Insertion Which Following Question & Answer Guide (With Explanation)

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What This Question Is About

This question relates to insertion which following and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves insertion which following. A strong answer should include explanation, application, and examples.

Original Question

1. Insertion which of the following lines is required to obtain frequent measurements of the cardiac output for a patient receiving PEEP? A. central venous pressure B. femoral arterial C. pulmonary artery catheter D. radial arterial 2. An adult patient with severe cerebral palsy and significant kyphoscoliosis is admitted to the hospital with a 3-day history of fever and increased oral secretions. A right middle lobe infiltrate is seen on chest radiograph. The physician prescribes pulmonary hygiene. A respiratory therapist should recommend A. mask IPV B. incentive spirometry. C. bronchodilator administration. D. vibratory PEP 3. A 90 kg (180-b), 152-cm (60 in) male is brought to the ED with severe chest trauma following s motor vehicle crash. The patient was intubated at the scene. Which of the following initial mechanical ventilation settings should therapist recommend? A. PC. SIMV, mandatory rate 16, PIP to attain Vt of 500 mL B. PC. A/C ventilation, mandatory rate 8. PIP to attain Vt of 800 mL C. VC. AC ventilation, mandatory rate 14, Vt of 400 mL D. VC, SIMV, mandatory rate 10, Vt of 700 mL 4. A 60 kg (132lb) patient is undergoing an SBT. Which of the following indicates the trial should be terminated? A. RSBI of 122 B. Respiratory rate of 16/min C. Systolic blood pressure increase of 10% D. minute ventilation of 10 L/min 5. During physical examination, a patient’s chest is hyperresonant to percussion and distant breath sounds are noted bilaterally. These findings are most consistent with A. consolidation of both lungs B. right-sided pneumothorax. C. emphysema D. pneumonia 6. Which of the following devices should be used to measure maximal inspiratory pressure? A. Peak, Bow meter B. pneumotachometer C. manometer D. spirometer 7. Which of the following is best to use when monitoring the ventilatory status of a patient who is receiving sedation during a procedure? A. Hemoximeter (CO-oximeter) B. CBG analysis C. pulse oximeter D. capnometer 8. A patient is receiving mechanical ventilation. Over the past 6 hours, lung compliance decreased, and airways resistance is Which of the following clinical situations best explains this? A. obstructed tube B. mucosal edema C. bronchospasm D. Atelectasis 9. A patient with tracheostomy button experiences cardiac arrest. To secure the airway and facilitate manual ventilation, a respiratory therapist should A. insert a tracheostomy tube B. deflate the cuff C. replace the obturator D. insert the inner cannula 10. A patient with diabetic ketoacidosis wilt have which of the following blood gas abnormalities? A. elevated PaCO2 B. decreased PaO2 C. a decreased HCO3 D. increased pH 11. A respiratory therapist is evaluating an adult patient with myasthenia gravis. A decrease in which of the following will provide the earliest that ventilatory support is needed? A. P(A-a)O2 B. PaO2:FiO2 C. vital capacity D. VD/Vt 12. Which of the following is a characteristic of a point of care ABG analyzer? A. it does not require quality control programs. B. it does not require a heparinized blood sample C. it provides the most accurate results D. it can be used in multiple settings 13. A respiratory therapist performs end-tidal CO2 monitoring on an adult patient in the ICU. Which of the following will be helpful in validating this information? A. Transcutaneous carbon dioxide B. Mired venous oxygen saturation C. pulse oximetry D. arterial blood gas analysis 14. Immediately following delivery of a 26-week-old neonate, a respiratory therapist prepares to assist in surfactant action. Which of the following should the therapist expect to be done FIRST? A. Intubate the neonate B Insert an umbilical artery catheter. C. Initiate transcutaneous monitoring. D. Apply nasal CPAP 15. A patient with a Jong-standing, single cannula tracheostomy tube, who was breathing spontaneously, suddenly develops. Respiratory distress. Assessment reveals use of accessory muscles, absent breath sounds bilaterally, and the usability to pass a suction catheter through the tube. A respiratory therapist should immediately. A. attempt to ventilate using a self-inflating bag. B. remove the tube and insert a new tracheostomy tube. C. call for a STAT chest radiograph. D. begin 100% oxygen therapy with a large-volume nebulizer, 16. A 38-year-old patient who underwent an open