Typical chest assessment findings in a patient with Guillain-Barr syndrome include:
1. diminished breath sounds.
2. crackles.
3. tracheal deviation.
4. depressed diaphragms.
a. 4
b. 1, 2
c. 3, 4
d. 1, 2, 3, 4
Q. 2 When the respiratory therapist is entering a SOAPIER progress note in a patient's chart, the A stands for:
a. application of the data.
b. acceptance of the treatment options by the patient.
c. affect of the patient.
d. assessment of the data by the respiratory therapist.
Q. 3 A 75-kg, 50-year-old male patient has Guillain-Barr syndrome. His most recent assessment indicates his VC is 900 mL and NIF is 16 cm H2O. What plan should the respiratory therapist recommend?
a. Initiate EMG monitoring.
b. Initiate continuous positive airway pressure (CPAP).
c. Initiate mechanical ventilation.
d. Reassess the patient each hour.
Q. 4 Signs and symptoms associated with metastatic lung cancer include:
1. fatigue.
2. bone pain.
3. seizures.
4. weight loss.
a. 1, 4
b. 2, 3
c. 1, 3, 4
d. 1, 2, 3, 4
Q. 5 A respiratory therapist is questioning the accuracy of the ABG results obtained on a patient in the ICU. The results show a pH and PaO2 that seem unreasonably high, while the PaCO2 seems unreasonably low.
Which of the following would most likely cause these erroneous results?
a. A venous sample was obtained.
b. There was excessive heparin in the blood gas syringe.
c. The sample was excessively delayed in analysis.
d. There was an air bubble in the sample.
Q. 6 When reviewing a SOAPIER progress note, all of the following would be found in the O area EXCEPT:
a. hemodynamic data.
b. patient's admission complaint.
c. blood pressure.
d. sputum production.
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