An alert patient with long-term need for a tracheostomy tube (because of RECURRENT ASPIRATION) is having difficulty communicating with the staff. Which of the following would you recommend to help this patient communicate better?

You have been asked to monitor a patient who has just been extubated. Which of the following parameters would you monitor? breathing patternbreath soundsSpO2voice / phonation

A physician would like to assess a patient’s respiratory muscle strength. Which of the following procedures would you recommend? maximum voluntary ventilation (MVV)forced vital capacity (FVC)respiratory rate (RR)maximum inspiratory pressure (MIP)

A patient who is 188cm (6ft 2in) tall is intubated with an 8.0-mm ID endotracheal tube that is secured with a 18-cm mark adjacent to the incisor. A respiratory therapist hears a gurgling sound with each inhalation and observes the exhaled Vt is 300mL less than the inhaled Vt. The therapist increases the cuff pressure from 16cmH2O to 24cmH2O. There is no change in the sound or the exhaled Vt.  The therapist should:

Beneficial physiological effects of positive end expiratory pressure (PEEP) include which of the following? increased PaO2 for a given FiO2increased lung compliance (CL)decreased shunt fractionincreased functional residual capacity

All of the following are types of “cycle” discordances except:

You will be performing tracheostomy care.  Which of the following equipment list is least needed to perform this procedure?

The major limitations of using a laryngeal mask airway are: long-term usecannot provide high ventilation pressure if neededaspiration is not avoided

Some of the under-assistance causes in patient-ventilator interactions include all of the following except:

Orthostatic hypotension is defined as