A Patient with a Past Medical History of COPD Was

question 26

Multiple Choice

A patient with a past medical history of COPD was placed on a ventilator after upper abdominal surgery for a serious wound infection.Although the patient was medically stable,a tracheostomy was performed 2 weeks later because the patient was unable to be weaned from the ventilator.The patient is on VC-CMV,rate = 12,Vᴛ = 700 mL,FɪO₂ = 40%,PEEP = 5 cm H₂O,with an HME.The respiratory therapist notes that the patient is assisting at a rate of 18 and has bilaterally decreased breath sounds in the bases.The respiratory therapist suctions a moderate amount of very thick,tenacious yellow sputum from the tracheostomy tube.What action should the respiratory therapist take?

• A) The HME should be replaced with an active heated humidifier system.
• B) No action is necessary, because there seems to be no patient problem.
• C) The patient should be suctioned on a regular schedule instead of when needed.
• D) PEEP and the FɪO₂ should be increased, and diuretic and positive inotropic agents should be administered.

---

Definitions:

Notes Payable

Notes payable are written agreements where a borrower agrees to pay back a specified amount of money, plus interest, to a lender at a future date.

Accounts Receivable

Amounts owed to a business by its customers for goods or services delivered but not yet paid for.

Journalize

The act of recording transactions in the journal as part of the accounting process.

Office Equipment

Tangible property like desks, computers, and machinery used in an office for operations.