Deck 15: Vital Signs, oxygen, chest Tubes, and Lines

Question 1

The objective of oxygen therapy is to

A) produce a condition of hypoxemia.
B) increase diaphragmatic movement to decrease tidal volume.
C) increase the CO₂ concentration going to the patient.
D) increase the O₂ concentration going to the patient.

Answer 1

D

Question 2

When "high-flow" oxygen therapy is given,the _____ method is used.

A) intracatheter
B) nasal cannula
C) nasogastric
D) air-entrainment mask

Answer 2

D

Question 3

The peak blood pressure reading,when measuring blood pressures,is

A) diastolic pressure.
B) systolic pressure.
C) blood pressure resulting from right ventricular contraction.
D) insignificant,as it does not truly indicate resting blood pressure.

Answer 3

B

Question 4

All of the following are true of oxygen therapy except

A) the universal color of flowmeters is green.
B) oxygen is considered a drug and is regulated by the government.
C) oxygen therapy can be prescribed by pharmacists and respiratory therapists.
D) oxygen delivery devices either have a low flow rate or a high flow rate.

Question 5

Body homeostasis is often referred to as the body's "steady state" and is maintained by important body systems using physiologic feedback loops.Vital signs are an excellent indicator of the body's response to conditions and therapies the patient is undergoing.A key strength of using vital signs as an indicator of homeostasis is that they

A) are subjective and subject to interpretation.
B) are measured using interventional catheters and therefore are very accurate.
C) can be assessed quickly,and the data revealed are objective.
D) can be confirmed by asking the patient how he or she feels.

Question 6

All of the following are true of body temperature measurement except

A) all temperatures should be the same,regardless of where the temperature is measured.
B) an oral temperature reading higher than 99.5° F indicates a fever.
C) temporal artery (TA)measurements can be measured in 3 seconds noninvasively.
D) rectal and TA measurement are typically 1° higher than oral readings.

Question 7

When taking a portable chest radiograph on a patient undergoing oxygen therapy,

A) it is safe to remove the oxygen delivery during the setup and exposure.
B) the oxygen should not be removed without the consent of a physician or respiratory care practitioner.
C) the oxygen should be turned off briefly during the exposure to prevent an electrical spark.
D) the oxygen delivery system should have a low flow rate only.

Question 8

Adequate breathing consists of

A) good respiratory rate.
B) good respiratory depth.
C) 10 to 12 breaths/min.
D) All of the above

Question 9

A patient who has a temporal artery temperature of 100° F is

A) febrile.
B) hyperthermic.
C) hypothermic.
D) normal.

Question 10

The term bradypnea is used to describe

A) a decrease in respiratory rate.
B) the depth of respiration.
C) difficulty in breathing.
D) absence of breathing.

Question 11

To measure blood pressures,you will need a

A) thermometer and otoscope.
B) stethoscope and pulse oximeter.
C) sphygmomanometer and otoscope.
D) stethoscope and sphygmomanometer.

Question 12

The flow rate of oxygen therapy is given in

A) liters per minute.
B) cubic meters per minute.
C) pounds per square inch.
D) cubic centimeters.

Question 13

In a patient with hypoxia,

A) heart rate decreases owing to high oxygen saturation values.
B) respiratory rate remains unchanged.
C) respiratory depth remains unchanged owing to increased cardiac output.
D) blood pressure increases.

Question 14

The collection of vital signs data is quick and noninvasive.The usual vital signs measured include

A) electrolytes,blood gases,urinalysis values.
B) temperature,pulse,respiration,and blood pressure.
C) temperature,blood pressure,blood gases,and bowel sounds.
D) respiration,pulse,cardiac output,and urinalysis values.

Question 15

The levels of blood pressures that are read on a sphygmomanometer are

A) systolic over diastolic.
B) diastolic over systolic.
C) arterial over venous.
D) None of the above

Question 16

A reliable device to measure oxygen saturation levels of arterial blood is a

A) sphygmomanometer.
B) stethoscope.
C) pulse oximeter.
D) spirometer.

Question 17

From the choices below,the most accurate way to determine body temperature is

A) taking a blood sample and recording its temperature.
B) with an oral thermometer.
C) with a rectal thermometer.
D) by using both an oral and a rectal thermometer and averaging the readings.

Question 18

All of the following are related except

A) nasal cannula.
B) facial mask.
C) thoracostomy tube.
D) tent and oxy hood.

Question 19

All of the following are related except

A) oral.
B) tympanic.
C) inguinal.
D) rectal.

Question 20

All of the following apply to respiratory measurements except

A) a single respiration cycle consists of an inspiration and an expiration.
B) the respiratory rate of newborns averages 12 to 20 breaths/min.
C) adult respiration quality refers to rhythm,depth,and degree of effort.
D) respiratory rates in children should be measured for at least one minute respiration measurements may alter if the patient is supine.

Question 21

The preferred location of a central venous line tip is the

A) superior vena cava.
B) inferior vena cava.
C) main pulmonary artery.
D) jugular vein.

Question 22

Thoracostomy tubes are used to

A) biopsy chest tumors.
B) reestablish negative intrapleural pressure.
C) administer oxygen at high concentrations.
D) administer chemotherapeutic drugs.

Question 23

A Swan-Ganz catheter differs from a central venous (CV)catheter in that Swan-Ganz

A) lines measure arterial pressures in the wedge position and reflect pressure in the left atrium.
B) catheters may be single-lumen or multilumen design,with a pressure electrode and cuff at the distal end.
C) catheters are named after Jeremy Swan and William Ganz developers.
D) All of the above are true.

Question 24

A patient is thought to have had a cardiac arrest.The patient's pulse should be checked at the _____ artery.

A) radial
B) temporal
C) carotid
D) femoral

Question 25

The ideal location of the endotracheal tube tip is

A) just below the junction of the esophagus and trachea.
B) in the left or right mainstem bronchus.
C) in the back of the throat.
D) in the trachea 1 to 2 inches above the carina.

Question 26

While performing a portable chest radiograph on an uncooperative patient with a CV line inserted,you note that the catheter fixation material has loosened.Your responsibility as a professional radiographer is to

A) quickly complete the exam as best you can,so as not cause any more harm.
B) reattach the catheter line and complete the exam.
C) take the chest image to assess the catheter tip position and its displacement.
D) inform the patient's nurse of the catheter issue before taking the radiograph.

Question 27

You have completed a portable chest radiograph on a patient in the ICU.The image is positioned correctly and has acceptable image quality.When the correct placement of a central venous (CV)line using a right-sided approach is assessed,the catheter tip should

A) not cross the midline of the patient and should be located in the superior vena cava.
B) cross the patient's midline and be positioned in the thoracic duct.
C) be located in the main pulmonary artery in a "wedge" position.
D) be located in the left ventricle for accurate pressure measurement.

Question 28

Which of the following is a common complication associated with CV line placement?

A) Pneumothorax or hemothorax
B) Tracheal erosion
C) Laryngedema
D) Atelectasis

Question 29

A Swan-Ganz catheter is

A) intended to measure venous pressure in the superior vena cava.
B) used to measure pulmonary wedge pressures.
C) also referred to as a PICC line.
D) None of the above

Question 30

To relieve a large tension pneumothorax,what kind of tube(s)is (are)inserted into the patient?

A) Nasogastric
B) Chest
C) Thoracostomy
D) Chest and Thoracostomy