B. Bedside spirometry performed on a patient reveals the following: Respiratory rate = 22 Tidal volume = 360 mL Dead space = 150 mL Inspiratory capacity = 1.0 L Based on these data, what is the patients minute ventilation? concentrator the following additional tests would you recommend to determine the cause of the effusion? ventricle to pump blood through the constricted pulmonary capillaries. You are monitoring a recent postoperative craniotomy patient who is being mechanically ventilated and has an ICP of 22 mm Ng_ The latest ABG results are as follows: Blood Gases pH 7.35 PaCO2 47 mm Hg HCO3 25 mEq/L BE 0 Pa02 89 mm Hg Sa02 96% Based on this information, which of the following is the most acceptable action? for confirming ('rule in') a diagnosis of pulmonary embolism. pursed-lip breathing.Pursed-lip breathing may allow improved exhalation by stabilization of the airways. The radial site is preferred for arterial puncture or cannulation because: over the past couple hours. No Yes Yes Decrease the flow to a lower level 150 m 200 m The greater this volume loss to the, A. decrease water vapor condensation Prophecy Comprehensive Exam List - March 2012.pdf Rule-based procedures designed to help detect, respond to and correct blood gas analyzer or hemoximeter errors over time best describe: Which of the following is the most likely cause of this problem? Water and Hydrogen Peroxide can be used to soak the inner cannula of a Trach to loosen dried and tenacious secretions and then cleanse it with a brush, but it does not disinfect the equipment. D. metabolic alkalosis, General Feedback: In ARDS, pulmonary edema, atelectasis, and surfactant loss combine to reduce lung A. Which of the following measures would you recommend obtaining? C. Right ventricular hypertrophy *B. refractory hypoxemia you would need to measure the pulmonary artery wedge pressure (PAWP or PCWP). You must have at least two years of CRT experience and at least an associate degree from an accredited respiratory therapy education program. You note an SpO2 of 100% and measure an FIO2 of 0 at the T-tube. Right heart failure B. ventilation-perfusion scan . By increasing the flow rate, you can decrease the I: Time. A. B. Cardiomegaly exits when the cardiac-to-thoracic width ratio (CT ratio) exceeds 50% on a PA chest D. I, II, Ill and IV, 42. expired PCO 2 of 35 torr. C. increased compliance Capnography gives you the most immediate information. 10th ed., Mosby, 2019. B. B. I. an increase in respiratory rates of 20/min II. The RSBI which is the Respiratory Shallow Breathing Index is used as well. D. received the BCG tuberculosis vaccine, General Feedback: You would recommend repeating tuberculin skin testing on those who previously 4th ed., Cengage Learning, 2013. If you have an unstable patient, it is important to get the information you need quickly. The decrease in lung volumes and compliance increases the patient's spontaneous work "COVID-19 affects the lung interstitium," Cahill said. Pneumonia The following figure is a statistical quality control plot for PCO2 measurements made by a blood gas analyzer using a control value of 40 mmHg. D. Lower the PEEP valve level, General Feedback: If a pressure pop-off continually activates when ventilating a patient with a bag-valve A. resuscitator, your first action should be to squeeze the bag more slowly. Test Bank - Respiratory Therapy Zone Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. Which of the following should be your first action? As the patient tires the spontaneous breathing rate becomes rapid and shallow and it is necessary to evaluate muscle fatigue. A small apneic child is receiving pressure-oriented SIMV with PEEP via a ventilator at a preset rate C. decrease the delivered O2 concentration 7th ed., Mosby, 2019. The most common way to determine the proper CPAP level for an individual patient is to: You are performing a spot check on a postoperative patients SpO2 using an oximeter that only Thoracentesis is urgent when hemothorax or empyema is suspected (requiring chest, pressure (MEP)Max expiratory capacityVital Max inspiratorypressure (MIP), A. Present your ID and scratch paper for inspection and follow any directions provided. For each question you answer correctly, you will receive one point toward your score. This is causing the metabolic acidosis. B. recommend which of the following? Respiratory Therapy syllabus is curated according to the industry standards and it helps the student in getting the proper placements. B. cyanosis HCO3 10 mEq/L In patients with chronic respiratory disease, pedal edema is a sign of: Sensitivity C. Tilted forward toward the chest Which of the following would be the appropriate action for you to take? The Therapist Multiple-Choice (TMC) exam is a standardized certification exam administered by the National Board for Respiratory Care and used to certify respiratory therapists. C. Pneumothorax You observe the following on the bedside capnograph display of a patient receiving ventilatory support. *B. *D. end of a normal resting exhalation, General Feedback: The validity of FRC measurement via either helium dilution or nitrogen depends on *C. CT pulmonary angiography The ratio of success is considered, The symptoms in options a, b, and c are the most frequently seen in this scenario as well as drooling, sitting forward, sweating. Which of the following is the most likely problem? D. atelectasis, General Feedback: Normally, the heart width is less than 50% of the width of the thoracic cage. leakage of subglottic secretions past the cuff (increasing the incidence of VAP), contribute to air leak, and Straight with the torso, with the neck hyperextended On the day of your exam, ensure that your testing area is clear of reference materials, your cell phone, and food or drink containers. 