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Lasko Lasko
wrote...
Posts: 544
Rep: 2 0
6 years ago
A patient with pulmonary edema is cyanotic and complaining of difficulty breathing. What should be recommended by the respiratory therapist?
 
  a. Provide supplemental oxygen.
  b. Begin mechanical ventilation.
  c. Have the patient use pursed-lip breathing.
  d. Begin bronchopulmonary hygiene therapy.



Q. 2  All of the following are associated with a pneumopericardium EXCEPT:
 
  a. systemic hypotension.
  b. reduced cardiac output.
  c. decreased stroke volume.
  d. increased cardiac index.



Q. 3  A patient has a decreased oncotic pressure. What can be done to increase it?
 
  a. High-salt diet
  b. Mannitol
  c. Albumin withheld
  d. Morphine sulfate



Q. 4  The respiratory therapist is performing chest assessment on a post-op cholecystectomy patient who has developed cough, fever, and tachypnea.
 
  Which of the following would the therapist expect to find confirming the suspicion of post-op atelectasis in this patient?
  a. Decreased tactile and vocal fremitus
  b. Hyperresonant percussion note
  c. Bronchial breath sounds
  d. Wheezes



Q. 5  How does pulmonary interstitial emphysema (PIE) affect lung function?
 
  1. Increased airway resistance
  2. Decreased lung compliance
  3. Increased lung compliance
  4. Decreased airway resistance
  a. 1
  b. 1, 2
  c. 3, 4
  d. 2, 4



Q. 6  Several pathophysiologic mechanisms operating simultaneously may lead to an increased ventilatory rate. These may include all of the following EXCEPT:
 
  a. stimulation of central chemoreceptors.
  b. decreased lung complianceincreased ventilatory rate relationship.
  c. stimulation of J receptors.
  d. pain.
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wrote...
6 years ago
(Answer to Q. 1)  A
Cyanosis indicates hypoxemia. Giving supplemental oxygen will help to correct the hypoxemia and decrease the patient's work of breathing. Mechanical ventilation is not yet indicated. Pursed-lip breathing may help the breathing of a patient with an obstructive lung problem. Bronchopulmonary hygiene therapy is not indicated because there is no sign of a secretion problem.

(Answer to Q. 2)  D
A pneumopericardium will cause reduced cardiac output, decreased stroke volume, and systemic hypotension.

(Answer to Q. 3)  B
Giving mannitol (and albumin) will increase oncotic pressure. A low-salt diet will decrease fluid retention to increase hydrostatic pressure. Morphine sulfate acts as a vasodilator.

(Answer to Q. 4)  C
Chest assessment findings in atelectasis include: increased tactile and vocal fremitus, dull percussion note, bronchial breath sounds, diminished breath sounds (common when atelectasis is caused by mucous plugs), and crackles (usually heard initially in the dependent lung regions and during late inspiration). Wheezing would not be expected.

(Answer to Q. 5)  D
PIE primarily causes decreased lung compliance by hyperinflating the lungs. Additionally, gas trapped within the interstitial cuffs compresses the airways and increases airway resistance.

(Answer to Q. 6)  B
Several pathophysiologic mechanisms operating simultaneously may lead to an increased ventilatory rate: stimulation of peripheral chemoreceptors (hypoxemia), decreased lung complianceincreased ventilatory rate relationship, stimulation of J receptors, pain, anxiety, or fever.
Lasko Author
wrote...
6 years ago
Smiling Face with Glasses Feeling super confident now, TY
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