Exam 51: Respiratory Care in Alternative Settings

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Once the need for long-term home O2 therapy has been documented, why should repeated laboratory assessment (ABG or oximetry) be conducted? I.to follow the course of the disease II.to assess changes in clinical status III.to facilitate changes in the prescription

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Absolute contraindications for using noninvasive positive-pressure ventilation include all of the following except:

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Postacute care settings include all of the following except:

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Disadvantages of using compressed O2 cylinders in the home include all of the following except:

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Examples of terminally ill patients with short life expectancies who can receive ventilatory support in the home setting include which of the following? I.patients with end-stage chronic obstructive pulmonary disease II.patients with kyphoscoliosis III.patients with lung cancer

(Multiple Choice)
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Routine in-home monthly maintenance of an O2 concentrator should include which of the following? I.flushing the system for 20 minutes with an inert gas II.confirming the FIO2 with a calibrated O2 analyzer III.cleaning and replacing the internal and external filters

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Which patients are better suited for subacute rather than for acute care? I.those who no longer need diagnostics or invasive procedures II.those who have a determined course of treatment III.those who are recovering from an acute illness

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Which of the following are acceptable indicators of hypoxemia for purposes of justifying home O2 therapy? I.resting PaO2 of 65 mm Hg (room air) II.drop in Sao2 below 89% during ambulation III.resting arterial SaO2 below 88% (room air)

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A home care patient receiving long-term O2 therapy at 5 L/min complains that her nondisposable humidifier is not bubbling properly. Upon inspection of the humidifier, you notice hard white deposits in and around the diffusing element. Which of the following would you recommend to this patient?

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Types of negative-pressure ventilators used in postacute care include all of the following except:

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Studies have shown that carefully selected home treatment regimens can play an important role in achieving which of the following? I.maintaining patients' lives II.improving patients' quality of life III.increasing patients' functional performance IV.reducing hospitalization costs

(Multiple Choice)
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Which of the following are acceptable methods of documenting the presence of hypoxemia in patients being considered for home O2 therapy? I.blood gas analysis II.pulse oximetry III.physical exam

(Multiple Choice)
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Which of the following would you recommend as the solution used to fill a bubble humidifier used for home O2 therapy?

(Multiple Choice)
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The gauge reading of a 50-lb home liquid O2 system indicates that the cylinder is a third full. What is the approximate duration of flow of this system at 2 L/min?

(Multiple Choice)
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For which of the following categories of disorders is respiratory home care NOT considered appropriate?

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Oxygen-conserving delivery systems include which of the following? I.transtracheal catheter II.reservoir cannula or pendant III.pulse-dose

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What is the major potential problem in the application of bland aerosol therapy in the home care setting?

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Key environmental factors that should be assessed in considering discharge of a patient to the home care setting include all of the following except:

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In which of the following situations would you recommend that more than one ventilator be provided for a home care patient? I.if the patient cannot maintain spontaneous ventilation for at least 1 hour II.if the patient's care plan requires mechanical ventilation during mobility III.if a replacement ventilator cannot be secured within 2 hours

(Multiple Choice)
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What are some disadvantages of O2 concentrators for home O2 therapy? I.FIO2 values decrease with increased flow. II.Backup O2 is required in case of electrical failure. III.They cannot operate high-pressure devices. IV.Loss of electricity disrupts delivery.

(Multiple Choice)
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