Egan's Fundamentals of Respiratory Care Chapter 16
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Questions and Answers

What is a primary purpose of establishing a rapport with the patient during the interview?

  • To determine the effectiveness of therapy
  • To build trust and collect diagnostic information (correct)
  • To diagnose a pulmonary disease
  • To obtain payment plans

    • In which space should the clinician conduct the patient interview?

  • Personal space (correct)
  • Critical space
  • Social space
  • Intimate space

    • What is a characteristic of a leading question?

  • It is vague and unclear
  • It is open-ended and encourages elaboration
  • It is specific and objective
  • It leads the patient towards a desired response (correct)

    • What is a benefit of collecting diagnostic information through the patient interview?

    <p>It provides the patient's perspective on their symptoms</p> Signup and view all the answers

    What is a purpose of monitoring changes in the patient's symptoms and response to therapy?

    <p>To adjust treatment strategies accordingly</p> Signup and view all the answers

    Why is it essential to avoid leading questions during the patient interview?

    <p>They can elicit false information</p> Signup and view all the answers

    What is the most common location of pulmonary infarctions associated with thromboembolic obstruction?

    <p>Lung bases</p> Signup and view all the answers

    Which of the following is not a pathophysiologic change associated with pulmonary embolism?

    <p>Increased ciliary mobility</p> Signup and view all the answers

    What is the primary cause of death from massive pulmonary embolism?

    <p>Cardiovascular collapse</p> Signup and view all the answers

    What is a contributing factor to the development of hypoxemia in a patient with pulmonary emboli?

    <p>All of the above</p> Signup and view all the answers

    What is the name of the two blood supplies to the lung?

    <p>Pulmonary arterial circulation and bronchial circulation</p> Signup and view all the answers

    What is the usual presentation of pulmonary infarction on chest images?

    <p>A wedge-shaped opacity</p> Signup and view all the answers

    What type of lung disease is typically associated with a dry, nonproductive cough?

    <p>Pulmonary fibrosis</p> Signup and view all the answers

    What is the term used to describe mucus from the tracheobronchial tree that has not been contaminated by oral secretions?

    <p>Phlegm</p> Signup and view all the answers

    What is the term used to describe sputum that contains pus cells?

    <p>Purulent</p> Signup and view all the answers

    What is the term used to describe coughing up blood or blood-streaked sputum from the lungs?

    <p>Hemoptysis</p> Signup and view all the answers

    What is a characteristic of pleuritic chest pain?

    <p>It increases with breathing</p> Signup and view all the answers

    Which of the following is a characteristic of restrictive lung disease?

    <p>A dry, nonproductive cough</p> Signup and view all the answers

    What is the primary cause of pedal edema?

    <p>Heart failure</p> Signup and view all the answers

    What is the result of coronary artery occlusion?

    <p>Myocardial infarction</p> Signup and view all the answers

    Why does tachypnea occur with significant fever?

    <p>Due to increased oxygen intake</p> Signup and view all the answers

    What is included in a patient's past medical history?

    <p>All past major illnesses, injuries, surgeries, hospitalizations, allergies, and health-related habits</p> Signup and view all the answers

    What is an element of a patient's social and environmental history?

    <p>Occupation and employment history</p> Signup and view all the answers

    What is a common respiratory change seen in patients with significant fever?

    <p>More rapid rate</p> Signup and view all the answers

    What is the primary focus of the family and social/environmental history part of the medical history?

    <p>Genetic links to disease and current life situation</p> Signup and view all the answers

    Which of the following pulmonary disorders is not believed to have a genetic link?

    <p>Pneumonia</p> Signup and view all the answers

    What is the term used to describe excessive sweating?

    <p>Diaphoresis</p> Signup and view all the answers

    Which of the following is not a possible cause of diaphoresis?

    <p>Hypertension</p> Signup and view all the answers

    What is a characteristic of diaphoresis?

