Intro to Respiratory Care Final

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When observing a patient what 4 characteristics are we assessing about the patient?: Overall appearance, Mental status, Level of consciousness, Glasgow Coma Scale
What materials cannot be sterilized using an autoclave?: plastics
Sentinel Events: Mistakes that have caused harm already but can be used to design systemic approaches to avoid similar mistakes in the future
Name 9 commonly palpated arterial landmarks used for documenting a patients pulse.: Temporal, Carotid, Brachial, Radial, Femoral, Ulnar, Dorsalis pedis, Popliteal, Posterior tibial
A heart rate greater than 100 bpm indicates what condition?: Tachycardia
On the Glasgow Coma Scale a patient with a score of 3 has _____eye opening_____verbal and _____motor ability?: To speech, Inappropriate words, no coordinated elbow movement
What is the CRT Credental?: Entry Level Exam
Patient's laying on their back at a 90 degree raised position are in what position?: High Fowlers
A breath sound similar to snoring or whistling because of a narrowed airway due to partial obstruction and more pronounced during expiration is called?: Rhonchi
What is the normal Respiratory Rate for an adult?: 12-20 breaths per minute.
Who governs or accrediates healthcare organizations?: JACO
Patients laying on their back at a 45 degree raised position are in what position?: Fowlers
A patient in a delirious state will exhibit what 4 symptoms?: Confusion, Easily agitated, Irritable, Exhibits hallucinations
What local state organization is involved in legislation, continuing education and oversees Respiratory Care Board Licensure?: FSRC
Staphylococci bacteria are what shape?: clusters
On the Glasgow Coma Scale a patient with a score of 4 has _____eye opening_____verbal and _____motor ability?: Spontaneous, Confused, Attempts to withdraw from painful stimuli.
On the Glasgow Coma Scale a patient with a score of 5 has _____eye opening_____verbal and _____motor ability?: Yes, Oriented, Attempts to remove painful stimuli.
What are some ways medication errors occur?: Improperly set up pump, Unlicensed worker dispensing medications, Misreading physician's handwriting, Misreading packaging
What is used to extinguish a Class B fire?: CO2, Dry powder extinguisher
Broncho-Vesicular breath sounds are located____________and have a _________, __________ sound?: Major central airways, Medium pitched, moderately loud.
Name the 5 stages of Death and Dying: Denial, Anger, Bargining, Depression, Acceptance
Res Ipsa Loquitur means?: The thing speaks for itself.
Bleb: A superficial air cyst protruding into the pleura.
What is used to extinguish a Class A fire?: Water, fire extinguisher
What are the 4 major Vital Signs taken when assessing the patient?: Body temperature, Pulse, Respiratory rate, Blood pressure
What are 3 main ways infection is spread?: Aspiration of Secretions, Infected aerosol droplets, Bloodborne
During the patient interview what information will be critical for the Respiratory Care giver need to collect?: Patient's perspective of the problem, Background information, Specific questions, Clarification, Empathy, Interpret signs and symptoms
when a chest x-ray is taken a good film is best taken during__________?: Inspiration
Which organizaton actually gives the RRT Credential?: NBRC
What are the 3 most important characteristics in the analysis of a symptom?: Onset, Characteristics, Course.
Can Ethylene Oxide be used with all equipment?: yes
A Respiratory rate greater than 20 can be observed in patients under what conditions?: Exercise, Fever, Hypoxemia, Pain, Anxiety
Define Malpractice.: A form of negligence: Professional misconduct, unreasonable lack of skill, evil practice, unethical conduct.
Contact with infected persons or by sneeze or cough is what type of transmission?: Direct
What types of items constitute a Class C fire?: Electrical
What is the cold cycle temperature in F does Ethylene Oxide need to achieve to be considered sterelized?: 75-80
What types of items constitute a Class B fire?: Oil, Gas, Other liquids
What landmark on an x-ray lets you know the difference between the left or right lung?: the Cardiac notch
A heart rate less than 60 bpm indicates what condition?: Bradycardia
What National organization has lobbyist's and representatives in Washington and organizes continued Education for Respiratory Care Pratitioners?: AARC
Define Nonmalficence.: Obligates health care practitioner to never harm the patient and further actively prevent harm where possible.
