Podcast
Questions and Answers
All of the following are elements of patients social and environmental history except.
All of the following are elements of patients social and environmental history except.
Which statement about the value of visual or analog scales for documenting the level of dyspnea is correct.
Which statement about the value of visual or analog scales for documenting the level of dyspnea is correct.
Which of the following best describes the team dyspnea.
Which of the following best describes the team dyspnea.
What is the name of the reflex response for stimulating the lungs during inspiration causing rapid shallow breathing.
What is the name of the reflex response for stimulating the lungs during inspiration causing rapid shallow breathing.
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Which of the following are clinical signs of dyspnea.
Which of the following are clinical signs of dyspnea.
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During the interview, a patient states that she is having difficult breathing in the upright position.
During the interview, a patient states that she is having difficult breathing in the upright position.
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Dyspnea when lying flat, but is relieved by sitting up describes which of the following.
Dyspnea when lying flat, but is relieved by sitting up describes which of the following.
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Which of the following describes, dyspnea that occurs at night when in the supine position.
Which of the following describes, dyspnea that occurs at night when in the supine position.
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Dyspnea that occurs in lateral decubitus position, describes which of the following.
Dyspnea that occurs in lateral decubitus position, describes which of the following.
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Platypnea (dyspnea in the upright position) and orthodoxia (decreased saO2, in the upright position) can both result from which condition.
Platypnea (dyspnea in the upright position) and orthodoxia (decreased saO2, in the upright position) can both result from which condition.
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What term is used to describe difficult breathing in the reclining position.
What term is used to describe difficult breathing in the reclining position.
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Patient stated “she experienced shortness of breath during a walk on level ground, which of the following describes her symptoms.
Patient stated “she experienced shortness of breath during a walk on level ground, which of the following describes her symptoms.
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Which of the following is defined as an unpleasant urge to breathe.
Which of the following is defined as an unpleasant urge to breathe.
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Which of the following factors has minimal or no impact on the effectiveness of the patients cough.
Which of the following factors has minimal or no impact on the effectiveness of the patients cough.
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Which of the following conditions is most likely to cause a dry, nonproductive cough.
Which of the following conditions is most likely to cause a dry, nonproductive cough.
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Acute cough (lasting less than 3 weeks) is most likely caused by which of the following.
Acute cough (lasting less than 3 weeks) is most likely caused by which of the following.
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A dry nonproductive cough is typical a Restrictive disease?
A dry nonproductive cough is typical a Restrictive disease?
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Effective cough is usually associated with which of the following.
Effective cough is usually associated with which of the following.
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Purulent (yellow or green) sputum is usually associated with which of the following.
Purulent (yellow or green) sputum is usually associated with which of the following.
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Mucoid (whitish/clear and thick) sputum is usually associated with which of the following.
Mucoid (whitish/clear and thick) sputum is usually associated with which of the following.
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Fetid (foul odor) sputum is usually associated with which of the following.
Fetid (foul odor) sputum is usually associated with which of the following.
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What tern is used to describe the chest pain associated with blockage of the coronary arteries.
What tern is used to describe the chest pain associated with blockage of the coronary arteries.
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Which of the following statements about non-cardiac chest pain is false.
Which of the following statements about non-cardiac chest pain is false.
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Which statement below explains the current theory of the value of fever during infection.
Which statement below explains the current theory of the value of fever during infection.
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A fever pattern, usually caused by infection, that varies about 1.1c (2 F) each day but does return to normal is called.
A fever pattern, usually caused by infection, that varies about 1.1c (2 F) each day but does return to normal is called.
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A fever pattern, usually causes night sweats seen in sepsis patient, refers to.
A fever pattern, usually causes night sweats seen in sepsis patient, refers to.
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A fever pattern, in which there is little change (less than 1C).
A fever pattern, in which there is little change (less than 1C).
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While examining the extremities of a 57 y/o male patient, the RCP detects a firm, non-pitting swelling of the feet and lower legs. This condition is called.
While examining the extremities of a 57 y/o male patient, the RCP detects a firm, non-pitting swelling of the feet and lower legs. This condition is called.
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You are called to the emergency department STAT to treat a trauma patient enroute by ambulance. The ER nurse reports that the EMS crew reports the patient has a Glasgow Coma scale (GCS) scale of 14. Based on this information, the RCP should prepare to perform which of the following.
