Exam 21: Long-Term Ventilation

The American College of Chest Physicians (ACCP)considers long-term ventilator-assisted patients to be those who require mechanical ventilation for at least _______ hours per day for _______ days or more.

Which of the following factors must be considered when estimating a patient's cost of home mechanical ventilation? 1)Type of ventilator selected 2)Accessory medical supplies 3)Need for professional caregivers 4)Adequacy of third-party coverage

A minimum of _______ days should be allowed to obtain insurance verification and authorization and to procure equipment before a ventilated patient is transferred home from the acute care hospital.

Some of the difficulties families experience when caring for a patient in the home include which of the following? 1)Loss of work time 2)Loss of privacy when outside caregivers are in the home 24 hours a day 3)Financial stress 4)Transmission of nosocomial infections from patient to family

The appropriate power source for a wheelchair-mounted ventilator is which of the following?

Which site for mechanical ventilation of patients provides the least patient independence and quality of life?

One of the goals of long-term mechanical ventilation (LTMV)in the home or alternative care site is which of the following?

Which of the following ventilator requirements for a ventilator-assisted individual demonstrates clinical stability and indicates that the patient most likely is ready for discharge home from an acute care hospital?

The advantages of using MI-E in conjunction with PPV include: 1)MI-E with PPV generates optimal peak cough expiratory flow (PCEF)for clearing airway secretions. 2)MI-E with PPV does not cause airway irritation or discomfort. 3)MI-E with PPV can be used with patients with bullous emphysema. 4)MI-E with PPV may improve vital capacity (VC)and arterial oxygen saturation (SₐO₂)associated with mucous plugging.

What pressure range may be necessary to achieve a sufficient Vᴛ using a chest cuirass?

A VAI patient has expressed the desire to be able to speak.The most appropriate speaking device to use in-line with this ventilator patient is which of the following?

A quadriplegic patient is getting ready for discharge home from an acute care hospital.He has a TT and requires mechanical ventilation around-the-clock,but does not need supplemental oxygen.What equipment must he have in his home? 1)Transport ventilator 2)Manual resuscitator bag 3)E-cylinder of oxygen 4)Ventilator circuits

During an education session with the family of a ventilator-assisted individual who is being prepared for discharge home,the respiratory therapist explains ventilator circuit/suction equipment disinfection.Which of the following is an important instruction that should be part of this teaching?

A patient with a tracheostomy tube (TT)is being discharged home with a ventilator,which he uses only during the night,without supplemental oxygen.During the day he uses a speaking valve.Which of the following equipment must he have in his home? 1)Suctioning equipment 2)Oxygen concentrator 3)Second mechanical ventilator 4)Manual resuscitator bag

A written report should be completed monthly during the follow-up and evaluation of patients receiving home MV.Which of the following conditions should this monthly report include? 1)ABG analysis 2)Patient and family comprehension of equipment and procedures 3)Proper functioning of the equipment 4)Compliance with the plan of care

A patient using a negative pressure ventilator is assessed by the respiratory therapist and found to have a blood pressure of 85/40 mm Hg and a heart rate of 130 beats/min and thready.The physician orders compression stockings for the patient,but the clinical status is the same 24 hours after placement of the compression stockings.What is the most likely cause of this patient's hypotension?

Glossopharyngeal breathing is beneficial for patients with which condition?

What bacteria is most often the cause of ventilator-associated pneumonia in VAIs?

List the potential locations for patients requiring long-term ventilatory care in order of cost from most expensive to least expensive. 1)Patient's home 2)Long-term acute care facility 3)Intensive care or acute care unit 4)Extended care facility

A patient with which condition is a suitable candidate for home care ventilation?