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ch. 6
  • Darya Rose

  • 問題数 93 • 9/28/2023

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    問題一覧

  • 1

    Which of the following is the most cost-effective and readily available means of maintaining mucokinetics?

    Water

  • 2

    Which of the following is NOT a role of the mucociliary system?

    Removal of inhaled debris from alveoli through ciliary action

  • 3

    Ciliary activity is impaired by which of the following?

    Endotracheal tubes

  • 4

    Which is NOT a normal function of mucus in the healthy lung?

    Obstructing the airway

  • 5

    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

  • 6

    How much mucus is produced by the goblet cells and bronchial glands daily?

    100 ml

  • 7

    All of the following would occur when bypassing the upper airway by placing an endotracheal tube EXCEPT _____.

    improved ciliary action

  • 8

    What produces the most mucus in the airways?

    Bronchial glands

  • 9

    Which of the following is NOT caused in the airways by repeated, prolonged exposure to irritants?

    Decreased mucus production

  • 10

    Which is NOT a means of secretion management?

    Increasing the number of bronchial glands

  • 11

    Which of the following can increase the volume or thickness of mucus?

    Chronic bronchitis

  • 12

    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

  • 13

    Which types of medications alter the gel layer?

    Mucolytics

  • 14

    Which of the following can be given to increase the depth of the sol layer?

    Water or saline solution and expectorants

  • 15

    The cilia are found in which layer of the airways?

    Mucosa

  • 16

    Which types of medications improve ciliary activity?

    Sympathomimetic bronchodilators and corticosteroids

  • 17

    Which of the following terms means that the solution’s sodium content is less than that found within the body?

    Hypotonic saline

  • 18

    All of the following are methods for delivering liquid particles of water to the lung EXCEPT _____.

    humidifiers

  • 19

    Which of the following devices should NOT be used for treating infants?

    Ultrasonic nebulizer

  • 20

    Using which of the following can contribute to mucus clearance from the airways by altering the water content of the mucus?

    Normal saline

  • 21

    Which of the following solutions is best used for sputum induction?

    Hypertonic saline

  • 22

    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

  • 23

    Which patients would benefit the most from aerosolized hypertonic saline?

    Those with cystic fibrosis

  • 24

    If you were to perform sputum induction, which of the following solutions would you select?

    0.5% saline

  • 25

    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

  • 26

    Which of the following is an example of an isotonic solution?

    0.9%

  • 27

    All of the following are false concerning sterile water EXCEPT _____.

    it is free of microorganisms and may contain additives to make it bacteriostatic

  • 28

    The manufacturer recommends using which of the following for the administration of Pulmozyme®?

    Marquest Acorn II

  • 29

    The PARI neb is primarily used with which medication?

    Dornase alfa

  • 30

    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

  • 31

    Which medication can be given to counter ingestion of an entire bottle of Tylenol®?

    Acetylcysteine

  • 32

    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

  • 33

    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

  • 34

    Which of the following conditions is Pulmozyme® used for?

    Cystic fibrosis

  • 35

    All of the following are ways in which an expectorant is thought to work EXCEPT _____.

    breaking disulfide bonds in the mucus

  • 36

    Into which of the following categories does guaifenesin fall?

    Expectorant

  • 37

    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

  • 38

    For which of the following are antitussive medications indicated?

    Dry, hacking, nonproductive cough

  • 39

    Which of the following are considered antitussives? I. Codeine II. Dextromethorphan III. Guaifenesin IV. Potassium iodide

    I and II

  • 40

    Into which of the following categories does dextromethorphan fall?

    Antitussive

  • 41

    Which of the following best describes the reason for maintaining proper hydration of the respiratory system?

    Defend against disease and dehydration

  • 42

    Which of the following produces surfactant?

    Type II pneumocytes

  • 43

    Surfactant is produced by which of the following types of pneumocytes?

    Type III

  • 44

    Which of the following laws could be used to describe surface tension?

    LaPlace’s

  • 45

    After production, where is pulmonary surfactant stored?