You are called to the emergency department STAT to treat a trauma patient enroute by ambulance. The ER nurse reports that the EMS crew reports the patient has a Glasgow Coma scale (GCS) scale of 14. Based on this information, the RCP should prepare to perform which of the following.
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In which of the following patient categories would the intensity of the point of maximal impulse (PMI) be most difficult to palpate.
In which of the following patient categories would the intensity of the point of maximal impulse (PMI) be most difficult to palpate.
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In auscultating the heart sounds of a patient with chronic hypoxemia, the RCP notices a marked increase in the intensity of the second heart sound (S2) and no splitting during inhalation. This finding is most consistent with which of the following.
In auscultating the heart sounds of a patient with chronic hypoxemia, the RCP notices a marked increase in the intensity of the second heart sound (S2) and no splitting during inhalation. This finding is most consistent with which of the following.
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Physical examination of a patients illness or injury to the brain or spinal cord is usually, While reviewing the patients chart the RCP notes that the physicians neurological assessment included the word Delirium. What does the term indicate.
Physical examination of a patients illness or injury to the brain or spinal cord is usually, While reviewing the patients chart the RCP notes that the physicians neurological assessment included the word Delirium. What does the term indicate.
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A patient who appears weak poorly nourished is said to show the sign of
A patient who appears weak poorly nourished is said to show the sign of
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The second heart sound S2 is created primarily by which of the following?
The second heart sound S2 is created primarily by which of the following?
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Pseudocyanosis(bluish tinge to the skin or mucous membrane) is often caused by which of the following?
Pseudocyanosis(bluish tinge to the skin or mucous membrane) is often caused by which of the following?
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Accumulations of fluid in the abdominal cavity are called?
Accumulations of fluid in the abdominal cavity are called?
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On palpating the neck region of a patient on mechanical ventilation, you notice a crackling sound and sensation. What is the most likely cause of this observation?
On palpating the neck region of a patient on mechanical ventilation, you notice a crackling sound and sensation. What is the most likely cause of this observation?
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What term is used to describe the breathing pattern seen in COPD patients when the lower costal margins of the chest wall drew inward with each inspiration?
What term is used to describe the breathing pattern seen in COPD patients when the lower costal margins of the chest wall drew inward with each inspiration?
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What term is used to describe the breathing pattern seen in COPD patients when the lower costal margins of the chest wall draw inward with each inspiration?
What term is used to describe the breathing pattern seen in COPD patients when the lower costal margins of the chest wall draw inward with each inspiration?
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What is the advantage of COPD patients breathing through pursed lips during exhalation?
What is the advantage of COPD patients breathing through pursed lips during exhalation?
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While observing a patients breathing pattern the RCP notes that the depth and rate first increase, then decrease, followed by a period of apnea. Which of the following terms would you use in charting this observation?
While observing a patients breathing pattern the RCP notes that the depth and rate first increase, then decrease, followed by a period of apnea. Which of the following terms would you use in charting this observation?
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Soft, muffled sounds heard mainly during inspiration over the peripheral lung parenchyma best describe which of the following breath sounds.
Soft, muffled sounds heard mainly during inspiration over the peripheral lung parenchyma best describe which of the following breath sounds.
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Which term best describes a lord, high-pitched continuous sound heard ( often with the unaided ear) primarily over the larynx or trachea during inhalation in patients with upper airway obstruction.
Which term best describes a lord, high-pitched continuous sound heard ( often with the unaided ear) primarily over the larynx or trachea during inhalation in patients with upper airway obstruction.
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Your patient has an abnormal sensorium. Which of the following is most likely true?
Your patient has an abnormal sensorium. Which of the following is most likely true?
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Loud, tubular breath sounds with an expiratory component equal to the inspiratory component best describes which of the following breath sounds?
Loud, tubular breath sounds with an expiratory component equal to the inspiratory component best describes which of the following breath sounds?
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Inspiratory crackles in patients without excess secretions are most commonly associated with which of the following?
Inspiratory crackles in patients without excess secretions are most commonly associated with which of the following?
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What is the primary mechanism of crackle production in the airways?
What is the primary mechanism of crackle production in the airways?
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What is the most common cause of inspiratory crackles in patients with diffuse bronchospasm?
What is the most common cause of inspiratory crackles in patients with diffuse bronchospasm?
