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Juicy93 Juicy93
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Posts: 544
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6 years ago
The respiratory therapist is called to a patient's room as part of the rapid response team (RRT). The patient is unconscious and pulseless. The EKG monitor displays asystole. Which of the following actions would NOT be indicated at this time?
 
  a. Call a code.
  b. Begin CPR.
  c. Defibrillate the patient.
  d. Administer ACLS medications.



Q. 2  Clinical disorders associated with central sleep apnea include:
 
  1. Pickwickian syndrome.
  2. depression.
  3. encephalitis.
  4. brain stem infarction.
  a. 1, 2
  b. 3, 4
  c. 1, 2, 3
  d. 2, 3, 4



Q. 3  If a beta2-agonist agent and an anticholinergic agent were administered concurrently to a patient during an acute asthma episode, what result would be expected?
 
  a. Bronchial smooth muscle contraction will occur.
  b. Airway edema will increase.
  c. The medications oppose each other, resulting in no airway changes.
  d. Bronchial smooth muscle relaxation will occur.



Q. 4  Which of the following factors are associated with intrinsic asthma?
 
  1. Emotional stress
  2. Cockroach allergen
  3. GERD
  4. Dust mites
  a. 2, 4
  b. 1, 3
  c. 2, 3, 4
  d. 1, 2, 3, 4



Q. 5  The respiratory therapist is monitoring a patient in the medical ICU and notes multiple premature ventricular complexes (PVCs) on the cardiac monitor.
 
  The respiratory therapist elects to review the patient's medication administration record (MAR) for medications the patient is receiving to rule out medication toxicity as a cause of the PVCs. Which of the following medications should the therapist evaluate as a possibility of inducing PVCs?
  a. Theophylline
  b. Beta blockers
  c. Vitamin D
  d. Acetaminophen
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6 years ago
(Answer to Q. 1)  C
Electric shock (defibrillation) is not effective for this rhythmCPR and ACLS medications are required. The therapist should call a code, begin CPR, and administer ACLS medications that are used to stimulate electrical activity of the heart. Defibrillation is only effective if the heart has no electrical activity.

(Answer to Q. 2)  B
Clinical disorders associated with central sleep apnea include, but are not limited to, encephalitis and brain stem infarction. Obstructive sleep apnea is associated with Pickwickian syndrome, depression, and other signs and symptoms.

(Answer to Q. 3)  D
Beta2-agonists and anticholinergic medications may both be required to treat a severe asthma episode and can be administered concurrently. Both of these medications are considered to be reliever medications in asthma management.

(Answer to Q. 4)  B
Emotional stress and gastroesophageal reflux disease (GERD) are associated with intrinsic asthma.

(Answer to Q. 5)  A
PVCs may be a sign of theophylline or alpha-stimulate or beta-agonist toxicity. Beta blockers may lead to sinus bradycardia. Vitamin D and acetaminophen would not cause PVCs.
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