Pulmonary Edema

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Question 1
Free
Multiple Choice

As pulmonary edema progressively worsens, the fluid moves in which of the following sequences?

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A

Peribronchial interstitial spaces, bronchi, trachea

B

Alveoli , bronchioles, bronchi

C

Bronchioles, bronchi, trachea

D

Pulmonary capillaries, alveoli, bronchioles

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Question 2
Free
Multiple Choice

Pulmonary edema manifests itself clinically as a(n) _____ disorder.

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A

restrictive pulmonary

B

obstructive pulmonary

C

equally restrictive and obstructive

D

obstructive cardiac

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Question 3
Free
Multiple Choice

All of the following are causes of cardiogenic pulmonary edema EXCEPT:

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A

myocardial infarction.

B

mitral valve disease.

C

allergic reaction to drugs.

D

congenital heart defects.

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Question 4
Free
Multiple Choice

What is the normal hydrostatic pressure in the pulmonary capillaries?

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A

0 to 5 mm Hg

B

5 to 10 mm Hg

C

10 to 15 mm Hg

D

15 to 20 mm Hg

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Question 5
Free
Multiple Choice

All of the following are positive risk factors for coronary heart disease (CHD) EXCEPT:

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A

elevated homocysteine level.

B

elevated vitamin E level.

C

hypertension.

D

diabetes mellitus.

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Question 6
Multiple Choice

A patient has a decreased oncotic pressure. What can be done to increase it?

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A
High-salt diet
B
Mannitol
C
Albumin withheld
D
Morphine sulfate
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Question 7
Multiple Choice

A patient with pulmonary edema is cyanotic and complaining of difficulty breathing. What should be recommended by the respiratory therapist?

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A
Provide supplemental oxygen.
B
Begin mechanical ventilation.
C
Have the patient use pursed-lip breathing.
D
Begin bronchopulmonary hygiene therapy.
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Question 8
Multiple Choice

Mask CPAP is used with pulmonary edema patients because it does all of the following EXCEPT:

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A
decrease vascular congestion.
B
reduce work of breathing.
C
it is less expensive than mechanical ventilation.
D
improve lung compliance.
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Question 9
Multiple Choice

A patient with cardiogenic pulmonary edema would be expected to have all of the following chest radiograph findings EXCEPT:

Choose correct answer/s
A
depressed diaphragms.
B
pleural effusion.
C
cardiomegaly.
D
bilateral "butterfly" pattern fluffy infiltrates.
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Question 10
Multiple Choice

The respiratory therapist is asked to evaluate a patient with suspected congestive heart failure. Which of the following laboratory tests should the respiratory therapist recommend to evaluate the patient for possible congestive heart failure?

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A
Brain natriuretic peptide (BNP)
B
Lactic dehydrogenase (LDH)
C
Aspartate aminotransferase (AST)
D
Alanine aminotransferase (ALT)
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Question 11
Multiple Choice

All of the following may be causes of cardiogenic pulmonary edema EXCEPT:

Choose correct answer/s
A
dysrhythmias.
B
systemic hypertension.
C
congenital heart defects.
D
excessive fluid administration.
E
pulmonary embolism.
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Question 12
Multiple Choice

The respiratory therapist is asked to recommend a medication to reduce afterload for a patient with cardiogenic pulmonary edema. The therapist could recommend all of the following EXCEPT:

Choose correct answer/s
A
captopril.
B
norepinephrine (Levophed).
C
enalapril (Vasotec).
D
nitroprusside (Nitropress).
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