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What is the term used to describe the breathing sounds produced when airflow moves secretion or fluid in the airways?
What is the term used to describe the breathing sounds produced when airflow moves secretion or fluid in the airways?
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In which of the following situations would inspiratory crackles be most likely to occur?
In which of the following situations would inspiratory crackles be most likely to occur?
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What is the term used to describe the breathing pattern characterized by deep inspiratory gasps held for some seconds before expiration?
What is the term used to describe the breathing pattern characterized by deep inspiratory gasps held for some seconds before expiration?
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What does the presence of stridor indicate?
What does the presence of stridor indicate?
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What type of breath sounds are soft and muffled, heard mainly during inspiration over the peripheral lung parenchyma?
What type of breath sounds are soft and muffled, heard mainly during inspiration over the peripheral lung parenchyma?
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What is the term used to describe the breathing pattern characterized by a series of deep breaths followed by a period of apnea?
What is the term used to describe the breathing pattern characterized by a series of deep breaths followed by a period of apnea?
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What is the term used to describe a loud, high-pitched continuous sound heard over the larynx or trachea during inhalation in patients with upper airway obstruction?
What is the term used to describe a loud, high-pitched continuous sound heard over the larynx or trachea during inhalation in patients with upper airway obstruction?
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What is the term used to describe the irregular breathing pattern characterized by an increase in depth and rate, followed by a decrease, and then a period of apnea?
What is the term used to describe the irregular breathing pattern characterized by an increase in depth and rate, followed by a decrease, and then a period of apnea?
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What is the term that describes the loud, high-pitched sound associated with upper airway obstruction, often heard without a stethoscope?
What is the term that describes the loud, high-pitched sound associated with upper airway obstruction, often heard without a stethoscope?
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During a maximal inspiratory effort, about how far can a healthy adult contract the diaphragm?
During a maximal inspiratory effort, about how far can a healthy adult contract the diaphragm?
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What is the definition of tracheostenosis?
What is the definition of tracheostenosis?
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What prevents solids from taking the shape of their container?
What prevents solids from taking the shape of their container?
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When calculating relative humidity (RH), the term for the actual content or weight of water present in a given volume of air is?
When calculating relative humidity (RH), the term for the actual content or weight of water present in a given volume of air is?
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Exhalation to a volume below the resting level requires active muscular effort in order to overcome?
Exhalation to a volume below the resting level requires active muscular effort in order to overcome?
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What is the highest PAO2 achievable in normal individual breathing room air at sea level?
What is the highest PAO2 achievable in normal individual breathing room air at sea level?
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Pulmonary surfactant is secreted by which type of lung cells?
Pulmonary surfactant is secreted by which type of lung cells?
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The normal minute carbon dioxide production (VCO2) for healthy adult at rest is?
The normal minute carbon dioxide production (VCO2) for healthy adult at rest is?
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A Reynolds number calculation is performed and the Reynolds number is 1000. What type of fluid flow would this number indicate?
A Reynolds number calculation is performed and the Reynolds number is 1000. What type of fluid flow would this number indicate?
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What is the normal minute carbon dioxide production for healthy adults at rest?
What is the normal minute carbon dioxide production for healthy adults at rest?
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Which of the following statements about pulmonary ventilation in the upright adult lung is correct?
Which of the following statements about pulmonary ventilation in the upright adult lung is correct?
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What is the best definition of the term extension?
What is the best definition of the term extension?
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What is the theoretical temperature at which all kinetic energy activity of matter will cease?
What is the theoretical temperature at which all kinetic energy activity of matter will cease?
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What is the maximum amount of air that can be exhaled after a maximal inspiration?
What is the maximum amount of air that can be exhaled after a maximal inspiration?
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A fibrotic lung would exhibit which of the following characteristics?
A fibrotic lung would exhibit which of the following characteristics?
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What is the most common cause of jugular venous distention?
What is the most common cause of jugular venous distention?
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Pseudocyanosis is often caused by which of the following?
Pseudocyanosis is often caused by which of the following?
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A slow capillary refill time is often associated with which of the following?
A slow capillary refill time is often associated with which of the following?
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Digital clubbing is best assessed by which of the following?
Digital clubbing is best assessed by which of the following?
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What is the normal capillary refill time in healthy individuals?
What is the normal capillary refill time in healthy individuals?
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What is the most likely cause of a firm, non-pitting swelling of the feet and lower legs?
