The therapist is providing mechanical ventilation to a patient who suffered TBI. The therapist is contemplating performing a recruitment maneuver on this patient. What should the therapist do?
A. The therapist should not perform a recruitment maneuver.
B. The therapist should conduct a modified recruitment maneuver.
C. A recruitment maneuver would likely be beneficial for this patient.
D. Because of the nature of this patient's lung status, a recruitment maneuver will not improve oxygenation.
Q. 2 Based on citations in the text, which of the following statements are two concerning PEEP and patients with TBI? I. PEEP must be avoided unless absolutely necessary to avoid increases in ICP. II. Studies have revealed that PEEP does not increase ICP in patients with preexisting elevated ICPs. III. Other studies indicate that increasing levels of PEEP have no effect on ICP or CPP. IV. High PEEP levels may lead to slight rises in ICP in patients who have normal ICPs.
A. I only
B. III only
C. II, IV only
D. II, III, IV only
Q. 3 Which of the following contributory factors are likely responsible for the development of respiratory failure in patients who have myasthenia gravis? I. inspiratory muscle weakness II. expiratory muscle weakness III. susceptibility to venous thromboembolic disease IV. poor clearance of pulmonary secretions
A. I, II only
B. I, IV only
C. I, II, IV only
D, I, II, III, IV
Q. 4 Based on recommendations put forth by the Brain Trauma Foundation and the American Academy of Neurosurgeons, what should be the minimum Paco2 to which a TBI patient should be hyperventilated?
A. 35 mm Hg
B. 25 mm Hg
C. less than 25 mm Hg
D. Hyperventilation must not be performed.
Q. 5 Which of the following procedure or activities can cause an increased intracranial pressure? I. obtaining an arterial blood sample from an arterial line II. increasing the delivered Fio2 III. endotracheal suctioning IV. airway manipulation
A. I, IV only
B. III, IV only
C. I, III, IV only
D. II, III, IV only
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