On the Glasgow Coma Scale a patient with a score of 6 has _____eye opening_____verbal and _____motor ability?: Yes, Yes, Obeys simple commands.
During the patient interview what information will be critical for the Respiratory Care giver need to collect?: Patient's perspective of the problem, Background information, Specific questions, Clarification, Empathy, Interpret signs and symptoms
The bell of a stethoscope is best for___________?: Low pitched sounds
What 3 things should you note about the onset of a patients symptoms?: Date, Time, was it gradual or sudden.
Name 3, third party payment methods.: Private insurance, Government programs, Charitable Contributions
Define Sympathy: An intellectual understanding of a persons issue
Define Benevolent Deception.: Decision made to withhold the truth.
A patient displaying Lethargy exhibits what 3 symptoms?: Sleepy, Arouses easily, Responds appropriately when aroused
when a chest x-ray is taken a good film is best taken during__________?: Inspiration
Patient's laying flat on their back is in what clinical position?: Supine
Cidex is sporicidal after how many minutes?: 60
What should the Respiratory Care Practitioner determine about the course of a symptom?: Timing and Therapy
What cleaning practice destroys most microorganisms but not spores?: Disinfection
Ethylene Oxide is ineffective above what temperature in C?: 60
Who is the "Father" of inhalation therapy?: Beddoes
Errors in medication account for between________and _______ of these deaths annually?: 7,000 and 14,000
Is sterilization guaranteed with either Cidex or Sonacide?: no
What is the "Rule of Thumb," when looking at a patient's X-Ray?: Examine first, Name, date, and time.
What types of items constitute a Class A fire?: Wood, Paper, Cloth
What solution is bactericidal and fungicidal but not Sporacidal and must be at least 70% strength?: Alcohol
What must be done first before using Cidex?: Activate it
A heart rate less than 60 bpm indicates what condition?: Bradycardia
What is the aeration time in hours at room temperature, needed for equipment to dry, (in an aeration chamber) using ethylene oxide?: 8-12
What is used to extinguish a Class B fire?: CO2, Dry powder extinguisher
When observing a patient what 4 characteristics are we assessing about the patient?: Overall appearance, Mental status, Level of consciousness, Glasgow Coma Scale
Patients laying on their back with their feet above the level of their head are in what clinical position?: Trendelenburg
Vesicular or (alveolar) breath sounds are____________and are over most of the chest except for_________?: Low pitched-moderate sound, Major airways
Define DRG's.: Diagnosed Related Groups
What are the 4 major Vital Signs taken when assessing the patient?: Body temperature, Pulse, Respiratory rate, Blood pressure
What person discovered dephlogiscated air?: Priestly
Accidents in hospitals are caused by____________________________________?: Wet floors, Overloaded shelves, Patients left unattended, Bed rails, Frayed Electrical Cords, Failure to follow proper proceedure, Equipment in hallways
A civil wrong committed against an individual or property for which a court proved remedy for damages is called?: A Tort Law
When a patient is Febrile, what does this mean clinically?: Temperature is elevated above normal.
The diaphragm of a stethoscope is best for___________?: High pitched sounds
Handling articles by an infected person by food, money, ect..is what type of transmission?: Indirect
What infection control technique destroys all micro-organisms including spores?: Sterilization
What types of items constitute a Class C fire?: Electrical
ADE: Adverse Drug Events-injuries caused by drugs
Name 2 chemical methods of sterilization?: Steam Autoclave and Ethylene Oxide
Name the four "D's" of Negligence.: Duty, Derelict, Direct, Damage.
Crackles with short interrupted moist bubbling, heard mostly during inspiration is called?: Rales
Bacilli bacteria are what shape?: rod shaped
Bronchial breath sounds are located over_________and have a_________,_______sound?: Major central airways, High pitched, loud.
What should you ask the patient about the characteristics of their symptoms?: Quality, Consistency, Duration, Quantity, Location, Radiation, Intensity, aggravating factors, Relieving factors, Associated symptoms
On the Glasgow Coma Scale a patient with a score of 1 has _____eye opening_____verbal and _____motor ability?: None, None, None.
