If a patient has pneumonia, which of the following can increase the risk of life-threatening illness or death?
1. Weakened immune system
2. COPD
3. Marfan's syndrome
4. Heart disease
a. 1, 3
b. 2, 4
c. 1, 2, 3
d. 1, 2, 4
D
A weakened immune system can make the patient less able to naturally fight off an infection. The chronic damage found with COPD (chronic obstructive pulmonary disease [emphysema and chronic bronchitis]) makes the lungs and airways more prone to infection and less able to recover from infection. Heart disease can adversely affect lung function and decrease oxygen delivery to the body. Marfan's syndrome is not associated with pneumonia or lung function.
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Which of the following patients with difficulty breathing should NOT receive supplemental oxygen?
A) An infant whose eyes may be damaged by excessive oxygen administration B) A patient with a chronic lung disease who may have a hypoxic drive C) A patient whose oxygen saturation level is 100% on room air D) None of these patients should have oxygen withheld.
Briefly describe a Health Information Professional's role as a consultant within an ESRD health care organization
Which acid base abnormality can result from elevated plasma Cl- ion levels?
A. hypochloremic alkalosis B. hyperchloremic acidosis C. hypochloremic acidosis D. hyperchloremic alkalosis
The therapist is working with a patient who is receiving VC-SIMV and is scheduled to undergo indirect calorimetry in 2 hours. The therapist has received an order from the physician to reduce the mandatory rate from 10 to 8 breaths/minute. What should the therapist do?
A. Wait until after the indirect calorimetry to change the mandatory rate. B. Change the patient's mandatory rate anytime up to the start of the indirect calorimetry. C. The therapist can make the ventilator change up to 90 minutes before the indirect calorimetry. D. The therapist must make sure that the patient is sedated, and is given an analgesic, if necessary, 1 hour before the best.