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QUESTIONS
100 A respiratory therapist is asked to instruct the patient recently diagnosed with
asthma white performing and recording peak flow measurements are important.
The therapist should tell the patient:
1. Peak flow measurements help your doctor decide if your asthma is under
control
2. if the peak flow meter is used every day at home, you can find breathing
problems even before you start to release or cough
3. a drop in peak flow is a good way to recognize early signs of a coming asthma
attack
4. it helps to see how bad asthma is
1, 2, and 3 only
1 and 3 only
1, 2, 3, and 4
2 and 4 only – A
NSWER ANS: 1, 2, 3, and 4
EX: all of the options listed are important reasons why and asked the patient
should perform and record peak flow measurements.
,101 While reviewing the patient's chart prior to administering and albuterol
(Proventil) treatment, the respiratory therapist notes that the patient is scheduled
for pre—bronchodilator and post - bronchodilator spirometry in one hour. The
respiratory therapist should do which of the following?
A. Tell the patient that he will get the treatment in one hour
B. notify the pulmonary function laboratory of the conflict in therapy
C. administer the treatment as ordered
D. administer the treatment with normal saline only
- ANSWER ANS: B. - Notify the pulmonary function laboratory of the conflict in
therapy
EX: because the patient will receive a bronchodilator by the pulmonary function
technician within an hours time span and the patient is scheduled to receive a
bronchodilator now, there is a conflict in therapy. The practitioner needs to
consult the pulmonary function lab and ascertain whether the patient should
receive the albuterol treatment now and have the pulmonary function lab
reschedule that spirometry test or whether the patient can wait one hour and
received a bronchodilator during the spirometry tests. It would be inappropriate
to perform any of the remaining options
102 A patient with allergic asthma has been prescribed albuterol (Proventil),
nedocrmil sodium (Tilade), and flunisolide (Aerobid). The respiratory therapist
should provide the patient with which of the following information?
1. Albuterol and nedocromil do not interact
2. during an acute asthmatic attack, take flunisolide 1st
,3. nedocromil should not be taken during an asthmatic attack
A. 1 in 2 only
B. 1, 2, and 3
C. 2 and 3 only
D. 1 and 3 only
- ANSWER ANS: 1 and 3 only: hero and nedocromil do not interact, nedocromil
should not be taken during an asthmatic attack
EX: 1. TRUE - based on manufacturer guidelines, albuterol and nedocromil do not
have any ingredients that interact with each other. 2. FALSE - during an acute
asthmatic attack, the patient needs to administer the fast acting bronchodilator
(albuterol) 1st. Flunisolide is not a bronchodilator and will not really
bronchospasm. 3. TRUE -nedocromil is a mast cell stabilizer only. It is not indicated
for use during an acute asthmatic attack because it has no therapeutic value when
the mast cells are in an acute unstable phase.
103While assessing a patient to determine if respiratory treatments are indicated,
the patient tells the respiratory therapist that he becomes short of breath when
lying down, but when he sits his breeding is fine. Which of the following terms
should the therapist record in the patient's chart that would best describe the
patient's statement?
A. platypnea
B. Tachypnea
C. Dyspnea
D. orthopnea
- ANSWER ANS: D. - orthopnea
, EX: orthopnea is a condition in which the patient feels discomfort in breathing
while lying down and must sit upright to relieve the difficulty in breathing.
Tachypnea means a rapid respiratory rate. Platypnea mean discomfort in
breathing while in the upright or seated position. Dyspnea is a generic term that
simply means difficulty in breathing. Dyspnea may I may not occur in any body
position.
104 During the aerosol therapy with a metered dose inhaler (MDI) without a
spacer, the respiratory therapist instructs the patient to hold the mouthpiece
approximately 1 inch away from the mouth. The therapist explains that this will:
A. Help with the ordination of canister actuation
B. reduce the likelihood that the drug will be deposited at the back of the throat
C. enhance particle stability
D. deliver a smaller sized particle to the deeper recesses of the lungs
- ANSWER ANS: B. _ reduce the likelihood that the drug will be deposited at the
back of the throat
EX: my holding the mouthpiece 1 inch away from the mouth there is an increase
in the distance between the aerosol in the back of the throat. This makes it more
likely that the aerosol particles will remain in the inspired gas and travel into the
lungs instead of depositing out in the back of the throat.
105 Ideally, a 1 - point calibration is performed on a blood gas analyzer:
A. At least once every 50 blood gases
B. at least once every 8 hours
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