colon resection 24 hours ago is unable to clear secretions adequately. The following data are available: Temperature 37* C(98.6°F) HR 104 min RR 26/min O2 2 L/min SpO2 95% Pain score 8 (1-10 scale) Which of the following should a respiratory therapist do NEXT? A. Add IPPB with a mucolytic to the therapeutic regimen. B. Provide nasotracheal suctioning every 4 hours and as needed. C. Coordinate analgesic administration with cough and deep breathing. D. Recommend fiberoptic bronchoscopy to clear the 17. During nasotracheal suctioning, the patient’s oxygen saturation decreases and heart rate increases. Which of the following best describes the cause of these changes? A. The patient is apprehensive about the procedure B. The suction catheter is in the esophagus. C. The practitioner stimulated the vague nerve D. The patient is hypoxemic. 18. Which of the following is increased in a patient with chronic respiratory acidosis? A. HCO3 B. SpO2 C. PH D. PaO2 19. A patient receiving oxygen through a nasal cannula at 5 L/min has an Spo2 of 98% and is breathing comfortably following analysis results are obtained from an arteria sample on a point of care blood gas analyzer: PH 7.41 PCO2 37 mm Hg PO2 27 mm Hg – HCO3 23 mEgL BE +1 SO% (cale) 50% – The piece of equipment that is most likely to be Incorrectly operating is the A. sensor of the pulse oximeter B. oxygen flowmeter attached to the mask C. nasal cannula D. sample cartridge of the analyzer 20. An adult patient is admitted to the ICU after undergoing tracheal reconstruction. The patient remains intubated and pharmacologically paralyzed. She is receiving continuous mechanical ventilation with an FiO2 of 0.30, and the following ABG analysis results are obtained: pH 7.50 PCO2 28 mm Hg PO2 150 mm Hg HCO3 22 mEgl BE 0 mEg/L SO2 (meas) 99% HB 14.8 g/dl A respiratory therapist should recommend? A. reducing alveolar minute ventilation B. decreasing the Fio2 C. maintain the current setting 21. Which of the following are the most appropriate procedures for the respiratory therapist to use for an ongoing evaluation of a young adult patient who has Asthma? PEF ABG analysis MIP FEV1/FVC % A. 1 and 4 only B. 1 and 2 only C. 3 and 4 only D. 2 and 3 only 22. While monitoring a patient who is receiving VC ventilation, a respiratory therapist observes that the low inspiratory pressure and low exhaled volume alarms are activated. The therapist should evaluate the. A. Integrity of the patient-ventilator circuit. B. possible presence of a pneumothorax C. patient’s lung compliance D. patients airways resistance 23. To determine whether a pleural effusion Is transudative or exudative, a respiratory therapist should recommend A. CT of the chest. B. thoracentesis C. serum electrolytes D. Bronchoscopy 24. To determine the need for suctioning, auscultation should be performed A. at the apex of each lung B. at the base of each lung C. ever the entire chest area, D. over the suprasternal notch 25. A respiratory therapist is evaluating a patient with pneumonia. The patient has normal coagulation studies. The radiograph shows a large pleural effusion. The patient is short of breath, has a respiratory rate of 30/min, and a blood gas analysis reveals: pH 7.48 PaCO, 32 mm Hg PaO. 65 mm Hg NCO, 24 mEg1. BE +1 mEgL SaO2 (calc) 89% Which of the following is appropriate to recommend to the physician? A. Initiate invasive mechanical ventilation B. Start IV diuretics. C. Perform a thoracentesis D. Begin oral antibiotic therapy 26. A nasopharyngeal airway may be used to 1. avoid injury to the tongue during a seizure. 2. prevent trauma to the nasal mucosa during suctioning 3. protect the airway from aspiration. 4. relieve upper airway obstruction 1 and 3 only 1 and 2 only 2 and 4 only 3 and 4 only 27. Compliance values decrease with A. emphysema B. pulmonary fibrosis. C. cystic fibrosis. D. Asthma 28. The rationale for recommending heliox therapy for a patient who has a severe obstruction of the upper airway is to A. decrease the work of breathing. B. improve cardiac output C. promote pulmonary vasodilation D. fascinate bronchodilation 29. A patient in the ICU is receiving VC ventilation and has deteriorating vital signs, A chest radiograph reveals hyperlucent space between the visceral and parietal pleura. ABG analysis results reveal severe hypoxemia. Which of the following is the most likely cause of this patient’s deteriorating clinical signs? A. Pneumothorax B. Emphysema C. Atelectasis D. pleural effusion 30. Which of the following is the best way to monitor patient compliance with a smoking cessation program? A. pulse oximetry B. capnometry C. ABG analysis D. CO analysis

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