question

MDI, Jet nebulizers, untrasonic nebulizers, nasal spray pumps

answer

Aerosol drug delivery devices include:

question

Inspiratory flow rate, flow pattern, respiratory rate, inhaled volume, I:E ratio, and breath-holding

answer

Deposition of therapeutic aerosols is affected by:

question

Greater than 20 BPM

answer

Tachypnea

question

When aerosol particles settle out of suspension and are deposited owning to gravity

answer

Sedimentation

question

True

answer

Aerosol is the suspension of solids or liquid particles in gas

question

The mass of drug leaving the mouthpiece as aerosol

answer

Emitted dose

question

Medication

answer

Primary hazard of aerosol drug therapy is adverse reaction to:

question

Nebulizer design, gas pressure, gas density, medication characteristics

answer

Factors affecting nebulizer performance are:

question

Deposition of particles by collision

answer

MMAD

question

Aerosol output

answer

The mass of aerosol generate per unit of time is called:

question

20%

answer

The average pulmonary deposition of aerosol drug particles:

question

SVN, MDI, DPI

answer

Pulmonary medications are usually delivered by:

question

True

answer

When using a vibrating mesh nebulizer, the unit dose emitted is higher than standard nebulizers

question

False

answer

Off label drugs are never given

question

Aspiration pneumonia, stridor, chronic cough, reactive airways disease

answer

Respiratory associated problems for GERD include:

question

True

answer

The respiratory syncytial virus causes bronchiolitis

question

Prematurity, immunosuppressive systems, GERD, chronic lung disease

answer

RSV usually affects infants with:

question

Viral infection

answer

Croup is caused by:

question

Barking cough, steeple sign on X-ray

answer

Clinical manifestations of croup include:

question

Haemophilus influenza B

answer

Epiglottis can be a life threatening emergency and is caused by:

question

Is a terminal disease, produces copious secretions, affects the lungs, affects the pancreas

answer

Cystic fibrosis:

question

Lung disease

answer

The leading cause of death in patients with CF is:

question

False

answer

Steatorrhea means there's is not enough fat in the stool

question

White

answer

Bones on X-rays appear

question

True

answer

Digital technology has replaced traditional photographic film

question

Dark

answer

Over penetration of a film leaves long shadows too:

question

White

answer

Under penetration of a film leaves lung shadows too:

question

PA

answer

X-ray beam that passes from posterior to anterior is called

question

MRI

answer

Which X-ray procedure uses radio waves to make a picture?

question

Pleural effusion

answer

Blunted costophrenic angles on X-ray indicates:

question

True

answer

X-ray helps confirm tube or catheter placement in correct position

question

Air, fat, water, bone

answer

4 tissue densities seen on an X-ray

question

air (lungs)

answer

Which would be considered radiolucent?

question

Bone, fluid in lungs, gastric bubble

answer

3 pieces of anatomy that we can readily identify on an xray

question

Air bronchograms

answer

Air filled airways surrounded by infiltrates will cause this look on an X-ray

question

Flattening of hemidiaphragms, narrowed mediastinum, increased AP diameter

answer

Signs of hyperinflation on an X-ray include:

question

25%

answer

What percent of mechanically ventilated patients develop pneumonia?

question

Source of pathogens, susceptible host, route of transmission

answer

Three elements must be present for infection to spread:

question

True

answer

Prevention bundles are used for multiple evidence based best practices to prevent device related infection

question

All microorganisms

answer

Sterilization destroys:

question

All microorganisms except spores

answer

Disinfection destroys:

question

Nebulizers, ventilator circuits, suction equipment, and stethoscope

answer

Respiratory care equipment that can spread pathogens include

question

Respiratory rate x Tidal volume

answer

Minutes ventilation is comprised of:

question

Mean lung volume

answer

The average amount of volume in the lung over one minute is called:

question

Continuous positive airway pressure

answer

What do the letters in CPAP stand for?

question

Ipap and Epap

answer

What are the 2 pressures used in bipap?

question

EPAP

answer

What is the main determinant of MLV and therefore most affects oxygenation?

question

IPAP

answer

What is the main determinant of tidal volume and therefore most affects ventilation?