What is the most likely cause of a firm, non-pitting swelling of the feet and lower legs?
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Which of the following techniques is effective for communicating empathy to patients?
Which of the following techniques is effective for communicating empathy to patients?
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What is essential to make communication a two-way process?
What is essential to make communication a two-way process?
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Which of the following is an example of a breach in patient confidentiality?
Which of the following is an example of a breach in patient confidentiality?
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What can be used to improve one's effectiveness as a sender of messages?
What can be used to improve one's effectiveness as a sender of messages?
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Which of the following is not a technique for communicating empathy to patients?
Which of the following is not a technique for communicating empathy to patients?
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What is the purpose of feedback in communication?
What is the purpose of feedback in communication?
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Which of the following sterilization techniques is most effective?
Which of the following sterilization techniques is most effective?
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What is the primary consideration for ambulating patients with unstable vital signs?
What is the primary consideration for ambulating patients with unstable vital signs?
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What is the purpose of the quench button in an MRI suite?
What is the purpose of the quench button in an MRI suite?
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Which disease is typically transmitted through direct contact?
Which disease is typically transmitted through direct contact?
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What is the primary factor that determines the location of aerosol particle deposition in the respiratory tract?
What is the primary factor that determines the location of aerosol particle deposition in the respiratory tract?
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What is the purpose of the quench button in an MRI suite?
What is the purpose of the quench button in an MRI suite?
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What is the primary function of the ground wire and ground prong on an electrical power cord?
What is the primary function of the ground wire and ground prong on an electrical power cord?
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What is the primary cause of most fire-related fatalities?
What is the primary cause of most fire-related fatalities?
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What is the correct definition of electrical shock?
What is the correct definition of electrical shock?
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How long does a typical wall-mounted, hand-held fire extinguisher operate?
How long does a typical wall-mounted, hand-held fire extinguisher operate?
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What is the primary role of the RT during a disaster situation?
What is the primary role of the RT during a disaster situation?
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What is the correct operation of a fire extinguisher dependent on?
What is the correct operation of a fire extinguisher dependent on?
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What is the estimated death rate among patients who develop a ventilator associated pneumonia (VAP)?
What is the estimated death rate among patients who develop a ventilator associated pneumonia (VAP)?
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Which of the following statements regarding the use of sterile gloves in the hospital setting is false?
Which of the following statements regarding the use of sterile gloves in the hospital setting is false?
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What is the primary source of conflict in an organization that is the most difficult to control?
What is the primary source of conflict in an organization that is the most difficult to control?
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Which of the following is an example of a portal of exit?
Which of the following is an example of a portal of exit?
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A therapist is using which interpersonal communication technique when saying 'Please explain that to me again' to a patient during an interview?
A therapist is using which interpersonal communication technique when saying 'Please explain that to me again' to a patient during an interview?
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What is the electrical resistance of each limb?
What is the electrical resistance of each limb?
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Each hospital radiology department has established what type of areas for safety?
Each hospital radiology department has established what type of areas for safety?
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What is the estimated internal body resistance?
What is the estimated internal body resistance?
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Which option is a combination of safety measures established by hospital radiology departments?
Which option is a combination of safety measures established by hospital radiology departments?
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Which option correctly represents the internal body resistance?
Which option correctly represents the internal body resistance?
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What is the primary characteristic of small electric motors in terms of generating sparks?
What is the primary characteristic of small electric motors in terms of generating sparks?
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Which of the following elements would be included in a POMR entry?
Which of the following elements would be included in a POMR entry?
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Which of the following factors can have an impact on the outcomes of therapeutic communication between patient and practitioner?
Which of the following factors can have an impact on the outcomes of therapeutic communication between patient and practitioner?
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When assessing each of the seven universally recognized human expressions, what is the most significant factor to consider?
When assessing each of the seven universally recognized human expressions, what is the most significant factor to consider?
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What type of microbes are typically removed by proper handwashing technique?
What type of microbes are typically removed by proper handwashing technique?
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Which of the following types of microbes are typically unaffected by surgical hand hygiene and antisepsis?
Which of the following types of microbes are typically unaffected by surgical hand hygiene and antisepsis?
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When using a fire extinguisher to fight a fire, where should the RCP aim the extinguisher?
When using a fire extinguisher to fight a fire, where should the RCP aim the extinguisher?
