Exam 51: Respiratory Care in Alternative Settings

You are conducting a routine visit to a ventilator-dependent patient in a home care setting. Which of the following would you be sure to perform while on this visit? i.Carefully assess patient's status.II.Administer prescribed respiratory therapy.III.Check and clean equipment (as needed).IV.Complete all appropriate documentation.

Home O₂ can be supplied by which of the following systems? I.REDOX chemical reactors II.liquid O₂ systems III.O₂ concentrators

You have been asked to organize a patient and family education program as part of a discharge plan for a patient requiring home ventilatory support. Which of the following methods would be best for training the family in the operation of the ventilator chosen?

What is the correct order of steps to recommend to the home caregivers who are responsible for cleaning nondisposable respiratory care equipment? I.Soak in warm soapy water II.Wash in cool water III.Scrub equipment.IV.Disassemble equipment.V.Rinse and drain excess water.

All of the following are advantages of pressure-limited ventilators used in alternative settings except they:

In setting up a home care chronic obstructive pulmonary disease patient for continuous low-flow O₂ therapy through an O₂ concentrator, which of the following additional equipment must you provide?

What statutory regulations ensure that skilled nursing facilities and home health agencies meet minimum health and safety requirements? I.The Joint Commission (formerly Joint Commission on Accreditation of Hospitals Organization [JCAHO]) accreditation standards II.Medicare provider certification program III.state health agency regulations

Common problems encountered when using adult nasal CPAP to treat sleep apnea include all of the following except:

All of the following are advantages of portable volume-cycled ventilators used in alternative settings except they:

Which of the following evidence would support Medicare reimbursement for adult nasal CPAP equipment to treat sleep apnea?

Respiratory home care contributes to achieving which of the following goals? I.improving patients' physical and social well-being II.ensuring cost-effective delivery of care III.supporting and maintaining patients' lives IV.promoting patient and family self-sufficiency

Durable medical equipment (DME) companies usually provide which of the following respiratory home care services? I.third-party insurance processing II.most respiratory care modalities III.24-hours/7-days-a-week service IV.home instruction and follow-up

Advantages of using compressed O₂ cylinders in the home include which of the following? I.minimal waste or loss II.unlimited storage time III.widespread availability IV.minimal user hazards

What is the primary use of compressed O₂ cylinders in alternative settings? I.ambulation (small cylinders) II.backup supply (large cylinders) III.primary supply (large cylinders)

For which of the following groups would you recommend long-term negative pressure ventilation in an alternative setting? I.patients who cannot or will not use noninvasive positive-pressure ventilation (NPPV)II.patients who need frequent airway access for suctioning III.patients with severe nasal congestion or obstruction

In order to control the cost of suction supplies for a home care patient, which of the following is an acceptable strategy?

Which of the following key features distinguish delivery of respiratory care services in alternative settings (subacute, long-term, and home care) from traditional acute care delivery? I.reliance on outside vendors for most lab and diagnostic testing II.reliance mainly on portable equipment (oxygen [O₂], suction, aerosol)III.most work independently performed with minimal supervision IV.heavy reliance on assessment and documentation in care planning V.intensive interaction with professional team and patient's family

Which of the following can benefit most from intermittent use of noninvasive positive-pressure ventilation?