Terapia Respiratoria

(1) To develop an effective program for teaching a patient to use small volume nebulizer, a respiratory therapist should evaluate the patient’s
1. Language skills.
2. Visual acuity
3. Mental status.
4. Manual dexterity
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only

(2) A patient who exhibit’s a wasted appearance and poor skin turgor can be bestdescribed as
A. cachectic
B. febrile
C. bulimic
D. cyanotic.

(3) A respiratory therapist needs to place a cap on the end of a patient’s fenestrated tracheotomy tube so that the patient can breathe through her upper airway and speak. Before applying the cap to the tube, the therapist should do which of te following?
A. Remove the inner cannula and assure proper cuff inflation.
B. Remove theinner cannula and deflate the cuff.
C. Replace the inner cannula and deflate the cuff.
D. Replace the inner cannula and assure proper cuff inflation.

(4) The high pressure limit and low exhaled volume alarms have suddenly activated during mechanical ventilation. Auscultation reveals no breath sounds in the left lung. The end tracheal tube is observed at the 28 cm mark at the patient’slips. Which of the following should the respiratory therapist do?
A. Recommend insertion of a left chest tube.
B. Measure the patient’s static lung compliance
C. Add 10 mL of air to the end tracheal tube cuff.
D. Withdraw the tube until bilateral breath sounds are heard.

(5) Which of the following agents should a respiratory therapist recommend for reducing withdrawal symptoms during asmoking cessation program?
A. diphenhydramine HCI (Benadryl)
B. nicotine patch
C. doxapram (Dopram)
D. diazepam (valium)

(6) The use of heated humidification is important for a patient with
A. A 50% air-entrainment mask.
B. a nonrebreathing mask.
C. a 4 L/min nasal cannula
D. an end tracheal tube.

(7) Which of the following provides the best indication of the adequacy of alveolarventilation?
A. maximum voluntary ventilation (MVV)
B. arterial blood gas analysis
C. vital capacity
D. tidal volume

(8) An oxygen blender is being used to deliver 40% oxygen through a jet nebulizer for humidification to a child. How should a respiratory therapist set the jet nebulizer in this situation?
A. The jet nebulizer must be set to the 100% setting.
B. The jet nebulizer must be set atthe same FiO2 as the blender.
C. Setting the jet nebulizer at a FiO2 of 0.40 or less is acceptable.
D. The jet nebulizer can be adjusted to an FiO2 setting greater than 0.70.

(9) Trendelenburg’s position for postural deainage is CONTRAINDICATED after a patient has had
A. intracranial surgery.
B. Hip surgery.
C. a pneumonectomy.
D. cardiovascular surgey.

(10) Which of the followingprovides the best clinical evaluation of the effects of incentive spirometry ?
A. arterial blood gas analysis after treatment
B. peak flow before and after treatment
C. auscultation of the chest before and after tratment
D. FEV1 measurement before and after tratment

(11) A respiratory therapist is checking a jet nebulizer with an entrainment setting of 35%. A properly calibrated oxygen analyzermeasures the concentration at 45%. Which of the following best explains this finding?
A. water in the tubing
B. inadequate flow through the jet
C. obstructed jet orifice
D. oxygen analyzer needs calibration

(12) A respiratory therapist is using is using a test lung to conduct a preoperational test of a ventilator with the following settings:
Mode Assist/control
FiO2` 0.40Mandatory Rate 12
Inspiratory Flow 60L/min
Vt 700 ml

The exhaled tidal volume measurement is 500 mL. Wich of the following action should the therapist take?
A. Complete the remaining elements of the preoperational tes.
B. Increase the tidal volume setting to 900 mL
C. Assess the ventilator circuit for leaks.
D. Set the low tidal volume alarm to 400 mL

(13) A patient who is receiving...