Exam 51: Respiratory Care in Alternative Settings

To determine if a home setting can support the equipment needs of a mechanically ventilated patient being considered for discharge, which of the following would you assess? I.available space for equipment II.amperage of power supply III.number and location of grounded outlets IV.presence of hazardous appliances

Advantages of O₂ concentrators for home O₂ therapy include all of the following except they:

Routine tracheostomy care for a home care patient can be provided by whom? I.respiratory care practitioner II.trained family member III.visiting nurse

When not in use, vaporization in a home liquid O₂ system maintains the pressure in the container at what range?

What is the most common O₂ delivery system for long-term care?

In the early stages after a patient requiring mechanical ventilation is discharged to the home, how often should patient follow-up by a respiratory care practitioner occur?

Where is most postacute respiratory care provided?

Which of the following alarm systems is needed for postacute care patients who require only intermittent pressure-limited noninvasive positive-pressure ventilation?

Providing necessary home care equipment and supplies and handling any emergency situations involving delivery or equipment operation is the responsibility of which member of the respiratory home care team?

What are some desired outcomes of the discharge plan? I.prevent hospital readmission due to poor planning II.satisfactory performance of all treatments by caregivers III.caregivers' ability to assess the patient and solve problems IV.patient's and family's satisfaction

For which home care patients requiring mechanical ventilation would you recommend a portable volume-cycled ventilator rather than a pressure-limited device? I.those with a neuromuscular or neurologic disorder II.those who cannot sustain any spontaneous breathing III.those with chronic obstructive pulmonary disease

A home care patient receiving continuous noninvasive positive-pressure ventilation through a nasal mask complains of pressure sores over the nasal bridge. Which of the following actions could help to alleviate this problem? I.artificial skin II.forehead spacer III.reduce strap tension IV.try nasal pillows

Which of the following would indicate that a patient is not sufficiently stable for home mechanical ventilation? I.severe dyspnea while breathing on the ventilator II.airway secretions cleared only by suctioning III.frequent premature ventricular contractions IV.use of a cuffed oral endotracheal tube

HCFA regulations require that prescriptions for home O₂ therapy be based on:

Disadvantages of home liquid O₂ systems include which of the following? I.Oxygen is lost when not used (because of venting). II.The low temperature of liquid O₂ can be a hazard. III.Liquid O₂ must be delivered when needed. IV.These systems cannot drive pneumatic equipment.

Home care patients requiring continuous ventilatory support for long-term survival include which of the following? I.those with high spinal cord injuries II.those with late-stage muscular dystrophy III.those with bronchogenic carcinoma

Which of the following are prerequisites to successful home-based mechanical ventilation? I.presence of adequate professional support II.willingness of family to accept responsibility III.patient's condition, especially stability IV.overall viability of the home care plan

Factors to consider when advising a patient on selection of durable medical equipment (DME) include all of the following except:

Which of the following negative-pressure ventilation systems require a separate negative pressure generator? I.body wrap II.iron lung III.chest cuirass

Patient- and resident-focused functions addressed in The Joint Commission (formerly Joint Commission on Accreditation of Hospitals Organization [JCAHO]) standards for long-term, subacute care, and home care include all of the following except: