Clinical Assessment Study Set 1
Quiz 4 :
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A 42-year-old male patient with a history of poorly controlled asthma is seen in the emergency department by the respiratory therapist (RT). The patient is seated in a chair and clearly is in extreme respiratory distress, with inspiratory and expiratory wheezing throughout. He reports that he has had a fever for the past 2 days and has eaten and drunk very little. He also reports some chest pain, and his blood pressure is 95/55 mm Hg. At one point, the patient stands to move from the chair to the stretcher and has an episode of syncope. The differential diagnosis for this patient should include which of the following?
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An RT is called to the emergency department on New Year's Eve to assist in the treatment of a 5-year-old child pulled from under the ice of a local pond. When the child arrives, he has been intubated and has a weak, irregularly irregular pulse of 55 beats/min, no spontaneous respiratory effort, and a body temperature of 30° C. The normal practice in this hospital is to use heat-moisture exchangers (HMEs) for all mechanically ventilated patients. Which of the following should the therapist suggest for the ventilator setup?
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An RT has just finished administering an aerosol treatment by a small-volume nebulizer to a patient who has a serious case of pneumonia. For the past 24 h, the patient has had a fever of 39 to 40° C. Just as the therapist is finishing, a nursing aide comes in to record the vital signs. She uses an electronic thermometer to record an oral temperature of 36.5° C and comments to the patient, "Well, Mr. Jones, you must be getting better because your fever is completely gone." The therapist should: