2.4 • 608 Ratings
🗓️ 19 February 2025
⏱️ 10 minutes
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Teniah was admitted to the acute care hospital with community-acquired pneumonia. She reports shortness of breath and fatigue. Auscultation reveals decreased breath sounds in the right lower lobe, and SpO₂ drops from 95% to 88% with exertion. Resting vital signs: HR 92 bpm, BP 142/86 mmHg, RR 22 breaths per minute. Which finding requires the MOST immediate communication with the medical team?
A) Decreased breath sounds in the right lower lobe
B) Blood pressure of 142/86 mmHg
C) Resting respiratory rate of 22 breaths per minute
D) Oxygen desaturation to 88% with exertion
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0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see |
0:22.0 | the life I have today, a life filled with love, financial freedom, and a dream job that |
0:27.2 | allows me to change lives every single day. I created the NPTE Clinical Files podcast to |
0:33.4 | give you simple, actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
0:40.4 | All of this so that you can dominate your exam like I did and achieve your dream. |
0:45.6 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life you love, |
0:51.7 | you're in the right place. |
0:53.3 | Enjoy the show. |
0:56.4 | For this week's clinical file, we have Tenaya, and Tenaya was admitted to the acute care hospital with community |
1:00.8 | acquired pneumonia. She reports shortness of breath and fatigue. Oskiltation reveals decreased |
1:07.1 | breath sounds in the right lower lobe and an SPO2 that drops from 95% to 88% with exertion. |
1:15.9 | Resting vital signs are a heart rate of 92 beats per minute, a blood pressure of 142 over 86 |
1:23.3 | millimeters of mercury, a respiratory rate of 22 breasts per minute, which finding requires the most |
1:30.1 | immediate communication with the medical team. So we have, A, decreased breath sounds in the right |
1:35.7 | lower lobe, B, blood pressure of 142 over 86 millimeters of mercury, C, resting respiratory rate |
1:43.7 | of 22 breasts per minute, And D is oxygen desaturation |
1:48.5 | to 88% with exertion. All right. Let's go up to the top of this question. This is a good one |
1:53.9 | inside of the pulmonary area, cardio pulmonary. We need to definitely know what findings cause us to alert the medical team immediately or contact the physician or contact the nurse. |
2:06.6 | These are major questions that come up on your practice exams and all of that. |
2:10.8 | So definitely want to keep this in mind. |
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