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RES130 FINAL EXAM REVIEW

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What are the causes associated with resorption and passive atelectasis?   show
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show True REF: 904  
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show False REF: 905  
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show True REF: 905  
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show Incentive spirometry REF: 905  
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show A. incentive spirometry A, REF: 905  
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show False REF: 906  
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How are incentive spirometry devices generally categorized?   show
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True or False: Flow-oriented devices have proved less effective than volumetric systems.   show
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show A. “Exhale normally, then inhale as deeply as you can, then hold your breath for 5 to 10 seconds.” A, REF: 909  
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show True REF: 909  
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How long should a patient be told to sustain a breath during the performance of a sustained maximal inspiration during incentive spirometry?   show
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show C. Gall bladder surgery. C, Page: 904  
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Physical signs of atelectasis include: I. Decreased or bronchial/tubular breath sounds II. Tachypnea III. Normal breath sounds IV. Tachycardia when hypoxemia is present   show
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show transpulmonary Page: 905  
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show A. true A, REF: 909  
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Which of the following patient groups should be considered for lung expansion therapy using intermittent positive-pressure breathing (IPPB)?   show
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True or False: IPPB should be the single treatment modality used for resorption atelectasis.   show
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Which of the following is NOT a potential contraindication for intermittent positive-pressure breathing?   show
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True or False: Respiratory alkalosis is probably the most common complication associated with intermittent positive-pressure breathing (IPPB)?   show
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Intermittent positive-pressure breathing (IPPB) can be associated with which of the following hazards?   show
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Potential outcomes of IPB Therapy should include: I. Improved VC II. Improved oxygenation III. Improved breath sounds IV. Decreased secretion clearance and reduced cough mechanism   show
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Which of the following are potential desirable outcomes of (IPPB) therapy? I. improved oxygenation II. increased cough and secretion clearance III. improved breath sounds IV. reduced dyspnea (subjective response)   show
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What should the practitioner explain before starting an (IPPB) on a new patient? I. what the IPPB treatment will do II. why the physician ordered the treatment III. what the expected results are IV. how the IPPB treatment will feel   show
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show True REF: 914  
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show D. nose clip  
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Which of the following parameters are you changing when you adjust the sensitivity control on an intermittent positive-pressure breathing device,   show
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show True,REF: 914  
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Which of the following are appropriate volume goals for intermittent positive-pressure breathing (IPPB) therapy? I. 10 to 15 ml/kg ideal body weight II. at least 30% of the inspiratory capacity (IC)   show
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show True, REF: 915  
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show D,REF: 916 D. I, II, III, and IV I. recruitment of collapsed alveoli II. decreased work of breathing III. improved distribution of ventilation IV. increased efficiency of secretion removal  
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show C,REF: 916 C. I, II, and III I. hemodynamic instability II. hypoventilation III. facial trauma  
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show True,REF: 916  
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show I. blended source of pressurized gas II. nonrebreathing circuit with reservoir bag III. low-pressure or disconnect alarm IV. expiratory threshold resistor  
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show True REF: 917  
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show 2 to 3 times the patient’s minute ventilation REF: 917  
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Which of the following hyperinflation techniques relies on the patient’s ventilatorymuscles to achieve hyperinflation goals?   show
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show True,REF: 922  
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show True, REF: 922  
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True or False: Anesthesia can provoke a cough?   show
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Partial airway obstruction can result in all of the following except:   show
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Match the phase of a cough on the “right” with the mechanism responsible for impairing the cough on the “left”. Answers may be used once, more than once or not at all. ____1. Abdominal muscle weakness   show
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show A. Irritation  
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show 3. C C. Compression  
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Match the phase of a cough on the “right” with the mechanism responsible for impairing the cough on the “left”. Answers may be used once, more than once or not at all. ____4. Pain   show
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Match the phase of a cough on the “right” with the mechanism responsible for impairing the cough on the “left”. Answers may be used once, more than once or not at all. ____5. Emphysema   show
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All of the following drug categories can impair mucociliary clearance in intubated patients except: A. general anesthetics B. bronchodilators C. opiates D. narcotics   show
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show D,REF: 924 D. I, II, III, and IV I. foreign bodies II. tumors III. inflammation IV. bronchospasm  
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Which of the following conditions alter normal mucociliary clearance? I. bronchodilation II. cystic fibrosis (CF) III. ciliary dyskinesia   show
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show True,REF: 924  
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show A,REF: 925 A. I, III, and IV I. bronchiectasis III. cystic fibrosis IV. chronic bronchitis  
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show D, REF: 925 D. 25 to 30  
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show False,REF: 925  
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show C. I, II, III, and IV REF: 925 I. posture and muscle tone II. breathing pattern and ability to cough III. sputum production IV. cardiovascular stability  
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True or False: Lack of sputum production, development of a fever, labored breathing, and increased inspiratory and expiratory crackles are all clinical signs that indicate a patient is having a problem with retained secretions?   show
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True or False: Incentive spirometry is considered bronchial hygiene therapy:   show
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Postural drainage therapy uses the application of __________ to achieve specific clinical objectives in respiratory care   show
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Which of the following is NOT a hazard or complication of postural drainage therapy?   show
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show A,REF: 928 A. prevent postural hypotension  
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show D. when the patient has unstable spinal cord injuries REF: 928  
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In which of the following patients would you consider modifying any head-down positions used for postural drainage?   show
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True or False: Vital signs, bedside PFTs, and auscultation are all mandatory components of the pre-assessment for postural drainage?   show
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What postural drainage position would you recommend if a patient’s chest radiograph shows infiltrates in the posterior basal segments of the lower lobes?   show
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What postural drainage position would you recommend for a patient with an infiltrate in the right middle lobe.   show
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