Risk Assessment & Management Flashcards
7 cards from real CRE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Assessment & Management flashcards as text
A respiratory educator is conducting a home visit and notices the patient is storing pressurized oxygen cylinders in a closet next to a gas stove. Which risk management action is the priority?
Answer: Educate the patient on safe oxygen storage away from heat and ignition sources
Storing oxygen near ignition sources creates a fire and explosion hazard; immediate patient education on safe storage is the priority intervention.
Which exacerbation risk factor is quantified by the GOLD ABCD assessment tool in addition to spirometric severity?
Answer: Number of exacerbations in the prior year and symptom burden
The GOLD ABCD tool categorizes patients by prior exacerbation history (none/1 moderate, 2+ moderate, or ≥1 hospitalization) combined with CAT or mMRC symptom scores.
A pediatric asthma patient's parent describes needing to make three urgent care visits in the last six months. According to risk stratification principles, which action is most indicated?
Answer: Step up therapy and identify uncontrolled triggers
Frequent urgent care visits signal uncontrolled asthma; stepping up therapy and identifying triggers are evidence-based risk reduction interventions.
Which nutritional risk factor is independently associated with increased COPD exacerbation frequency and should be assessed during a comprehensive respiratory evaluation?
Answer: Vitamin D deficiency
Vitamin D deficiency is associated with impaired immune function and increased respiratory infection susceptibility, raising exacerbation risk in COPD.
A respiratory educator reviews medication reconciliation for a patient with COPD and discovers the patient is taking a non-selective beta-blocker for hypertension. What is the primary respiratory risk?
Answer: Bronchospasm due to beta-2 receptor blockade
Non-selective beta-blockers block beta-2 receptors in the airways, potentially precipitating bronchospasm in patients with reactive airway disease.
During a risk assessment, a patient reveals they live alone and cannot describe what to do if dyspnea acutely worsens. What is the most appropriate risk management response?
Answer: Develop a written asthma/COPD action plan with escalation steps and emergency contacts
A personalized written action plan provides structured guidance for self-managing worsening symptoms and identifies when to seek emergency care.
Which occupational exposure represents the highest risk for accelerating spirometric decline in a patient with mild COPD?
Answer: Daily unprotected exposure to grain dust in a grain elevator
Chronic high-level exposure to organic dusts such as grain dust in enclosed spaces is strongly associated with accelerated lung function decline.