1 CHE101 - Summary Chemistry: The Central Science, A&p exam 3 - Study guide for exam 3, Dr. Cummings, Fall 2016, ACCT 2301 Chapter 1 SB - Homework assignment, Quick Books Online Certification Exam Answers Questions, 446939196 396035520 Density Lab SE Key pdf, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Cecilia Guzman - Identifying Nutrients Gizmo Lab, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. D. 72 L/min, 67. B. C. Preventive maintenance C. Nonrebreathing mask The NBRC evaluates the competency of respiratory therapists and ensures that graduates of accredited respiratory care education programs have every opportunity to earn the RRT credential. The prescribed level of CPAP is the lowest pressure at which apneic episodes are reduced to a, *A. compare the oximeter's pulse rate to a palpated or ECG-monitored rate 3rd right intercostal space, left sternal border B. Make the flow dependent on patient effort B. Standardized TMC-Like Exam A. Tracheal granuloma What is the minimum length of time the nurse should plan to hold pressure on the puncture site? unknown origin. desaturation index (ODI). Carbon monoxides high affinity for hemoglobin will cause C. The body of the tube normally must be positioned in the trachea C. 30-40 cm Start Test Which of the following would deliver the most particulate water to a patients airway? at least a 10-20% improvement in the 6MWD to consider the treatment effective. Which of the following would provide the best bedside assessment of the need for mechanical ventilation in a patient with Guillain-Barre syndrome? PaCO2 27 torr Which of the following endotracheal tube malfunctions could require extubation and reintubation with a new tube to allow effective positive pressure ventilation of the patient? B. C. Infection with pneumococcus B. *C. pulmonary artery Only patient B has more, A. D. Initiate inverse ratio ventilation, 48. Observed changes in the apnea-hypopnea index (AHI) are then correlated with the various CPAP Keep RR high to keep PaCO2 levels between 25 and 30 mmHg and PIP below 30 cmH2O to avoid suctioning and causing coughing which raises ICP. C. the reservoir temperature will equal room temperature C. decrease in circuit compliance You are monitoring a patient with myasthenia gravis and finds that the maximum inspiratory pressure B. I, ll and Ill only D. Esophageal bleeding, 52. of ventilatory impairment due to muscle weakness. D. 6-10 in, 56. A. FRC 3.3 L/min D. Acute upper airway obstruction, 41. If the patient were in difficulty, it would be more important to check the Oximetry first. C. The body of the tube normally must be positioned in the trachea Possible reasons for this discrepancy include. D. Systemic hypertension, 14. B. Gastric insufflation Based on these data, what is the primary acid-base disturbance? D. serial total lung capacity measurements, General Feedback: Guillain-Barr syndrome is an acute inflammatory neuropathy affecting the spinal root The normal I:E ratio for an infant with normal lung compliance and an infant with obstructive lung disease is the same: 1:1.5 to 1: 2. C. Replace the endotracheal tube with a larger size Adjust the water level in the suction control chamber Respiratory Exam Med-Surg Flashcards | Quizlet Ventilator settings are as follows: FIO2 0.45 Rate 12 Tidal volume 600 mL PEEP 12 cm H20 While awaiting blood gas results, you obtain an Sp02 of 78%. Which of the following can provide ambulatory patients on long-term oxygen therapy with mobility Directed coughing is useful in helping maintain bronchial hygiene in all of the following patients categories EXCEPT: We are trying to improve your lung volume Make sure the order error is corrected and the treatment given to the patient. While assessing the endotracheal tube cuff pressure in an intubated patient, you confirm a leak at 18 cm H20 throughout most of inspiration. You should: During a single-breath capnogram, the sharp downstroke and return to baseline that normally occurs after the end-tidal point indicate: Hopefully, the practice questions in this guide can help. B. B. measure pressure at volume increments using a super syringe Expiratory time would be considered abnormally long when, A. The kidneys have not started to adjust the Bicarb level by holding onto it. B. *B. CO-oximetry Based on these data, what is the primary acid-base disturbance? Use of generic vs brand name medications 0 cm H2O Peter Rench joined Mometrix in 2009 and serves as Vice President of Product Development, responsible for overseeing all new product development and quality improvements. A. RRT Practice Test Questions (Prep for the TMC Exam) - Mometrix The orders should be the first thing checked to be sure the patient is receiving the appropriate levels of oxygen and any treatments that need to be given immediately. A. C. The capnograrn indicates a leak around the E I tube A. Congestive heart failure D. The capnograrri indicates hypoventilation, 15. C. 2 and 3 only D. You may experience pain and lightheadedness from this therapy, 47. D. Pa02, 18. A. A 68 year-old female patient with severe COPD has been provided with educational materials describing essential self-management activities to help her control her disease. C. Chronic airways obstruction Following a myocardial infarction, a 60-year-old patient with congestive heart failure is being mechanically ventilated. pressures. A doctor wants you to assess whether a patient with a progressive neuromuscular condition will likely B. blood culture Check the cuff inflation [ May 11, 2021 ] Asthma FAQ: An Easy Guide for Respiratory Therapy Students Lung Disease [ May 11, 2021 ] Lung Compliance: The Ability to Stretch Respiratory Calculations Search for: *B. pneumothorax C. Exhalation of mixed alveolar/deadspace gas microorganisms, or chyle are found, or when a transudative effusion is present in patients with heart RSPT Exam 1 Flashcards | Quizlet