    <p>Excessive sweating</p> Signup and view all the answers

    What is the primary cause of tachypnea in patients with significant fever?

    <p>Increased need for oxygen intake and carbon dioxide removal</p> Signup and view all the answers

    Which of the following is not associated with diaphoresis?

    <p>Hemoptysis</p> Signup and view all the answers

    What is the most common cause of pedal edema?

    <p>Heart failure and increased hydrostatic pressure</p> Signup and view all the answers

    What is included in a patient's past medical history?

    <p>All past major illnesses, injuries, surgeries, hospitalizations, allergies, and health-related habits</p> Signup and view all the answers

    What is the primary focus of the family and social/environmental history part of the medical history?

    <p>To identify genetic links to disease</p> Signup and view all the answers

    Which of the following pulmonary disorders is believed to have a genetic link?

    <p>All of the above</p> Signup and view all the answers

    What is the result of coronary artery occlusion?

    <p>Myocardial infarction and stress</p> Signup and view all the answers

    What is a characteristic of diaphoresis?

    <p>Excessive sweating</p> Signup and view all the answers

    What is an element of a patient's social and environmental history?

    <p>All of the above</p> Signup and view all the answers

    What is a critical element of a patient's medical history?

    <p>Prior major illnesses and surgery</p> Signup and view all the answers

    Which of the following is included in a patient's family and social/environmental history?

    <p>Family medical history</p> Signup and view all the answers

    Study Notes

    Patient Interview Purposes

    • Interviews help establish rapport between clinician and patient.
    • Essential diagnostic information is collected during interviews.
    • Monitoring changes in symptoms and therapy response occurs through patient interviews.

    Appropriate Interview Space

    • Conduct interviews in personal space, typically 2 to 4 feet from the patient.

    Leading Questions

    • Example of a leading question: "Is your breathing better now?" can skew patient responses.

    Blood Supply Types

    • The lungs receive blood from two sources: pulmonary arterial circulation and bronchial circulation.

    Pulmonary Infarction Location

    • Most pulmonary infarctions associated with thromboembolic obstruction occur at the lung bases, often appearing as wedge-shaped opacities on imaging.

    Massive Pulmonary Embolism Consequence

    • Death from massive pulmonary embolism typically results from cardiovascular collapse rather than respiratory failure.

    Pathophysiologic Changes in Pulmonary Embolism

    • Not typically associated with pulmonary embolism: decreased ciliary mobility.
    • Associated changes: increased dead space ventilation and bronchoconstriction.

    Conditions Contributing to Hypoxemia

    • Intrapulmonary shunt is a significant factor for hypoxemia in pulmonary embolism patients.

    Tracheobronchial Secretions

    • Secretions not contaminated by oral secretions are termed phlegm.

    Purulent Sputum

    • Sputum containing pus is classified as purulent, often indicating a bacterial infection.

    Hemoptysis Definition

    • Coughing up blood-streaked sputum is referred to as hemoptysis.

    Characteristics of Pleuritic Chest Pain

    • Pleuritic chest pain is typically sharp, stabbing, and increases with breathing, often located laterally.

    Respiratory Rate with Fever

    • Significant fever commonly leads to a more rapid respiratory rate (tachypnea).

    Common Cause of Pedal Edema

    • Pedal edema, or swelling of lower extremities, is most commonly caused by heart failure due to increased hydrostatic pressure.

    Patient's Past Medical History Elements

    • Critical elements include childhood diseases, prior major illnesses or surgeries, and medications.

    Social and Environmental History Components

    • Elements include occupation and employment history, recent travel, and living arrangements.

    Diaphoresis Associations

    • Diaphoresis (sweating) can indicate fever, severe stress, or acute anxiety.

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    Description

    Test your knowledge of bedside assessment of patients with this multiple-choice quiz based on Egan's Fundamentals of Respiratory Care, 12th Edition. Covers purposes of RT interviews and patient evaluation.

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