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1
A 2 year-old female is brought to the hospital pediatric clinic after her mother called for a same day appointment. She states that her daughter has another repiratory infection, the fourth one in the past 10 months. The mother also states this infection seems to be different because she's noticed there's a salty taste when she kisses her daughter. The physician assistant has begun the patient's assessment but is called away to see an emergency case. The clinic supervisor asks the respiratory therapist to continue with the assessment of the child. You are a respiratory care student assigned to work with the therapist who will be your clinical instructor. \n \n You and your instructor arrive in the patient's room to continue the assessment. Your instructor asks you what should be evaluated at this time. Which of the following assessments would you include?
General appearance, height, weight, nasal polyps, temperature, chest auscultation, history of present illness, heart rate, respirations, bowel movement, abdominal palpation, chest radiograph
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2
Your instructor asks you what you suspect is wrong with the child. You would respond that the child most likely has:
\-Cystic Fibrosis
\-Bronchiectasis
\-Pneumonitis
\-Atelectasis
\-Gastreosophageal Reflux Disease
cystic fibrosis
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3
Your instructor asks what diagnostic testing would be appropriate to order at this time. Which of the following would you select?
\-Sweat Chloride Testing
\-Sputum culture
\-CT Scan
\-Genetic testing
\-Esophageal pH testing
sweat chloride testing
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4
The sweat chloride test shows a result of 80 mEq/L. Your instructor asks you what this level indicates. Your response would be that the results are:
\-Diagnostic for cystic fibrosis
\-Not definitive.
\-Within normal limits.
\-Diagnostic for croup
\-Diagnostic for pneumonia
diagnostic for cystic fibrosis
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5
The physician informs the parents that their child has a confirmed diagnosis of cystic fibrosis. The physician asks your instructor to develop a care plan for the patient. Your instructor asks for your recommendations. Which of the following would you include in the plan?
\-Beta2 therapy via SVN
\-Postural draining and percussion
\-Vitamin A, D, E, and K supplements
\-High fat, high protein diet
\-Daily penicillin tablets
\-Lung transplantation
\-Gene therapy
Beta 2 therapy via SVN, postural drainage, percussion, vitamin A, D, E, and K supplements, high fat, high protein diet
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6
The parents explain that while they are at work the grandparents take care of the child. The grandparents are elderly and the parents are afraid they will not be able to perform postural drainage and percussion. Your instructor asks you if you can think of anything else that would be easier for the grandparents to utilize. Which of the following would you recommend?
\-High frequency chest wall oscillator
\-Autogenic drainage
\-Flutter valve
\-Nasal CPAP
\-Non-invasive positive pressure therapy
high frequency chest wall oscillator
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7
The sputum culture results are available and show that the child has psuedomonas aeruginosa. Which of the following drug groups would you recommend to treat the infection?
\-Aminoglycoside
\-Anticholinergic
\-Catecholamine
\-Cephalosporin
\-Glucocorticoid
Aminoglycoside
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8
Your instructor asks you what should be suspected as the cause of the child having a psuedomonas infections. Which of the following do you believe is the most likely cause of the infection?
\-Dirty furnace filters
\-Cockroaches in the home
\-Sandbox in the backyard
\-IV line insertion point
\-Humidifiers in the home
humidifiers in the home
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9
According to the care plan, the child will be sent home with orders for 24% oxygen via nasal cannula and inhaled tobramycin. Your instructor asks you to instruct the parents on how to keep the small volume nebulizer (SVN) clean. Which of the following solutions would you recommended as part of the cleaning regimen at home?
\-Acetic acid
\-Alkaline glutaraldehyde
\-Diluted bleach
\-Baking soda
\-Hydrogen peroxide
hydrogen peroxide
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10
It is now time for the patient to have their antibiotic nebulizer treatment. Your instructor asks you to go set up for the treatment. As you enter the patient's room the nurse assistant follows you in to prepare Sally for her bath. The nurse assistant tells you that she is on a tight schedule and that she must give Sally her bath right now. She says that she cannot wait until you are finished with the treatment. You explain how important it is for the treatment to be given on time but the nurse assistant insists that she bathe the child first. How would you handle this situation?
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Flashcard (127)