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

Accepted Answer

Aerosolized medication therapy can include antiinflammatory agents to reduce inflammation, sympathomimetic agents to stimulate the sympathetic nervous system and open airways, and parasympatholytic agents to block the parasympathetic nervous system, also aiding in airway dilation.

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

Accepted Answer

Excessive bronchial secretions can lead to decreased ventilation/perfusion ratio due to blockage of airways, increased airway resistance due to the physical presence of secretions, and stimulation of the irritant reflex, which is a natural response to clear the airways of irritants such as excessive mucus. The deflation reflex is not directly related to bronchial secretions.

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

Accepted Answer

Bronchospasm leads to increased airway resistance due to the narrowing of the bronchial airways. A hyperresonant percussion note is often associated with conditions that increase air in the lungs, such as asthma or COPD, which can involve bronchospasm.

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

Accepted Answer

The patient's low pulse oximeter reading indicates hypoxemia, which necessitates oxygen therapy to improve oxygen saturation. Lung expansion therapy is also indicated to address atelectasis, which is likely given the patient's recent surgery and weak cough. Bronchopulmonary hygiene and aerosolized medication may not be immediately necessary without evidence of mucus plugging or specific respiratory conditions requiring medication.

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

Accepted Answer

The answer of Which of the following protocols would be...

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

Accepted Answer

The answer of Which of the following would be associated...

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

Accepted Answer

These techniques are part of the bronchopulmonary hygiene therapy protocol, aimed at helping to clear mucus from the airways.

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.

Accepted Answer

The severity assessment in a therapist-driven protocol (TDP) helps determine the frequency of performing a treatment modality, tailoring the treatment to the patient's current condition and needs.

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

Accepted Answer

Alveolar consolidation, such as that seen in pneumonia, leads to increased opacity on chest radiographs due to the filling of alveolar air spaces with fluid or other material. This process also decreases the functional residual capacity (FRC) because there is less air in the alveoli. Bronchial breath sounds are more evident over areas of consolidation due to the enhanced transmission of sound through the denser lung tissue. Hyperresonant percussion notes are associated with conditions that increase air in the chest, such as pneumothorax, not with consolidation.

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

Accepted Answer

Oxygen therapy is crucial for a patient experiencing an acute myocardial infarction (MI) to ensure adequate oxygenation of the heart muscle and other vital organs.

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.

Accepted Answer

A Therapeutic Diet Plan (TDP) can be initiated after receiving a physician's order, as it is a medical intervention that requires a doctor's directive to ensure it is appropriate and safe for the patient's condition.

Quiz 10: The Therapist-Driven Protocol Program

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

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

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

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?

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

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

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

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

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

A TDP can be started after: