CH 24 DISE

  1. The anatomic alteration caused by a pleural effusion is:




    C.
  2. The major pathologic and structural changes associated with a significant pleural effusion
    include which of the following?

    1.Diaphragm elevation
    2.Atelectasis
    3.Compression of the great vessels
    4.Lung compression




    B.
  3. Which of the following are associated with a transudative pleural effusion?

    1.Thin and watery fluid
    2.Fluid has a lot of cellular debris
    3.Fluid has high protein count
    4.Few blood cells




    A.
  4. A patient has malignant mesothelioma related to chronic asbestos exposure. What would his pleural effusion fluid likely show on laboratory analysis?
    1. Erythrocytes
    2. Lymphocytes
    3.Normal mesothelial cells
    4.Malignant mesothelial cells




    B.
  5. An adult patient with a large pleural effusion requires placement of a thoracostomy tube. Which of the following statements are true regarding thoracostomy tube placement?
    1. The tube is placed in the second to third intercostal space.
    2. The tube is placed in the fourth to fifth intercostal space.
    3. The tube is placed in the midclavicular line.
    4. The tube is placed in the midaxillary line.



    A.
  6. Treatment of an empyema typically includes:



    B.
  7. A patient has a pleural effusion from an unknown cause. A fluid sample has been taken for analysis. To help identify the cause of the effusion, which of the following tests should be
    performed?
    1.Specific gravity
    2.Biochemical makeup
    3.Cytologic examination
    4.Bacterial culture




    A.
  8. A respiratory therapist is assisting a physician who is performing a thoracentesis. It is suspected that the patient has a chylothorax. How would the pleural effusion be described?




    B.
  9. During a chest assessment on a patient with a large pleural effusion, which of the following would be expected?

    1.Increased tactile and vocal fremitus
    2.Hyperresonant percussion note
    3.Diminished breath sounds
    4.Tracheal shift




    B.
  10. While reviewing an upright chest radiograph of a patient with a pleural effusion, the respiratory therapist observes a fluid density in the right lung area that extends upward around the anterior, lateral, and posterior thoracic walls. What is this characteristic sign called?




    A.
  11. Which of the following are chest radiograph findings associated with a large pleural effusion?
    1. Blunting of the costophrenic angle
    2. Fluid level on the affected side
    3. Mediastinal shift toward the unaffected side
    4. Elevated hemidiaphragm on the affected side



    B.
  12. What percentage of patients with bacterial pneumonia are likely to develop pleural effusion?




    B.
  13. In the absence of surgery or trauma, what does the presence of blood in the pleural fluid most likely signify?




    A.
  14. What is the most common cause of a chylothorax?



    B.
  15. Pulmonary function testing on a patient with atelectasis associated with pleural effusion would likely reveal:

    1.increased VC.
    2.decreased ERV.
    3.decreased FRC.
    4.normal RV/TLC ratio.




    D.
Author
Chino2403
ID
357924
Card Set
CH 24 DISE
Description
Updated