Practice Quiz

Respiratory Therapist

Category - Initiation and Modification of Interventions

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If upon physical exam, a patient is noted to have clear breath sounds in the left chest, but diminished breath sounds with wheezing on the right.

What is the diagnosis and treatment?
  1. Asthma. Administer bronchodilator via nebulization.
  2. COPD. Administer bronchodilation and place on low flow oxygen device.
  3. Atelectasis. Confirm with chest x-ray and place on low flow oxygen device if saturations are in normal range.
  4. Aspiration of foreign body. Confirm with chest x-ray and monitor saturations.
Explanation
Answer: D-A patient noted to have clear breath sounds in left chest but diminished breath sounds with wheezing on the right has aspirated a foreign body. This should be confirmed with a chest x-ray and saturations monitored.

Atelectasis would be the next likely diagnosis, but wheezing would not be present.
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