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swimgal16 swimgal16
wrote...
Posts: 549
Rep: 1 0
6 years ago
Total lung capacity is composed of all of the following EXCEPT:
 
  a. IRV.
  b. IC.
  c. ERV.
  d. RV.



Q. 2  A respiratory therapist has a positive TB skin test after having contact with a patient with active TB. Which of the following actions would MOST likely be taken regarding the positive skin test?
 
  a. The therapist will be started on a 1-year course of isoniazid prophylactically.
  b. The test will be followed with monthly chest x-rays to detect changes in the lung parenchyma.
  c. The therapist will be on paid administrative leave for 3 months until it is ensured that she is noncontagious.
  d. The therapist will be required to wear a mask at work for 3 months until it is established that she is noncontagious.



Q. 3  An obese patient had upper abdominal surgery 2 days earlier. He has a weak nonproductive cough and a pulse oximeter (SpO2) reading of 84 on room air. Which therapist-driven protocol(s) should be implemented?
 
  1. Bronchopulmonary hygiene therapy
  2. Lung expansion
  3. Oxygen therapy
  4. Aerosolized medication therapy
  a. 1
  b. 3, 4
  c. 2, 3
  d. 1, 3, 4



Q. 4  According to the aerosolized medication therapy protocol, the respiratory therapist may select medications from all of the following categories EXCEPT _____ agents.
 
  a. antiinflammatory
  b. sympathomimetic
  c. parasympatholytic
  d. antimicrobial



Q. 5  The pulmonary diffusion capacity of the carbon monoxide test is used to:
 
  a. assess the patient's blood carbon monoxide level.
  b. remove carbon monoxide from the patient's blood.
  c. measure the residual volume.
  d. assess the alveolar-capillary membrane.
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wrote...
6 years ago
(Answer to Q. 1)  A
Total lung capacity (TLC) can be calculated by adding IC, ERV, and RV. Also see Figure 3-1 for other ways to calculate the TLC.

(Answer to Q. 2)  A
The prophylactic use of isoniazid is often prescribed as a daily dose for 1 year in individuals who have been exposed to the TB bacilli or who demonstrate a positive tuberculin reaction (even when the acid-fast sputum stain is negative). Patients with TB usually are not contagious after a few weeks of treatment.

(Answer to Q. 3)  C
Upper abdominal surgery is specified as one of the clinical indications for implementation of the lung expansion protocol. The oxygen therapy protocol would be indicated since the SpO2 is less than 90 on room air.

(Answer to Q. 4)  D
Antimicrobial agents are not among the medication selections on the aerosolized medication therapy protocol. When warranted, antimicrobial agents would be prescribed by a physician.

(Answer to Q. 5)  D
Alveolar-capillary membrane function is measured by the pulmonary diffusion capacity of the carbon monoxide test. A very small amount of carbon monoxide (CO) is inhaled by the patient to perform the test. But the CO level is not measured in the blood, and CO is not removed from the blood.
swimgal16 Author
wrote...
6 years ago
Thanks
wrote...
6 years ago
You're very welcome
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