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What is the first item to be doffed when removing PPE?
What is the first item to be doffed when removing PPE?
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Which of the following statements about oxygen and fire is true?
Which of the following statements about oxygen and fire is true?
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Which type of fire extinguisher will have a pressure gauge?
Which type of fire extinguisher will have a pressure gauge?
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Which statement about MRI Zone III is correct?
Which statement about MRI Zone III is correct?
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When removing PPE, what is the correct order of doffing?
When removing PPE, what is the correct order of doffing?
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What is the minimum percentage of oxygen required for fire to occur?
What is the minimum percentage of oxygen required for fire to occur?
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Which type of fire extinguisher is most likely to have a pressure gauge?
Which type of fire extinguisher is most likely to have a pressure gauge?
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What is the correct statement about MRI Zone III?
What is the correct statement about MRI Zone III?
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What is true about fires in oxygen-enriched atmospheres (OEA)?
What is true about fires in oxygen-enriched atmospheres (OEA)?
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What are the primary mechanisms by which electric shock causes injury?
What are the primary mechanisms by which electric shock causes injury?
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What is the correct statement about fires in oxygen-enriched atmospheres (OEA)?
What is the correct statement about fires in oxygen-enriched atmospheres (OEA)?
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What type of damage can occur due to the heating effect of current passing through the body?
What type of damage can occur due to the heating effect of current passing through the body?
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Which communication tool is most appropriate for a change of shift report?
Which communication tool is most appropriate for a change of shift report?
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When reporting critical laboratory test values, what should the reporter do?
When reporting critical laboratory test values, what should the reporter do?
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Which position is recommended to reduce the incidence of ventilator-associated pneumonia (VAP)?
Which position is recommended to reduce the incidence of ventilator-associated pneumonia (VAP)?
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What is the primary mechanism of crackle production in the airways?
What is the primary mechanism of crackle production in the airways?
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What is the correct operation of a fire extinguisher dependent on?
What is the correct operation of a fire extinguisher dependent on?
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Which of the following positions is recommended to reduce the incidence of ventilator associated pneumonia (VAP)?
Which of the following positions is recommended to reduce the incidence of ventilator associated pneumonia (VAP)?
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What is the first item of PPE to be donned?
What is the first item of PPE to be donned?
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What does a hospital electrical wall outlet colored red or one marked with a red dot indicate?
What does a hospital electrical wall outlet colored red or one marked with a red dot indicate?
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What is the primary source of conflict in an organization?
What is the primary source of conflict in an organization?
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What is the purpose of documenting the receiver's full name and title?
What is the purpose of documenting the receiver's full name and title?
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What should be done before signing the report?
What should be done before signing the report?
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Study Notes
Effective Communication
- Appropriate use of touch, use of key words, and use of eye contact are effective techniques for communicating empathy to patients.
- Empathy is essential to make communication a two-way process.
- Feedback from the receiver is critical in making communication a two-way process.
Patient Confidentiality
- Informing a representative of the patient's insurance company about the patient's condition is an exception to maintaining confidentiality.
- Breaches of patient confidentiality include discussing a patient's alcohol use with their family members or indicating a patient's newly diagnosed HIV positive status during shift report.
Infection Control
- Ambulation should not be postponed in patients with unstable vital signs or those who require supplemental oxygen.
- Aerosol particles deposit in the host's respiratory tract based on their aerodynamic size.
- Pertussis is transmitted through direct contact.
Fire Safety and Electrical Shock
- Thermal injury caused by heat and flame is the leading cause of fire-related fatalities.
- Electrical shock occurs when a person becomes part of a circuit between an electrical energy source and ground.
- Internal body resistance is estimated to be about 1200 ohms for each limb and about 15,000 ohms for the trunk.
MRI Safety
- MRI Zone III is the patient screening and preparation area, where hazards include potential biostimulation interference.
- Magnetic force in Zone III is about 30 gauss (0.003 Tesla).
###Conflict Resolution
- The most difficult source of conflict to control in an organization is structural problems.
- Collaborating is a strategy that is both assertive and cooperative but is not useful when hostility exists between parties.
Medical Records and Oxygen Safety
- The medical institution where the care was provided is the legal owner of the medical record.
- Oxygen accelerates the rate of combustion, and fires can burn in atmospheres with less than 21% oxygen.
