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Patient is on MV A/C mode, vitals: RR-10bpm, MIP- 40L/min, FiO2 .30ABG: pH 7.47 PaCO2 29mmHg PaO2 125mmHg BE 0mEq/L SaO2 96%You have already reduced Vt, physician asks for recommendation and you respond: A. Add mechanical dead space to circuitB. Decrease sedationC. Reduce peak flowD. Reduce frequency
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A. Add mechanical dead space to circuit (II. E. 10.)
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To reduce possibility of barotrauma on MV, all of the following should be considered not to exceed EXCEPT: A. PIP < 40cmH2OB. MPaw < 30cmH20C. PEEP < 30cmH2OD. Pplat <30cmH2O
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C. PEEP < 30cmH2O(II. E. 10.)
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All are indications for Rapid Sequence Intubation EXCEPT: A. Airway obstructionB. Severe hypoxemiaC. Spont. frequency <10/min. or >30/minD. Glasgow Coma Scale of 4 or less
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D. Glasgow Coma Scale of 4 or less(III. H. 1.)
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A COPD patient is having difficulty mobilizing secretions from airways. Which application is the least likely for the therapist to select for first therapy? A. MucomistB. Hypertonic saline solution 7%C. Hypertonic saline solution 3%D. Pulmozyme
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D. Pulmozyme(III. E. 4. c.)
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When heliox is used in aerosol therapy, the particles are deposited deeper in the airways by delivering the treatment using a standard flow meter. Which two ratios would work best for a hypoxic patient? A. 70:30B. 60:40C. 80:20D. 100:10
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A.70:30 & B. 60:40(III. D. 3.)
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A patient is recovering from an appendectomy and has a history of pneumonia. He states he is having difficulty taking deep breaths. Which treatment or therapy would you suggest? A. BronchodilatorB. Incentive spirometerC. 2L/min. nasal canulaD. IPPB
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B. Incentive spirometer(III. A. 19.)
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Your trach patient has been approved to start using a Passy Muir valve. To eliminate any possibility of patient distress, what should you insure? A. Traditional trach tube cuff must be deflatedB. Non-finestrated trach tube cuff must be inflatedC. Finestrated trach tube cuff may be deflated if inner solid cannula is removedD. Inflate the cuff before placement of speaking valve
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A. Traditional trach tube cuff must be deflated(III. A. 3. g.)
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You are sent to procure an ABG from a 15 year old patient in the ED. The first procedure you preform is: A. Wash hands and follow all universal precautionsB. Introduce yourself to patient and parentsC. Verify doctors orderD. Assemble ABG kit
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C. Verify doctors order(I. C. 6.)
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A patient is suspected of having Guillian-Barre Syndrome. Which two bedside PFT test results will help determine if the diaphragm muscle is compromised? 1. Vt 2. NIF3. VC4. PFa. 1&2b. 2&3c. 2 onlyd. 1,2,&3
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b. 2&3(I. C. 25.)
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A chronic asthma patient, who just recently suffered an acute exacerbation, is being discharged. You are explaining their home care protocol given specific results using a Peak Flow Meter. What should they recall back to you if the meter result is 60% of their personal best? A. Continue with daily treatmentB. Call 911C. Increase albuterol use to 12 puffs MDID. Go immediately to hospital
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C. Increase albuterol use up to 12 puffs MDI(III. I. 5.)
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A patient with pneumonia current vital signs are: HR = 98, RR = 26, temp = 102 has a weak unproductive cough. You auscultate and hear bilateral coarse crackles. The appropriate care plan to initiate is: A. Duoneb Q4B. Albuterol SVN Q4C. CPT including postural drainage and breathing therapyD. Mucomist Q6
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C. CPT including postural drainage and breathing therapy(III. B. 1. & 4.)
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RT performs the first 30 minute therapy session using high-frequency oscillation. Contingent on the patient's response to the therapy, there can be up to _____ more sessions that day. A. 1B. 3C. 5D. 10
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C. 5(III. B. 3.)
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You are asked to assist with the birth of a 34 week old baby. Knowing you might need to resuscitate the child. The laryngoscope you will select is: A. Mac size 2B. Miller size 1C. Miller size 0D. Mac size 1
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C. Miller size 0(II. E. 11.)
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A 37 week old baby is delivered and placed under a radiant warmer. She has a HR of 108 bpm, is showing signs of labored breathing, and has a low O2 saturation despite being given free flow O2. The appropriate protocol is: A. PPV 21-30%B. CPAP 4 to 6 cmH20 with same setting FiO2C. PPV 21%D. Self inflating bag at FiO2 -100%
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B. CPAP 4 to 6 cmH2O same setting FiO2 (I. D. 16.)
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Patient is diagnosed with a hemothorax. What specific thoracic area are you preparing to drain? A. 2 to 3rd intercostal space midclavicularB. 2 to 3rd intercostal space midaxillaryC. 4 to 5th intercostal space midaxillaryD. 4 to 5th intercostal space midclavicular
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C. 4 to 5th intercostal space midaxillary(III. H. 6.)
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