improvement?
Plan-do-study-act cycle
Six sigma
Lean management
Competence
89
What change in the patient’s respiratory breathing pattern is commonly seen with significant fever?
Slower rate
More rapid rate
More prolonged inspiration time
90
The patient interview conducted by the clinician is done in which space?
Social place
Critical space
Intimate space
Personal space
91
What is the purpose of an inspiratory HEPA filter in a ventilator circuit?
When placed between ventilator & circuit, it can eliminate bacteria
Serve as heated thermostat, prevents condensation
None of the above
It prevents pathogens from being expelled into the surroundings.
92
What lung problem can a ventilation/perfusion scan can detect
Asthma
Pneumonia
Pulmonary embolism
93
You observe a patient’s breathing pattern as very irregular and interspersed with long periods of apnea.
Metabolic acidosis
Increased intracranial pressure
Congestive heart failure
Central nervous system disorder
94
What artery is most often used to assess arterial blood pressure?
Femoral
Ulnar
Brachial
Radial
95
98 to 106 mEq/L normal serum chloride level
False
True
96
What is the area of the anterior chest wall overlying the heart called?
Axillary
Epigastrium
Pericardium
Precordium
97
WBC count that is above normal values
Neutropenia
Polycythemia
Leukocytosis
98
5 disciplines of lab medicine are clinical biochemistry, hematology, clinical microbiology, anatomic pathology and
Not this one
Immunology
99
Which of the following terms is used to describe coughing up blood-streaked sputum?
Hemetemesis
Hemolysis
Hemoptysis
100
What does VAP stand for?
Not this one
Not this one
Ventilation associated pneumonia
Not this one