問題一覧
1
Which types of medications alter the gel layer?
Mucolytics
2
Bronchial smooth muscle is located in the adventitia.
True
3
The volume or thickness of mucus can be increased with asthma.
True
4
Surfactant is produced by which of the following types of pneumocytes?
Type III
5
Mucolytics are a type of medication can be administered to alter the consistency of the gel layer.
True
6
Which of the following terms means that the solution’s sodium content is less than that found within the body?
Hypotonic saline
7
Which types of medications improve ciliary activity?
Sympathomimetic bronchodilators and corticosteroids
8
Which of the following is NOT a role of the mucociliary system?
Removal of inhaled debris from alveoli through ciliary action
9
The purpose of surfactant is to reduce surface tension.
True
10
The airway is made up of two layers.
True
11
Which of the following are considered antitussives? I. Codeine II. Dextromethorphan III. Guaifenesin IV. Potassium iodide
I and II
12
Mucus is intended to dry the airways.
False
13
All of the following are methods for delivering liquid particles of water to the lung EXCEPT _____.
humidifiers
14
Which of the following are responsible for the primary mucus production within the lungs? I. Goblet cells II. Bronchial glands III. Type I pneumocytes IV. Type II pneumocytes
I and II
15
Which of the following can increase the volume or thickness of mucus?
Chronic bronchitis
16
Acetylcysteine will NOT alter the consistency of the gel layer.
False
17
For which of the following reasons has it been found that SRT is more beneficial in the treatment of RDS than ARDS?
Surfactant deficiency is mostly associated with RDS.
18
After production, where is pulmonary surfactant stored?
Lamellar bodies
19
9% saline is a hypotonic solution.
False
20
Which medication can be given to counter ingestion of an entire bottle of Tylenol®?
Acetylcysteine
21
Which of the following is a potential adverse reaction associated with the administration of acetylcysteine? I. Bronchospasm II. Rhinorrhea III. Bronchorrhea IV. Stomatitis
I, II, III, and IV
22
Which of the following is an example of an isotonic solution?
0.9%
23
The PARI neb is primarily used with which medication?
Dornase alfa
24
Which is NOT a means of secretion management?
Increasing the number of bronchial glands
25
Expectorants can increase the depth of the sol layer.
True
26
Stomatitis is a potential complication due to the administration of acetylcysteine agent.
True
27
Into which of the following categories does dextromethorphan fall?
Antitussive
28
If you were to perform sputum induction, which of the following solutions would you select?
0.5% saline
29
Acetylcysteine is a mucolytic.
True
30
Which of the following best describes the reason for maintaining proper hydration of the respiratory system?
Defend against disease and dehydration
31
Infasurf® is to be given to a 2 kg patient. How much should be given?
6 ml
32
Which of the following devices should NOT be used for treating infants?
Ultrasonic nebulizer
33
The gel and sol layers make up the mucosal blanket.
True
34
The initial dose of Curosurf® (poractant alfa) is?
2.5ml/kg birthweight
35
Surfactant is administered in how many aliquots?
4
36
How much mucus is produced by the goblet cells and bronchial glands daily?
100 ml
37
Which patients would benefit the most from aerosolized hypertonic saline?
Those with cystic fibrosis
38
Surfactant is produced by lamellar bodies.
True
39
All EXCEPT which of the following are used to administer surfactant?
MDI spacer
40
Using which of the following can contribute to mucus clearance from the airways by altering the water content of the mucus?
Normal saline
41
What produces the most mucus in the airways?
Bronchial glands
42
Pulmozyme® is often given to cystic fibrosis patients.
True
43
Which of the following statements is TRUE concerning the difference between sterile water and distilled water? I. Sterile water contains additives with bacteriostatic properties. II. Sterile water is an isotonic solution. III. Distilled water is an isotonic solution. IV. Distilled water is considered to be both sterile and pure.
I and IV
44
A patient with hyperreactive airways is to receive a bland aerosol treatment with an ultrasonic nebulizer. Which of the following solutions would cause the least irritation?
Hypotonic saline
45
The MetaNebTM is a therapeutic adjunct that can be utilized to administer intrapulmonary percussive ventilation.
True
46
Surfactant is produced by the type II pneumocyte.
True
47
Which of the following can cause impaired ciliary activity? I. Dehydration II. Thick mucus III. High concentrations of FiO2 IV.Endotracheal tubes
I, II, III, and IV
48
Hypertonic is a type of solution that you would select if you were ordered to perform sputum induction.