Patients with a Respiratory rate less than 12 breaths per minute exhibit what condition?: Bradypnea
Cidex is tuberculocidal after how many minutes?: 20
At what temperature and pressure and how much time must be reached in an Autoclave to achieve full sterilization?: 120*C and 15 PSI for 15 minutes
How far from the carina should the endotracheal tube be placed?: 5 centirmeters
What is Acetic Acid and what ratio with water is used to clean and rinse equipment?: Vinegar, 1:3
The bell of a stethoscope is best for___________?: Low pitched sounds
A patient that is obtunded exhibits?: Awakens only with difficulty, Responds appropriately when aroused
What organization is made up of independant physicians that review hospital care of "Medicare Patients"?: PRO, (Peer Review Organization)
Define the Principle of Veracity.: Binds the health care professional and patient to tell the truth.
On the Glasgow Coma Scale a patient with a score of 2 has _____eye opening_____verbal and _____motor ability?: To pain, Incomprehensible sounds, Elbow extension, wrist movement and shoulder rotation
Tracheal breath sounds are located over_________ and have a ______,_____sound: Trachea, High pitched, loud.
What is the aeration time in days at room temperature needed for equipment to dry using ethylene oxide?: 7
What should you ask the patient about the characteristics of their symptoms?: Quality, Consistency, Duration, Quantity, Location, Radiation, Intensity, aggravating factors, Relieving factors, Associated symptoms
What pH is Sonacide?: 2.5 - 3.5
Loud grating sounds in the chest that sound like "Creaky shoe leather," is called?: Pleural Friction Rub
Bacilli bacteria cause what diseases?: causes tuberculosis, tetanus
What is the normal adult pulse rate?: 60-100 bpm
Cocci bacteria are what shape?: round
A heart rate greater than 100 bpm indicates what condition?: Tachycardia
Sreptococci bacteria are what shape?: chains
Diplococci Bacteria are what shape?: pairs
What is the "Rule of Thumb," when looking at a patient's X-Ray?: Examine first, Name, date, and time.
Staphylococci bacteria cause what diseases?: boils, wound infections, toxic shock
What disease do Spirilla bacteria cause?: syphilis
Expoxure time using ethylene oxide in the "cold" cycle needs how many hours to be effective?: 6-12
Exposure time using Ethylene Oxide in the "warm" cycle needs how many hours to be effective?: 4
When a patient is Febrile, what does this mean clinically?: Temperature is elevated above normal.
On the Glasgow Coma Scale a patient with a score of 2 has _____eye opening_____verbal and _____motor ability?: To pain, Incomprehensible sounds, Elbow extension, wrist movement and shoulder rotation
Streptococci bacteria cause what diseases?: strep throat, rheumatic fever
During physical inspection of the patient, what are some of the physical signs will you be taking note of?: Symmetry of Chest Movement, Rate and depth of respirations, Pattern of breathing, A-P Diameter of the Thorax, Presence of abnormal thoracic activity (intercostals retractions), Use of Accessory muscles, Sputum Production
Who governs Educational Accreditation?: CoARC
What are the 3 most important characteristics in the analysis of a symptom?: Onset, Characteristics, Course.
It is estimated that as many as _________deaths result from medical errors each year in the US?: 98,000
Spirilla bacteria are what shape?: Corkscrew
What are the 5 rights?: Right Drug, Right Dose, Right Patient, Right Time, Right Route
Sources of medication errors include____________________?: Preparation, Dispensing and Administraton, System failure, Supervision
Broncho-Vesicular breath sounds are located____________and have a _________, __________ sound?: Major central airways, Medium pitched, moderately loud.
On the Glasgow Coma Scale a patient with a score of 6 has _____eye opening_____verbal and _____motor ability?: Yes, Yes, Obeys simple commands.
Diplococci bacteria cause what diseases?: gonorrhea, meningitis, pneumonia
Vesicular or (alveolar) breath sounds are____________and are over most of the chest except for_________?: Low pitched-moderate sound, Major airways
A patient that is comatose exhibits what symptoms?: Is unconscious, Does not respond to stimuli, Does not exhibit voluntary movement, Exhibits possible signs of upper motor neuron dysfunction, Loss of reflexes with deep or prolonged coma
What organization governs and gives out the Florida State Licensure?: MQA
Tracheal breath sounds are located over_________ and have a ______,_____sound: Trachea, High pitched, loud.