Fire Extinguishers and PPE
- Carbon dioxide extinguishers will have a pressure gauge.
- The first item of PPE to be donned is the gown, and the first item to be doffed is the gown.
Ventilator Associated Pneumonia (VAP)
- The estimated death rate among patients who develop VAP is as high as 30%.
- Elevating the head of the bed (Low Fowler's position) is recommended to reduce the incidence of VAP.
Electrical Safety
- A hospital electrical wall outlet colored red or marked with a red dot indicates that the outlet is connected to the hospital's special grounding system.
Breathing Patterns
- Cheyne-Stokes breathing is characterized by breaths that increase and decrease in depth and rate with periods of apnea.
- Apneustic breathing is a pattern of breathing characterized by deep inspiratory gasps held for some seconds before expiration.
Breathing Sounds
-
Stridor indicates upper airway obstruction and is often heard without a stethoscope.
-
Vesicular sounds are soft, muffled sounds heard mainly during inspiration over the peripheral lung parenchyma.### Respiratory System
-
Stridor is a loud, high-pitched sound associated with upper airway obstruction, often heard without a stethoscope.
-
A marked increase in the intensity of the second heart sound (S2) and no splitting during inhalation is consistent with pulmonary hypertension.
Heart Sounds
- An intense S2 (lord P2) occurs in pulmonary hypertension.
Diaphragm Movement
- During a maximal inspiratory effort, a healthy adult can contract the diaphragm about 1.5 cm.
Tracheostenosis
- Tracheostenosis is the narrowing of the trachea.
Pulmonary Circulation
- Pulmonary vascular pressure is lower than systemic pressure.
Humidity
- Absolute humidity is the actual content or weight of water present in a given volume of air.
Exhalation
- Exhalation to a volume below the resting level requires active muscular effort to overcome the natural tendency of the airways to collapse.
Gas Diffusion
- The rate of gaseous diffusion across a biological membrane decreases when the diffusion distance is large or the partial pressure gradient is low.
Pulmonary Surfactant
- Pulmonary surfactant is secreted by Type II pneumocytes.
Minute Carbon Dioxide Production
- The normal minute carbon dioxide production (VCO2) for a healthy adult at rest is about 200 ml/min.
Reynolds Number
- A Reynolds number of 1000 indicates laminar fluid flow.
Pulmonary Arterial Blockage
- Blockage of the pulmonary arterial circulation to a portion of the lung would cause an increase in alveolar dead space.
Pressure in the Thoracic Cavity
- During quiet breathing, the pressure in the thoracic cavity (Ppl) normally remains negative relative to atmospheric pressure.
Serous Membrane
- The thin serous membrane that covers the inner layer of the thoracic wall is called the parietal pleura.
PO2 Levels
- The lowest PO2 would normally be found in the tissue cells.
Gas Exchange
- The exchange of gas between the atmosphere and blood is referred to as external respiration.
Extension
- Extension is an increase in the angle between bones.
Blood Gas Analysis
- The partial pressure of oxygen in alveolar gas (PAO2) can be calculated using the PACO2 value from an arterial blood gas (ABG) report.
Vital Capacity
- The maximum amount of air that can be exhaled after a maximal inspiration is the vital capacity (VC).
Pulmonary Capillary Equilibration
- In a normal adult at rest, it takes approximately 0.25 seconds for blood to pass through the pulmonary capillary and equilibrate with oxygen.
Lung Compliance
- A fibrotic lung would exhibit decreased lung compliance.
Body Position
- A patient positioned on their back is in the supine position.
Gas Flow
- Gas flows out of the lungs to the atmosphere during expiration because Ppl is greater than Pao.
Thermodynamics
- 0 K is the theoretical temperature at which all kinetic energy activity of matter will cease.
Jugular Venous Distension
- The most common cause of jugular venous distention (JVD) is right-sided heart failure.
Pseudocyanosis
- Pseudocyanosis is a bluish tinge to the skin or mucous membranes that is not caused by either hypoxemia or peripheral vasoconstriction.
Capillary Refill
- A refill time of 5 seconds or more indicates poor cardiac output or poor peripheral perfusion.
Digital Clubbing
- Digital clubbing is best assessed by shining a light through the nail bed.
Studying That Suits You
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Description
Test your knowledge of patients' social and environmental history with this quiz. Identify the element that does not belong to this category. Improve your understanding of patient assessment and diagnosis.