Exam 35: Home Care

Which of the following circumstances constitute obstacles to discharging a child who requires home mechanical ventilation? I. Lack of family access to public transportation II. Large number of siblings III. Delays in approval for home care funding IV. Unsuitable home environment

Which of the following backup equipment needs to be provided for a home-ventilated infant who (1) lacks the ability to breathe spontaneously for at least 4 successive hours, (2) lives 2 hours away by automobile from medical assistance, and (3) requires mechanical ventilation for mobility?

What are the goals of discharge planning? I. To reduce the number of hospitalizations II. To have the patient resume activities of daily living III. To reduce the number of emergency room visits IV. To reduce the patient's length of stay

What is the utility of downloading information from an apnea monitor?

Why are compressed gas cylinders of oxygen becoming more commonplace for patient transport in the home care setting?

What are the advantages of an oxygen concentrator?

At what point during the patient's admission to the hospital should discharge planning begin?

Who is responsible for deciding the type of oxygen delivery system that will be used in the home?

What is a major advantage of using a portable ventilator?

Before a ventilator-dependent child can be discharged home, which of the following criteria must be met?

Which of the following is the most important disadvantage of a liquid oxygen system?

What effect does an extended hospital stay tend to have on the discharge planning process for a child expected to receive mechanical ventilation at home?

What is the outcome when delays in funding for the home care services occur?

Before the patient is discharged home, who needs to meet and assess the needs of both the child and family?

What considerations need to be taken into account when applying external positive end-expiratory pressure (PEEP) to a home ventilator? I. The ventilator circuit must be able to accommodate the weight of the PEEP valve. II. The PEEP valve must be able to function at any angle. III. Thoracostomy tubes need to be available to treat a pneumothorax. IV. The exhalation ports must be free from obstructions.

Which of the following infants may benefit from using an apnea monitor at home? I. Infants who were born preterm II. Infants who have experienced a life-threatening event III. Infants who have been diagnosed with gastroesophageal reflux disease IV. Infants who have experienced an apneic episode for any reason in the hospital