A respiratory therapist has just administered 300
A respiratory therapist has just administered 300 mg of aerosolized pentamidine isethionate (NebuPent) to a patient with a history of a liver transplant. Following therapy the patient’s heart rate is 96/min and respiratory rate is 18/min. Breath sounds are diminished with bilateral wheezing. The therapist should recommend which of the following prior to the next treatment? Reduce dosage to 150 mg Add an aerosolized steroid Provide oxygen therapy Administer albuterol A 20-year-old patient arrives at the ED with signed nasal hairs and eyebrows. SpO2 is 96% while receiving 2 L/min O2 by nasal cannula. The patient is agitated and tachypneic with a heart rate of 110/ min. Which of the following is most appropriate to evaluate the patient’s oxygenation. Hemoximetry (CO-oximetry) Capnography ABG analysis CBC Which of the following CBC components is required to evaluate a patient’s blood clotting ability? Neutrophil Red blood cell Hemoglobin Platelet While observing a patient who is receiving 5 cm H2O CPAP by mask through a continuous flow system a respiratory therapist notices the manometer drops to zero during inspiration. Which of the following will correct the problem? Increase the gas flow rate Increase the CPAP to 8 cm H2O Tighten the face mask straps Instruct the patient to avoid taking deep breaths. Responding with a medical emergency team a respiratory therapist obtains the following ABG analysis results from a patient who is receiving oxygen at 4 L/min by nasal cannula PH 7.46 PCO2 33 mm Hg PO2 45 mm Hg HCO3 23 mEq/L BE 0 mEq/L SO2(calc) 80% The patient is alert, oriented, and using accessory muscles to breathe. Which of the following should the therapist do FIRST? Initiate mechanical ventilation Change to a nonrebreathing mask Change to an air-entrainment mask 28% Increase the flow to 5 L/min After a recent pulmonary infection, a woman with myasthenia gravis is being seen in an outpatient clinic due to reoccurrence of fever with a decreased ability to cough. The following ABG analysis results are obtained while the patient breaths room air. PH 7.34 PCO2 49 mm Hg PO2 70 mm Hg HCO3 26 mEq/L BE 0 SO2(calc) 94% A chest radiograph should be ordered at this time to Detect the presence of cardiomegaly Identify the presence of an infiltrate Rule out the presence of hilar lymphadenopathy Determine total lung capacity A physician will be sedating a patient for a procedure and asks a respiratory therapist to monitor the patient’s ventilation. The therapists should select a Transcutaneous oxygen monitor Pulse oximeter Disposable exhaled CO2 detection device Capnometer A 16-year-old patient is hospitalized with asthma. To evaluate the patient’s response to therapy a respiratory therapist should Perform vital capacity measurements Recommend a serum theophylline level Recommend a methacholine challenge Perform peak flow measurements During CPR a respiratory therapist attaches a capnometer to the endotracheal tube for placement. Breath sounds are present and equal bilaterally. The expired CO2 reads 3.5 mm Hg (0.5%). Which of the following is the most likely explanation. Inadequate perfusion of the patient’s lungs An occlusion in the endotracheal tube Hyperventilation Left mainstem intubation SCIENCE HEALTH SCIENCE NURSING NS 103
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."
