Deck 10: The Therapist-Driven Protocol Program

Question 1

According to the aerosolized medication therapy protocol, the respiratory therapist may select medications from which of the following categories?
1) Antiinflammatory agents
2) Sympathomimetic agents
3) Parasympatholytic agents
4) Antimicrobial agents

A)1
B)2, 3
C)2, 3, 4
D)1, 2, 3

Answer 1

1, 2, 3

Question 2

Which of the following pathophysiologic mechanisms would be expected in the excessive bronchial secretions clinical scenario?
1) Decreased ventilation/perfusion ratio
2) Increased airway resistance
3) Stimulation of the deflation reflex
4) Stimulation of the irritant reflex

A)1, 2
B)1, 4
C)1, 2, 3
D)1, 2, 4

Answer 2

1, 2, 4

Question 3

Which of the following are associated with the bronchospasm clinical scenario?
1) Increased airway resistance
2) Decreased FRC
3) Bronchial breath sounds
4) Hyperresonant percussion note

A)2, 3
B)1, 4
C)3, 4
D)1, 3, 4

Answer 3

1, 4

Question 4

An obese patient had upper abdominal surgery 2 days earlier. He has a weak nonproductive cough and a pulse oximeter (SpO₂) reading of 84% on room air. Which therapist-driven protocols should be implemented?
1) Bronchopulmonary hygiene therapy
2) Lung expansion
3) Oxygen therapy
4) Aerosolized medication therapy

A)1, 2
B)3, 4
C)2, 3
D)1, 3, 4

Question 5

Which of the following protocols would be indicated when a patient with increased alveolar-capillary membrane thickening has increased opacity on the chest radiograph, bronchial breath sounds, and a dull percussion note?

A) Aerosolized medication protocol
B) Lung expansion protocol
C) Oxygen therapy protocol
D) Bronchopulmonary hygiene protocol

Question 6

Which of the following would be associated with the distal airway and alveolar weakening clinical scenario?
1) Depressed diaphragm on chest radiograph
2) Use of accessory muscles of inspiration
3) Rhonchi and wheezing
4) Increased PEFR

A)1, 2
B)1, 3
C)1, 2, 3
D)1, 3, 4

Question 7

Postural drainage, percussion, and vibration are part of what TDP?

A) Lung expansion protocol
B) Bronchopulmonary hygiene therapy protocol
C) Aerosolized medication therapy protocol
D) Oxygen therapy protocol

Question 8

When performing a therapist-driven protocol (TDP), the severity assessment determines:

A) the frequency of performing a treatment modality.
B) the baseline dyspnea index.
C) the number of hospital days covered by the insurance carrier.
D) how urgently the physician wants the patient treated.

Question 9

Which of the following are associated with the alveolar consolidation clinical scenario?
1) Increased opacity on the chest radiograph
2) Decreased FRC
3) Bronchial breath sounds
4) Hyperresonant percussion note

A)1, 3
B)2, 4
C)1, 2, 3
D)2, 3, 4

Question 10

When a patient has an acute MI, which of the following protocols should the respiratory therapist initiate?

A) Hyperinflation therapy protocol
B) Oxygen therapy protocol
C) Bronchopulmonary hygiene therapy protocol
D) Aerosolized medication therapy protocol

Question 11

A TDP can be started after:

A) the nurse finishes his/her assessment.
B) the treatment option is selected.
C) a physician's order for the TDP is received.
D) authorization is received from the patient's insurance carrier.