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Questions and Answers
The respiratory therapist is conducting an interview on a patient who has just entered the emergency department. The patient states that he has difficulty breathing when he is lying down and sleeps with three pillows at night. This is indicative of which of the following breathing conditions?
The respiratory therapist is conducting an interview on a patient who has just entered the emergency department. The patient states that he has difficulty breathing when he is lying down and sleeps with three pillows at night. This is indicative of which of the following breathing conditions?
A 24-year-old comatose woman enters the emergency department with the following arterial blood gases:
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pH 7.21
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PaCO2 23 torr
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PaO2 65 torr
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HCO3 8 mEq/L
Which of the following breathing patterns is this patient most likely exhibiting?
A 24-year-old comatose woman enters the emergency department with the following arterial blood gases:
- pH 7.21
- PaCO2 23 torr
- PaO2 65 torr
- HCO3 8 mEq/L
Which of the following breathing patterns is this patient most likely exhibiting?
A patient is coughing up purulent secretions. This is an indication of which of the following?
A patient is coughing up purulent secretions. This is an indication of which of the following?
A hyperresonant lung sound is heard while the respiratory therapist is percussing over the patient's lower left lung field. This is indicative of which of the following pulmonary conditions?
A hyperresonant lung sound is heard while the respiratory therapist is percussing over the patient's lower left lung field. This is indicative of which of the following pulmonary conditions?
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While auscultating the chest of a patient in ICU you hear crackles in both lung bases. This is most likely the result of which of the following?
While auscultating the chest of a patient in ICU you hear crackles in both lung bases. This is most likely the result of which of the following?
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A ventilator patient suddenly becomes restless and agitated and the high pressure alarm begins sounding. The respiratory therapist auscultates diminished breath sounds in the left lung and palpates the trachea right of midline. Which of the following has most likely occurred?
A ventilator patient suddenly becomes restless and agitated and the high pressure alarm begins sounding. The respiratory therapist auscultates diminished breath sounds in the left lung and palpates the trachea right of midline. Which of the following has most likely occurred?
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A patient states that she has been coughing up thick, green, foul-smelling secretions. The respiratory care practitioner would conclude this patient has:
A patient states that she has been coughing up thick, green, foul-smelling secretions. The respiratory care practitioner would conclude this patient has:
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A patient who seems unconscious but will awaken when stimulated is said to be:
A patient who seems unconscious but will awaken when stimulated is said to be:
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The respiratory therapist is evaluating a patient and observes a six second capillary refill time. This indicates the patient:
The respiratory therapist is evaluating a patient and observes a six second capillary refill time. This indicates the patient:
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While conducting a pulmonary evaluation on a patient, the respiratory therapist auscultates diminished breath sounds on the right side and palpates the trachea being shifted toward the right side. The therapist should suspect which of the following?
While conducting a pulmonary evaluation on a patient, the respiratory therapist auscultates diminished breath sounds on the right side and palpates the trachea being shifted toward the right side. The therapist should suspect which of the following?
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Which of the following muscles are utilized during normal breathing? I. Scalenes II. Diaphragm III. Sternomastoid IV. External intercostals
Which of the following muscles are utilized during normal breathing? I. Scalenes II. Diaphragm III. Sternomastoid IV. External intercostals
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A 38-year-old woman presents in ER complaining of shortness of breath. A CBC reveals a hemoglobin level of 6 gm%. The respiratory therapist determines her SpO2 is 99%. Which of the following statements are true regarding this patient's condition? I. The patient is hypoxic. II. The patient is most likely cyanotic. III. Oxygen is not indicated at this time.
A 38-year-old woman presents in ER complaining of shortness of breath. A CBC reveals a hemoglobin level of 6 gm%. The respiratory therapist determines her SpO2 is 99%. Which of the following statements are true regarding this patient's condition? I. The patient is hypoxic. II. The patient is most likely cyanotic. III. Oxygen is not indicated at this time.
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Study Notes
Respiratory Patient Assessment
- Respiratory therapist conducts interview on patient entering emergency department
- Patient reports difficulty breathing when lying down, needing three pillows at night
- This indicates orthopnea, a breathing condition
- A 24-year-old comatose woman presents with arterial blood gases, showing pH 7.21, PaCO2 23 torr, PaO2 65 torr, and HCO3 8 mEq/L
- Her breathing pattern is most likely Cheyne-Stokes
- Coughing up purulent secretions indicates bacterial pneumonia
- Hyperresonant sound during percussion of lower left lung points to left-sided pneumothorax
- Crackles in both lung bases during auscultation suggest pulmonary edema
- Restlessness and agitation in a ventilator patient with diminished breath sounds suggests a right-sided pneumothorax or ET tube slippage
- Thick, green, foul-smelling secretions in a patient suggest Pseudomonas infection
- Unresponsive but awakens when stimulated indicates obtunded state
- Six second capillary refill time indicates inadequate perfusion to extremities
Breathing Conditions
- Tachypnea: Rapid breathing
- Orthopnea: Difficulty breathing when lying down
- Euthopnea: Normal breathing
- Dyspnea: Shortness of breath
- Cheyne-Stokes: Breathing pattern with increasing and decreasing rate and depth
- Biot's: Breathing pattern with irregular periods of apnea and hyperventilation
- Kussmaul's: Deep and rapid breathing, often seen in metabolic acidosis
- Hypopnea: Reduced breathing
Pulmonary Conditions
- Pleural effusion: Fluid buildup in the pleural space
- Pneumothorax: Air in the pleural space
- Lobar pneumonia: Infection affecting a lobe of the lung
- Left lower lobe atelectasis: Collapse of the left lower lobe of the lung
- Bacterial pneumonia: Infection in the lungs causing fluid and pus
- Hemoptysis: Coughing up blood
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Description
This quiz focuses on the assessment of respiratory patients, particularly in emergency situations. It covers various symptoms, such as orthopnea and Cheyne-Stokes respiration, and identifies conditions like bacterial pneumonia and pneumothorax. Test your knowledge on diagnostic signs and interpretations relevant to respiratory therapy.