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Resp. Care Test 1
| Question | Answer |
|---|---|
| Who is professionally responsible for the day-to-day patient care in respiratory care dept? | Department head |
| What term is used to describe the process in which a govt agency gives an individual permission to practice an occupation? | Licensure |
| What organization is responsible for credentialing respiratory therapist? | NBRC |
| What agency is a voluntary professional organization for respiratory therapists and individuals interested in respiratory therapy? | AARC |
| Responsibility for the technical direction of a respiratory care dept lies with whom? | department manager |
| Making sure a patient is comfortable and has water within reach is an example of what? | Beneficence |
| 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 |
| 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 |
| Ear tips of the stethoscope should be pointed how to hear the best? | forward toward the nose |
| Breath sound that often clears w/ a strong cough | rhonchi |
| most accurate means of obtaining a temperature | rectal |
| adult patient has a pulse of 122. This patient is what? | tachycardic |
| What breathing pattern is associated with metabolic acidosis most commonly diabetic ketoacidosis? | Kussmaul's breathing |
| Increased tactile fremitus over left lower lobe on patient would most likely indicate what? | consolidation/atelectasis |
| normal lung tissue should have what percussion note? | resonance |
| decreased tactile fremitus indicates | pnuemothorax |
| tracheal deviation toward affected side indicates | atelectasis |
| normal breath sounds heard over lungs are | vesicular |
| abnormal breath sounds also known as | adventitious |
| tracheal breath sounds are heard | over trachea |
| these breath sounds are heard over upper portion of sternum | bronchial |
| where are bronchovesicular breath sounds heard? | over sternum at around 2nd intercostal space and between scapulae |
| wheezes occur b/c | narrowing of airways |
| bronchial breath sounds in lung peripheri indicates | consolidation or atelectasis |
| acrocyanosis is | same as peripheral cyanosis (blue color to fingers/toes) |
| periorbital cyanosis | blue color of whites of eyes |
| perioral cyanosis | blue color around mouth |
| central cyanosis | blue color all over |
| 5 basic components of communication | sender, message, channel, receiver, feedback |
| True/False: legally, documentation of care given to a pt means that care was given. | True |
| Charting must be done so it is meaningful for how long? | years |
| healthcare communication involves who? | nurses, pts, resp therapists, doctors, pt's signifcant others |
| 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 |
| what are the basic strategies to resolve conflict | competing, compromising, avioding, accommodating, collaborating |
| example of a nonverbal message | gesture |
| example of formal channel used for communication | memo |
| factors that affect communication | emotional factors, internal factors, use of medical jargon, environmental factors, sensory factors |
| True/False: Documentation is required for each medication, treatment, or procedure. | True |
| True/False: Leaving blank lines in charting is acceptable. | False |
| True/False: Abbreviations are acceptable as long as you know what it means. | False |
| True/False: When a mistake is made during charting, erasing or drawing a line through it are both acceptable. | False |
| Lifting heavy objects is best done with what technique? | straight spine, bent legs |
| primary factor determining effect of an electrical shock | current |
| High amperage (6A or more) applied externally to skin can cause what? | skin burns, sustained myocardial contraction, respiratory paralysis |
| 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 |
| What ethical principle can be used to justify the pain that might occur in drawing blood from a pt for diagnostic test? | double effect |
| a health professional who withholds the truth from a pt, saying it is for her own good, is engaged in what practice? | benevolent deception |
| debate over prolongation of life versus relief of suffering in elderly pts mainly involves differing opinions regarding what ethical principle? | beneficence |
| moral basis for rationing health care services falls under what ethical principle? | distributive justice |
| 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 |
| what branch of law is concerned w/ recognition and enforcement of rights and duties of private individuals and organizations? | civil |
| a nurse who practices below a reasonable standard of care is committing what type of malpractice? | ethical |
| the word credentialing is general refers to what? | recognition of an individual in the profession |
| what agency is responsible for assuring quality in respiratory care through voluntary certification and registration? | NBRC |
| what organization is responsible for credentialing respiratory therapists? | NBRC |
| what term is used to describe the process in which a govt agency gives an individual permission to practice an occupation? | licensure |
| Who is responsible for reviewing resp care schools to ensure quality? | CoARC |
| treatment based on careful review of available literature is know as | evidence-based medicine |
| RT's do NOT: | diagnose, interpret tests, prescribe |
| 4 methods for examining the chest | inspection, palpation, percussion, auscultation |
| most common tort used against practitioners | negligence/malpractice |
| diminished breath sounds indicate | consolidation, atelectasis, pleural effusion |
| Absent breath sounds indicate | pneumothorax |
| tracheal deviation toward affected side | atelectasis, fibrosis |
| tracheal deviation away from affected side | pleural effusion or pneumothorax |
| hypopnea | shallow breathing |
| 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 |
| when to do 3 min handwash | upon arrival, before eating, after restroom use, before leaving |
| when to do 15 sec handwash | before & after pt contact, between procedures for same pt if cross contamination occurred |
| contact precautions | infection thru body fluids, blood, fecal matter, 3 ft minimum, gown and gloves required |
| 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 |
| dull percussion note indicates | atelectasis |
| airborne infection isolation | infectious agent (TB), use N-95 respirator, private room, negative pressure room, door closed |
| 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 |
| hyperressonant percussion indications | pneumothorax/air trapping |
| flat percussion note indicates | pleural effusion |
| barrel chest is commonly associated with | chronic lung disease due to air trapping and loss in lung compliance |
| scoliosis | lateral curvature of spine |
| kyphosis | anterior-to-posterior curvature of thoracic region of spine that gives humpback apperance |
| lordosis | inward curvature of lumbar spine |
| stridor | high pitched crowing sound, indicates upper airway obstruction, caused by croup, epiglottitis, postextubation |
| clubbing is a sign of | chronic hypoxemia |
| change in color of sputum indicates | infection |
| signs of increased WOB | tripod position, nasal flarring, pursed lip breathing, paradoxical breathing, barrel chest, accessory muscle use, retractions, tachypnea |
| cyanosis according to reduced HB content | greater than 5 grams % |
| tracheobronchial breath sounds are normal when found in ___________ but indicate lung consolidation when found in lung periphery. | trachea |
| adventitious breath sound characterized as loud gurggling sound probably produced by secretions in large airways that often clears w/ effective cough | rhonchi |
| adventitious breath sound characterized as a popping noise possibly created from opening of alveoli or small airways | crackles/rales |
Created by:
whitney1307