When a respiratory therapist is assessing with the insertion of a nasal endotracheal tube, the following should be done: 1. Hyperoxygenation should be performed before the intubation is attempted 2. A curved blade should be attached to the laryngoscope handle to lift the epiglottis 3. The head and neck should be put into the sniffing position 4. Apnea periods should be limited to 30 seconds for each intubation attempt 5. A stylet should be inserted into the endotracheal tube

An adult patient is being set up for mask CPAP for the treatment of obstructive sleep apnea. The ordered CPAP level is not being maintained. What should the respiratory therapist do?

A patient is receiving pressure-controlled ventilation. The physician asks the respiratory therapist to intrepret the following patient information: 10 AM 2 PM Exhaled tidal volume 800 ml 650 ml Respiratory rate 12/min 12/min Peak pressure 40 cm H20 40 cm H20 PEEP 7 cm H20 7 cm H20 How should this information be intrepreted?

A patient’s tuberculosis skin test is reactive. A solution of 1.8% saline is nebulized to induce a productive cough and get at sputum sample. After the treatment is over, the respiratory therapist auscultates the patient and notices diffuse wheezing. How should this information be interpreted?

In which of the following clinical situations should independent lung ventilation be recommended?

An adult patient has been receiving mechanical ventilation for several days because of a head injury with cerebral edema. A heat and moisture exchanger has been in use, and pulmonary secretions have been mimimal. Over the past 12 hours, the peak pressure has been noted to increase gradually, while the plateau pressure remains unchanged. What should be recommended?

An 85-kilogram (187 lb) male patient with head trauma and increased intracranial pressure is receiving mechanical ventilation. The following data are available: Mode VC, A/C FiO2 40% Rate 12 Vt 600 ml PEEP 5 cm H20   pH 7.39 PaCO2 42 torr PaO2 95 torr HCO3 24 mEq/L BE 0 mEq/L The physician asks for recommendations. The respiratory therapist should recommend that the respiratory rate be

A patient diagnosed with Pseudomonas pneumonia is having her respiratory care equipment changed. Her nondisposable large-volume nebulizer must be disinfected. What is teh best way to do this?

A patient was found unconscious in a parked car in a closed garage with the engine running and is being evaluated in the Emergency Department. A pulse oximeter on a finger on the left hand shows an SPO@ of 93%. An ABG sample drawn from the right radial artery and analyzed through a CO-oximeter shows an SaO2 fo 73%. What is the most likely explanation for the different values?

During teh course of an optimal PEEP study, an adult patient receives a Vt of 800 ml on the ventilator. Based on the data, which of the following would result in the best static compliance? Plateau pressure (cm H20) PEEP (cm H20) A. 35 0 B. 40 4 C 42 8 D. 43 12