Author Question: The general assessment, common to all patients for whom intermittent positive-pressure breathing ... (Read 18 times)

DyllonKazuo · **on:** Jul 16, 2018

The general assessment, common to all patients for whom intermittent positive-pressure breathing (IPPB) is ordered, should include which of the following?

1. Measurement of vital signs
2. Appearance and sensorium
3. Chest auscultation
4. Arterial blood gas analysis
a. 1 and 4 only
b. 2 and 3 only
c. 3 and 4 only
d. 1, 2, and 3 only

Question 2

In order to eliminate leaks in an alert patient receiving intermittent positive-pressure breathing therapy, which of the following adjuncts would you first try?

a. Flanged mouthpiece
b. Form-fitting mask
c. Nasopharyngeal airway
d. Nose clips

mrphibs · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: D
The general assessment, common to all patients for whom IPPB is ordered, includes (1) meas-urement of vital signs, (2) observational assessment of the patient's appearance and sensorium, and (3) breathing pattern and chest auscultation. The more focused assessment is individualized according to the identified clinical goals.

Answer to Question 2

ANS: D
To eliminate airway leaks in the alert patient, an initial trial of nose clips may be needed until the technique is understood and the treatment can be performed without them.