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(Download PDF) Clinical Manifestations and Assessment of Respiratory Disease 7th Edition Jardins Test Bank Full Chapter
(Download PDF) Clinical Manifestations and Assessment of Respiratory Disease 7th Edition Jardins Test Bank Full Chapter
(Download PDF) Clinical Manifestations and Assessment of Respiratory Disease 7th Edition Jardins Test Bank Full Chapter
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Chapter 10: Respiratory Failure and the Mechanical Ventilation Protocol
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 7th
Edition
MULTIPLE CHOICE
2. All of the following are contraindications for noninvasive ventilation (NIV) EXCEPT:
a. facial and head trauma.
b. community-acquired pneumonia.
c. copious, viscous sputum.
d. severe upper GI bleeding.
ANS: B
Community-acquired pneumonia is an indication for NIV. NIV would not be recommended
for patients with facial and head trauma, large amounts of secretions or thick secretions, or
upper GI bleeding.
4. Which of the following is a critical value for the key clinical indicators in hypercapnic
respiratory failure in an adult?
1. pH 7.25
2. Ventilatory rate 35 breaths/min
3. MIP −25 cm H2O
4. VD/VT 40%
a. 1
b. 2
c. 1, 2
d. 3, 4
ANS: C
In an adult, a respiration of more than 30 or fewer than 10 breaths per minute may be a key
clinical indicator of hypercapnic ventilatory failure.
5. What effect would a pulmonary embolism have on the VD/VT and the / ratios?
a. The VD/VT would increase and the / would decrease.
b. The VD/VT would decrease and the / would increase.
c. The VD/VT and the / ratios would both increase.
d. The VD/VT and the / ratios would both decrease.
ANS: D
A pulmonary embolism would reduce or block blood flow to a portion of the lungs. The
alveoli would be ventilated but not perfused in the affected area, resulting in an increased /
ratio. The ventilation in nonperfused alveoli is “wasted,” so the VD/VT ratio would also
increase.
REF: p. 145
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