Respiratory Therapist TMC Form B TMC 100% correct answers
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Respiratory Therapist TMC
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Respiratory Therapist TMC
Respiratory Therapist TMC Form B TMC 100% correct answers
A patient with a PBW of 55 kg (121 lb) is receiving VC, A/C ventilation. Ventilator settings and blood gas analysis results are:
FIO2 0.70
Mandatory rate 14
VT 350 mL
PEEP 5 cm H2O
pH 7.35
PaCO2 35 mm Hg
PaO2 40 mm Hg
HCO3- ...
A patient with a PBW of 55 kg (121 lb) is receiving VC, A/C ventilation. Ventilator
settings and blood gas analysis results are:
FIO2 0.70
Mandatory rate 14
VT 350 mL
PEEP 5 cm H2O
,pH 7.35
PaCO2 35 mm Hg
PaO2 40 mm Hg
HCO3- 19 mEq/L
BE - 6 mEq/L
SO2 (calc) 74%
A respiratory therapist should recommend
A. changing to SIMV mode.
A
B. increasing to 10 cm H2O PEEP.
C. changing to 5 cm H2O CPAP.
VI
D. increasing to 400 mL VT. - ANSWER B. increasing to 10 cm H2O PEEP.
When instructing a patient on the administration of umeclidinium/vilanterol (Anoro
TU
Ellipta), which of the following is most important to emphasize?
A. Gargle immediately after use.
B. Inhale slowly with a breath hold.
IS
C. Breathe in fast and deep.
D. Shake medication vigorously before use. - ANSWER C. Breathe in fast and deep
Umeclidinium/vilanterol (Anoro Ellipta) is a DPI that requires rapid inhalation.
M
Following placement of a tracheostomy tube for long-term mechanical ventilation, which
O
of the following patient positions best prevents ventilator-associated pneumonia?
A.
A
prone
B.
N
Trendelenburg
C.
JP
supine
D.
semi-Fowler - ANSWER D. semi-Fowler
Routine use of semi-Fowler positioning with the head of the bed elevated at an angle of
30-45 degrees has been shown to decrease rates of ventilator-associated pneumonia.
Which of the following is used to monitor the partial pressure of transcutaneous carbon
dioxide?
,A.
red-light absorption sensor
B.
electromechanical transducer
C.
infrared analyzer
D.Stow-Severinghaus electrode - ANSWER D.Stow-Severinghaus electrode
A
An adult patient requires frequent blood sampling and medication administrations
through an IV for 1 month. The preferred vascular access is a
VI
A.
peripherally inserted central catheter.
TU
B.
subclavian central vascular line.
C.
standard peripheral IV line.
D.
IS
internal jugular catheter. - ANSWER A. peripherally inserted central catheter.
A PICC is the best choice for long-term IV access and allows for blood sampling.
M
A 170-cm (5-ft 7-in), 69-kg (152-lb) male with ARDS has the following ABG analysis
O
results:
pH 7.37
A
PCO2 43 mm Hg
PO2 95 mm Hg
N
HCO3- 25 mEq/L
BE -1 mEq/L
JP
SO2 (calc) 97%
The patient is receiving VC, A/C ventilation with the following settings:
FIO2 0.70
Mandatory rate 12
VT 450 mL
PEEP 8 cm H2O
, Which of the following is most appropriate?
A.
Decrease the FIO2 to 0.60.
B.
Change the PEEP to 5 cm H2O.
C.
Increase the minute ventilation.
D.
A
Maintain the current settings. - ANSWER A. Decrease the FIO2 to 0.60.
VI
Since the PaO2 is adequate, it is now appropriate to decrease the FIO2 .
Following an emergent C-section, a 35 year old is receiving VC, A/C ventilation. The
TU
following pressure-volume loop is observed:
IS
Which of the following ventilator settings should be adjusted?
A.
PEEP
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B.
flow rate
O
C.
tidal volume
D.
A
trigger sensitivity - ANSWER D. trigger sensitivity
N
The patient is having difficultly triggering the breath, which is shown by the significant
negative force created before the breath is delivered. The trigger should be adjusted to
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be more sensitive to improve the patient's ability to trigger a breath.
Which of the following techniques is preferred for a quadriplegic patient having difficulty
expectorating secretions?
A.
pursed lip breathing
B.
abdominal thrust
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