An adult patient with bilateral pneumonia is receiving mechanical ventilation in the VC, A/C mode. The patient’s peak airway pressure is 55 cm H20 with a plateau pressure of 47 cm H20. PEEP is set at 7 cm H20. Ths patient developed a pneumonthorax in the right lung. A chest tube was inserted and there is an air leak. What should the respiratory therapist recommend?

A 45-year-old patient is receiving 10 cm H20 CPAP by face mask and sitting in the semi-Fowler’s position. Whe the patient is assessed, the trachea is seen to be deviated to the right and there are no breath sounds over the left side. What could be the cause?

During a thoracentasis procedure for removal of fluid from the right pleural space, what is the best position for a cooperative, mobile patient?

A patient has been found to have a Clostridium tetani (tetanus) infection. What should be recommended to kill all microorganisms that could be found on any respiratory care equipment?

A patient with COPD and congestive heart failure has been treated with supplemental oxygen, digoxin (lanoxin) and, furosemide (lasix). His electrocardiogram is now showing flattened T waves. What should the respiratory therapist recommended to evalute this change in his condition?

A 25-yer-old female patient weighing 60 kg (132 lb) was mechanically ventilated after an accidental overdose of sleeping pills. She is now awake and alert and has been breathing on a T-piece for the past hour. Her vital signs and spirometry results follow: Heart rate 79 Blood pressure 122/80 mm Hg Respiratory rate 14 Vt 450 ml VC 2100 ml While the patient is breathing 30% O2, her ABG analysis show the following: pH 7.41 PaCO2 38 torr PaO2 115 torr HCO3- 24 mEq/L BE 0 mEq/L What should be recommended?

An adult patient is suspected of having a pneumothorax. If true, aucultation will reveal which of the following breath sounds?

A patient with an endotracheal tube is ordered to have 35% O2 delivered. Equipment includes an air-entrainment (jet0 large-volume nebulizer, aerosol tubing, and a T-piece. What can the respiratory therapist do to ensure that the O2 percentage is delivered and humidified is maximized?

A patient with uncontrolled seizures will be given a paralytic medication and placed onto a mechanical ventilator. Which of the following medications should be selected?

A patient with thick secretions and pneumonia has just been intubated. What should the respiratory therapist recommend for humidification purposes?