    Lamellar bodies

  • 46

    Which of the following is an indication for the lack of surfactant prior to 34 weeks of gestation?

    Immature type II pneumocytes

  • 47

    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

  • 48

    When surfactant replacement therapy is given because the onset of RDS is likely or expected, what type of SRT administration is this considered?

    Prophylactic

  • 49

    All of the following are naturally modified surfactants EXCEPT _____.

    Surfaxin

  • 50

    Infasurf® is to be given to a 2 kg patient. How much should be given?

    6 ml

  • 51

    The initial dose of Curosurf® (poractant alfa) is?

    2.5ml/kg birthweight

  • 52

    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

  • 53

    Surfactant is administered in how many aliquots?

    4

  • 54

    All EXCEPT which of the following are used to administer surfactant?

    MDI spacer

  • 55

    Which of the following is NOT considered to be a hazard associated with the administration of surfactant?

    Decreased surface tension

  • 56

    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.

  • 57

    The Mucosa, Submucosa, and Adventitia are the three layers that make up the airway.

    True

  • 58

    The layer in the mucosal blanket that contains the cilia is called the sol layer.

    True

  • 59

    COPD, Cystic fibrosis, Asthma, and Pneumonia are a disease process that increases either the volume or thickness of mucus.

    True

  • 60

    Mucolytics are a type of medication can be administered to alter the consistency of the gel layer.

    True

  • 61

    Ciliary activity can be improved by the administration of sympathomimetics and corticosteroids.

    True

  • 62

    A solution containing the same relative salt content as the human body is best described as isotonic solution.

    True

  • 63

    Hypertonic is a type of solution that you would select if you were ordered to perform sputum induction.

    True

  • 64

    Stomatitis is a potential complication due to the administration of acetylcysteine agent.

    True

  • 65

    The purpose of surfactant is to reduce surface tension.

    True

  • 66

    When giving surfactant, how many aliquots is the calculated dose of exogenous surfactant divided into for administration?

    4

  • 67

    Goblet cells and bronchial glands produce 1,000 ml of mucus a day.

    True

  • 68

    The airway is made up of two layers.

    True

  • 69

    Bronchial smooth muscle is located in the adventitia.

    True

  • 70

    The sol layer contains the cilia.

    True

  • 71

    The gel and sol layers make up the mucosal blanket.

    True

  • 72

    The volume or thickness of mucus can be increased with asthma.

    True

  • 73

    Cystic fibrosis does increase the volume and/or thickness of mucus.

    False

  • 74

    Mucus is intended to dry the airways.

    False

  • 75

    Expectorants can increase the depth of the sol layer.

    True

  • 76

    Acetylcysteine will NOT alter the consistency of the gel layer.

    False

  • 77

    Sympathomimetic bronchodilators and corticosteroids will improve ciliary activity.

    True

  • 78

    Sputum induction can be achieved with hypertonic saline administration.

    True

  • 79

    Distilled water contains no additives.

    True

  • 80

    0.9% characterizes an isotonic solution.

    True

  • 81

    9% saline is a hypotonic solution.

    False

  • 82

    Sterile water is free of microorganisms but contains additives.

    True

  • 83

    Acetylcysteine is a mucolytic.

    True

  • 84

    Pulmozyme® is often given to cystic fibrosis patients.

    True

  • 85

    Acetylcysteine smells like rotten eggs.

    True

  • 86

    Guaifenesin is an expectorant.

    True

  • 87

    Dextromethorphan is an expectorant.

    False

  • 88

    The MetaNebTM is a therapeutic adjunct that can be utilized to administer intrapulmonary percussive ventilation.

    True

  • 89

    Surfactant is produced by the type II pneumocyte.

    True

  • 90

    Surfactant is produced by lamellar bodies.

    True

  • 91

    Surfactant increases surface tension.

    True

  • 92

    Surfaxin can be administered up to four times.

    True

  • 93

    The third dose of poractant alfa (Curosurf®) is 1.25ml/kg birth weight.

    True