question

False

answer

A reversible respiratory failure is not an indication for BiPAP

question

Irritation, inspiration, compression, expulsion

answer

A normal cough reflects includes which of the following phases:

question

Expiratory muscle contraction

answer

What occurs during the compression phase of a cough?

question

Increased exploratory flows

answer

Partial airway obstruction can result in all of the following except:

question

Irritation

answer

A patient recovering from anesthesia after abdominal surgery is having difficulty devolving an effective cough. Which of the following phases of the cough reflex are primarily affected in this patient?

question

Use of respiratory stimulants

answer

All of the following can impair mucociliary clearance in intimated patients except:

question

Foreign bodies, tumors, inflammation, bronchospasms

answer

Conditions that can affect airway patency and cause abnormal clearance of secretions include which of the following:

question

Muscular dystrophy

answer

Conditions that can lead to bronchiectasis include all of the following except:

question

Reverse the underlying disease process

answer

All of the following are goals of airway clearance therapy except:

question

Bronchiectasis, CF, chronic bronchitis

answer

Which of the following conditions are associate with chronic production of large volumes of sputum?

question

Prevent retained secretions in the acutely ill, maintain lung function in CF

answer

What are the best documents preventive uses of airway clearance therapy?

question

Number of prior surgical procedures

answer

When assessing the potential need for postoperative airway clearance for a patient, all of the following are relevant factors except:

question

Hematology results

answer

All of the following laboratory dats are essential in assessing a patients need for airway clearance therapy except:

question

Lack of sputum, labored breathing, fever, increase inspiratory and expiratory crackles

answer

Which of the following clinical signs indicate that a patient is having a problem with retained secretions?

question

Incentive spirometry

answer

All of the following are considered airway clearance therapies except:

question

Postural drainage therapy

answer

The application of gravity to achieve specific clinical objections in respiratory care best describes which of the following:

question

Pulmonary barotraumas

answer

Which of the following is not a hazard or complication of postural drainage therapy?

question

Orthopnea, unstable BP, cerebrovascular disorder, hypertension

answer

In which of the following patients would you consider modifying any head down positions uses for postural drainage?

question

Vital signs, auscultation

answer

Which of the following are mandatory components of the pre assessment for postural drainage?

question

3-15 minutes

answer

If tolerated, a specified postural drainage position should be maintained for at least how long?

question

Throughout expiration

answer

Properly performed chest vibration is applied at what point?

question

Acute asthma

answer

Directs coughing is useful in helping to maintain airway clearance in all of the following cases except:

question

High expiratory pleural pressures compress the small airways

answer

Strenuous expiratory efforts in some COPD patients limit the effectiveness of coughing. Why?

question

Having the patient phonate or huff during expiration

answer

Maintains an open glottis during coughing can help to minimize increase in pleural pressure:

question

All of the above

answer

A typical mechanical insufflation-exsufflation treatment session should continue until what point?

question

All of the above

answer

Which of the following are potential indications for positive airway pressure therapies?

question

Expiration against a variable flow resistance

answer

Best describes PEP therapy?

question

Oscillation

answer

Movement of small volumes of air back and forth

question

Postural drainage, percussion, and vibration

answer

Clearance technique for 15 month old CF patient

question

PDPV

answer

Infants with CF therapy

question

Repetitive, shallow breathing

answer

Major factor in the development of postoperative atelectasis

question

Those with pneumonia

answer

Groups of patients not as risk for developing postoperative atelectasis

question

Increasing the transpulmonary pressure gradient

answer

How do all modes of lung expansion therapy aid lung expansion?

question

Increase alveolar pressure, decrease pleural pressure

answer

How can the transpulmonary pressure gradient be increased?

question

Incentive spirometry

answer

Mode of lung expansion therapy that is physiologically most normal?

question

20cm H2O

answer

Minimum airway pressure at which to esophagus opens, allowing gas to pass directly into the stomach

question

Spontaneous respiratory rate

answer

Direct relationship between the degree to which atelectasis can prevent itself with a post operative patient

question

Compression atelectasis

answer

Persistent breathing at small tidal volumes can result in

question

All of the above

answer

Patient categories at high risk for developing atelectasis

question

Opacified area on the chest X-ray, Tachypnea, diminished or bronchial breath sounds

answer

Clinical finding indicate the development of atelectasis

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