PADE: Potential Adverse Drug Event-errors could have but did not cause harm
What pH is Cidex?: 7.5 - 8.5
A patient in the confused state exhibits what 4 symptoms?: Exhibits slight decrease of consciousness, Is slow in mental responses, Has decreased or dulled perception, Is incoherent in thought
What landmark on an x-ray lets you know the difference between the left or right lung?: the Cardiac notch
What is the normal adult pulse rate?: 60-100 bpm
What are the 3 assessment skills used when caring for the patient?: Observation and Inspection, Interviewing, Measuring vital signs
What is the warm cycle temperature in C does Ethylene Oxide need to achieve to be considered sterelized?: 50-56
What cleaning method mechanically removes micro-organism and may destroy some micro-organisms?: Sanitization
Bleb: A superficial air cyst protruding into the pleura.
Bronchial breath sounds are located over_________and have a_________,_______sound?: Major central airways, High pitched, loud.
What is the normal Respiratory Rate for an adult?: 12-20 breaths per minute.
Define Beneficence.: Go beyond not doing harm and actively contribute to the health of patients served.
A Respiratory rate greater than 20 can be observed in patients under what conditions?: Exercise, Fever, Hypoxemia, Pain, Anxiety
A patient who is Febrile will manifest what physiological effects?: Increase in metabolic rate, Increased oxygen consumption, Increased CO2 production.
What is used to extinguish a class C fire?: CO2, Dry powder extinguisher
How far from the carina should the endotracheal tube be placed?: 5 centirmeters
Who discovered oxygen in (1774)?: Lavoisier
What 3 things should you note about the onset of a patients symptoms?: Date, Time, was it gradual or sudden.
On the Glasgow Coma Scale a patient with a score of 3 has _____eye opening_____verbal and _____motor ability?: To speech, Inappropriate words, no coordinated elbow movement
A patient that exhibits characteristics of being stuporous acts in what manner?: Does not completely awaken, Has decreased mental and physical activity, Is slow to respond to verbal stimuli
Infusion pump: An automated route that provides administration of medication to a patient through infusion
During physical inspection of the patient, what are some of the physical signs will you be taking note of?: Symmetry of Chest Movement, Rate and depth of respirations, Pattern of breathing, A-P Diameter of the Thorax, Presence of abnormal thoracic activity (intercostals retractions), Use of Accessory muscles, Sputum Production
On the Glasgow Coma Scale a patient with a score of 4 has _____eye opening_____verbal and _____motor ability?: Spontaneous, Confused, Attempts to withdraw from painful stimuli.
What are the 3 assessment skills used when caring for the patient?: Observation and Inspection, Interviewing, Measuring vital signs
Nosocomial infections are mostly aquired where?: Hospital
Patients with a Respiratory rate less than 12 breaths per minute exhibit what condition?: Bradypnea
The diaphragm of a stethoscope is best for___________?: High pitched sounds
Define Empathy: Emotional understanding of a persons issue.
Name 9 commonly palpated arterial landmarks used for documenting a patients pulse.: Temporal, Carotid, Brachial, Radial, Femoral, Ulnar, Dorsalis pedis, Popliteal, Posterior tibial
What is used to extinguish a class C fire?: CO2, Dry powder extinguisher
Give an example of a Halogen and what is the ratio with water is it mixed?: Chlorine, 1:10
cidex is bactericidal after how many minutes?: 10
Absent breath sounds can indicate what conditions of a patient?: Death, pneumothorax, severe emphysema, severl obese, broken stethoscope.
Patients laying on their back at a 20 degree raised position are in what position?: Semi-Fowlers
A patient who is Febrile will manifest what physiological effects?: Increase in metabolic rate, Increased oxygen consumption, Increased CO2 production.
What is th ongoing process used to monitor quality of infection control?: Surveillance program
A patient has marked respiratory distress and when you listen to their breath sounds you hear a high pitched tone both during inspiration and expiration, what is this breath sound called?: Stridor
What should the Respiratory Care Practitioner determine about the course of a symptom?: Timing and Therapy
On the Glasgow Coma Scale a patient with a score of 5 has _____eye opening_____verbal and _____motor ability?: Yes, Oriented, Attempts to remove painful stimuli.
Patient's laying face down on their belly are in what clinical position?: Prone

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