Resp. Care Test 1
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| Who is professionally responsible for the day-to-day patient care in respiratory care dept? | Department head
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| What term is used to describe the process in which a govt agency gives an individual permission to practice an occupation? | Licensure
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| What organization is responsible for credentialing respiratory therapist? | NBRC
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| What agency is a voluntary professional organization for respiratory therapists and individuals interested in respiratory therapy? | AARC
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| Responsibility for the technical direction of a respiratory care dept lies with whom? | department manager
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| Making sure a patient is comfortable and has water within reach is an example of what? | Beneficence
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| A patient requests that in the case of a life threatening event, she would like her daughter to make decisions regarding her healthcare. This is an example of what? | advanced directive
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| The point at which the manibrium of the sternum and the body of the sternum meet has two names. What are they? | Angle of Louis/Sternal Angle
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| Ear tips of the stethoscope should be pointed how to hear the best? | forward toward the nose
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| Breath sound that often clears w/ a strong cough | rhonchi
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| most accurate means of obtaining a temperature | rectal
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| adult patient has a pulse of 122. This patient is what? | tachycardic
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| What breathing pattern is associated with metabolic acidosis most commonly diabetic ketoacidosis? | Kussmaul's breathing
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| Increased tactile fremitus over left lower lobe on patient would most likely indicate what? | consolidation/atelectasis
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| normal lung tissue should have what percussion note? | resonance
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| decreased tactile fremitus indicates | pnuemothorax
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| tracheal deviation toward affected side indicates | atelectasis
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| normal breath sounds heard over lungs are | vesicular
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| abnormal breath sounds also known as | adventitious
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| tracheal breath sounds are heard | over trachea
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| these breath sounds are heard over upper portion of sternum | bronchial
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| where are bronchovesicular breath sounds heard? | over sternum at around 2nd intercostal space and between scapulae
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| wheezes occur b/c | narrowing of airways
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| bronchial breath sounds in lung peripheri indicates | consolidation or atelectasis
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| acrocyanosis is | same as peripheral cyanosis (blue color to fingers/toes)
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| periorbital cyanosis | blue color of whites of eyes
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| perioral cyanosis | blue color around mouth
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| central cyanosis | blue color all over
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| 5 basic components of communication | sender, message, channel, receiver, feedback
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| True/False: legally, documentation of care given to a pt means that care was given. | True
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| Charting must be done so it is meaningful for how long? | years
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| healthcare communication involves who? | nurses, pts, resp therapists, doctors, pt's signifcant others
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| Communication skills play a key role in the RT's ability to do what? | identify pt's problem, evaluate pt's progress, make recommendations for resp care
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| what are the basic strategies to resolve conflict | competing, compromising, avioding, accommodating, collaborating
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| example of a nonverbal message | gesture
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| example of formal channel used for communication | memo
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| factors that affect communication | emotional factors, internal factors, use of medical jargon, environmental factors, sensory factors
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| True/False: Documentation is required for each medication, treatment, or procedure. | True
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| True/False: Leaving blank lines in charting is acceptable. | False
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| True/False: Abbreviations are acceptable as long as you know what it means. | False
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| True/False: When a mistake is made during charting, erasing or drawing a line through it are both acceptable. | False
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| Lifting heavy objects is best done with what technique? | straight spine, bent legs
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| primary factor determining effect of an electrical shock | current
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| High amperage (6A or more) applied externally to skin can cause what? | skin burns, sustained myocardial contraction, respiratory paralysis
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| How can risk of fire b/c of static electrical discharge in presence of oxygen be minimized? | maintaining high relative humidity in are of use
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| What ethical principle can be used to justify the pain that might occur in drawing blood from a pt for diagnostic test? | double effect
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| a health professional who withholds the truth from a pt, saying it is for her own good, is engaged in what practice? | benevolent deception
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| debate over prolongation of life versus relief of suffering in elderly pts mainly involves differing opinions regarding what ethical principle? | beneficence
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| moral basis for rationing health care services falls under what ethical principle? | distributive justice
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| a clinician who justifies support for withdrawing life support from a pt b/c "in the end, it would be best for all involved" is applying what ethical viewpoint? | consequentialism
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| what branch of law is concerned w/ recognition and enforcement of rights and duties of private individuals and organizations? | civil
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| a nurse who practices below a reasonable standard of care is committing what type of malpractice? | ethical
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| the word credentialing is general refers to what? | recognition of an individual in the profession
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| what agency is responsible for assuring quality in respiratory care through voluntary certification and registration? | NBRC
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| what organization is responsible for credentialing respiratory therapists? | NBRC
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| what term is used to describe the process in which a govt agency gives an individual permission to practice an occupation? | licensure
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| Who is responsible for reviewing resp care schools to ensure quality? | CoARC
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| treatment based on careful review of available literature is know as | evidence-based medicine
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| RT's do NOT: | diagnose, interpret tests, prescribe
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| 4 methods for examining the chest | inspection, palpation, percussion, auscultation
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| most common tort used against practitioners | negligence/malpractice
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| diminished breath sounds indicate | consolidation, atelectasis, pleural effusion
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| Absent breath sounds indicate | pneumothorax
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| tracheal deviation toward affected side | atelectasis, fibrosis
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| tracheal deviation away from affected side | pleural effusion or pneumothorax
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| hypopnea | shallow breathing
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| what does RACE stand for? | R-rescue pts in immediate area of fire
A-alert personnel
C-contain fire
E-evacuate other pts and personnel
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| when to do 3 min handwash | upon arrival, before eating, after restroom use, before leaving
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| when to do 15 sec handwash | before & after pt contact, between procedures for same pt if cross contamination occurred
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| contact precautions | infection thru body fluids, blood, fecal matter, 3 ft minimum, gown and gloves required
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| droplet precautions | infection thru propelled droplets, coughing, sneezing, suctioning, bronchoscopy, mask if within 3 ft, door can be open, private room or w/ pt w/ same infection
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| dull percussion note indicates | atelectasis
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| airborne infection isolation | infectious agent (TB), use N-95 respirator, private room, negative pressure room, door closed
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| protective environment | reverse isolation, pts, w/ compromised immune system, chemotherapy, leukemia, AIDS, PPE worn to protect pt, positve pressure room, no plants or dried/fresh flowers
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| hyperressonant percussion indications | pneumothorax/air trapping
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| flat percussion note indicates | pleural effusion
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| barrel chest is commonly associated with | chronic lung disease due to air trapping and loss in lung compliance
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| scoliosis | lateral curvature of spine
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| kyphosis | anterior-to-posterior curvature of thoracic region of spine that gives humpback apperance
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| lordosis | inward curvature of lumbar spine
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| stridor | high pitched crowing sound, indicates upper airway obstruction, caused by croup, epiglottitis, postextubation
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| clubbing is a sign of | chronic hypoxemia
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| change in color of sputum indicates | infection
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| signs of increased WOB | tripod position, nasal flarring, pursed lip breathing, paradoxical breathing, barrel chest, accessory muscle use, retractions, tachypnea
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| cyanosis according to reduced HB content | greater than 5 grams %
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| tracheobronchial breath sounds are normal when found in ___________ but indicate lung consolidation when found in lung periphery. | trachea
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| adventitious breath sound characterized as loud gurggling sound probably produced by secretions in large airways that often clears w/ effective cough | rhonchi
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| adventitious breath sound characterized as a popping noise possibly created from opening of alveoli or small airways | crackles/rales
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Created by:
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