True
49
Which of the following laws could be used to describe surface tension?
LaPlace’s
50
Which of the following produces surfactant?
Type II pneumocytes
51
Guaifenesin is an expectorant.
True
52
The sol layer contains the cilia.
True
53
When surfactant replacement therapy is given because the onset of RDS is likely or expected, what type of SRT administration is this considered?
Prophylactic
54
Ciliary activity is impaired by which of the following?
Endotracheal tubes
55
Into which of the following categories does guaifenesin fall?
Expectorant
56
Dextromethorphan is an expectorant.
False
57
Goblet cells and bronchial glands produce 1,000 ml of mucus a day.
True
58
Which of the following would you NOT do for someone with thick, retained secretions who is currently receiving oxygen therapy?
Administration of an antitussive, such as dextromethorphan
59
Cystic fibrosis does increase the volume and/or thickness of mucus.
False
60
COPD, Cystic fibrosis, Asthma, and Pneumonia are a disease process that increases either the volume or thickness of mucus.
True
61
Sputum induction can be achieved with hypertonic saline administration.
True
62
Surfactant increases surface tension.
True
63
The cilia are found in which layer of the airways?
Mucosa
64
All of the following are ways in which an expectorant is thought to work EXCEPT _____.
breaking disulfide bonds in the mucus
65
Surfaxin can be administered up to four times.
True
66
Sterile water is free of microorganisms but contains additives.
True
67
Which of the following solutions is best used for sputum induction?
Hypertonic saline
68
A solution containing the same relative salt content as the human body is best described as isotonic solution.
True
69
When giving surfactant, how many aliquots is the calculated dose of exogenous surfactant divided into for administration?
4
70
Synthetic surfactants can be described as which of the following? I. Exogenous II. Containing proteins SP-B and SP-C III. Free of infection and foreign proteins
I and III
71
0.9% characterizes an isotonic solution.
True
72
Which of the following is NOT caused in the airways by repeated, prolonged exposure to irritants?
Decreased mucus production
73
All of the following would occur when bypassing the upper airway by placing an endotracheal tube EXCEPT _____.
improved ciliary action
74
The third dose of poractant alfa (Curosurf®) is 1.25ml/kg birth weight.
True
75
All of the following are false concerning sterile water EXCEPT _____.
it is free of microorganisms and may contain additives to make it bacteriostatic
76
Sympathomimetic bronchodilators and corticosteroids will improve ciliary activity.
True
77
Acetylcysteine smells like rotten eggs.
True
78
Which of the following is the most cost-effective and readily available means of maintaining mucokinetics?
Water
79
Surfactant replacement therapy requires which of following guidelines for proper administration? I. Placement of an endotracheal tube into the infant’s airway II. Suction of the infant prior to surfactant administration III. Having an infant remain in the supine position during instillation
I and II
80
Ciliary activity can be improved by the administration of sympathomimetics and corticosteroids.
True
81
Which of the following conditions is Pulmozyme® used for?
Cystic fibrosis
82
Which is NOT a normal function of mucus in the healthy lung?
Obstructing the airway
83
Which of the following can be given to increase the depth of the sol layer?
Water or saline solution and expectorants
84
You have administered surfactant. The patient is now hyperoxemic and hypocapnic. Which of the following best explains the clinical findings?
Increase in VT due to improved CL
85
Which of the following is NOT considered to be a hazard associated with the administration of surfactant?
Decreased surface tension
86
Distilled water contains no additives.
True
87
The manufacturer recommends using which of the following for the administration of Pulmozyme®?
Marquest Acorn II
88
All of the following are naturally modified surfactants EXCEPT _____.
Surfaxin
89
For which of the following are antitussive medications indicated?
Dry, hacking, nonproductive cough
90
The Mucosa, Submucosa, and Adventitia are the three layers that make up the airway.
True
91
Which of the following is an indication for the lack of surfactant prior to 34 weeks of gestation?
Immature type II pneumocytes
92
You receive a call from the attending physician of a 68-year-old patient with chronic bronchitis. The physician reports that the patient has very thick secretions that she is unable to remove from her airway. He asks for your recommendations. The drug most indicated for this patient is _____.
acetylcysteine
93
The layer in the mucosal blanket that contains the cilia is called the sol layer.
True