Question 1 of 30

A patient receiving mechanical ventilation has increased peak inspiratory pressures, coarse rhonchi, and a fever. What should the respiratory therapist recommend?

  1. Sputum culture and gram stain
  2. Increase the tidal volume
  3. Chest physiotherapy
  4. Spontaneous breath trial

Check the Answer

You've got this!

Sputum culture and gram stain


  1. Correct. The patient’s fever and coarse rhonchi may indicate the presence of an infection. A sputum culture and gram stain will identify if there is gram positive, or gram negative bacteria present in the sputum.
  2. Increasing the tidal volume will not address the patient’s increased peak airway pressures, airway secretions, and fever.
  3. Chest physiotherapy may help if there is difficulty removing secretions. However, secretions alone are not an indication to begin chest physiotherapy.
  4. There is no evidence from the information given in the question that a spontaneous breathing trial is indicated.

To much to do? Not enough time? Don't know where to begin?

We help struggling RRT students who are short on time and have trouble with test taking and memorization build confidence so they can excel in class and pass their NBRC RRT Board Exams!
Share on facebook
Share on twitter
Share on pinterest
Share on email
Share on linkedin