Exam 41: Medical Gas Therapy

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A well-designed oxygen protocol will ensure which of the following? 1) The patient undergoes initial assessment. 2) The patient is evaluated for protocol criteria. 3) The patient receives a treatment plan that is modified according to need. 4) The patient stops receiving therapy as soon as it is no longer needed.

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D

A physician requests that you provide a patient with exactly 40% O2 at a flow of 60 L/min. Lacking a blender, you must manually mix air and O2 to achieve the desired mixture at the prescribed flow. Which of the following air and O2 flows would you select? Air (L/min) O2 (L/min)

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Which of the following would indicate a need for O2 therapy for an adult or a child? 1) SaO2 less than 90% 2) PaCO2 greater than 45 mm Hg 3) PaO2 less than 60 mm Hg

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D

Which of the following would indicate adequate oxygenation for adult patients with chronic lung disease and an accompanying acute-on-chronic hypoxemia? 1) SaO2 of 90% or higher 2) PaO2 of 50 to 60 mm Hg 3) SaO2 of 85% to 90%

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A variant of a common low-flow, nasal O2 delivery device that is capable of providing both high humidity and a high FiO2 is known as which of the following?

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What is the upper limit of O2 concentrations available through tents?

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A patient receiving 3 L/min O2 through a nasal cannula has a measured SpO2 of 93% and no clinical signs of hypoxemia. At this point, what should you recommend?

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Which of the following statements are true about low-flow O2 delivery systems? 1) The greater the patient's inspiratory flow, the greater is the FiO2. 2) All low-flow devices provide variable O2 concentrations. 3) The O2 provided by a low-flow device is diluted with air. 4) The patient's flow usually exceeds that from a low-flow device.

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Which of the following are true about air-entrainment systems? 1) Their FiO2 values are directly proportional to their total flow. 2) They can provide variable FiO2 values under some clinical conditions. 3) They always deliver O2 concentrations less than 100%. 4) They yield a set FiO2 only if their flow exceeds the patient's.

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Which of the following are advantages of the nasal cannula as a low-flow O2 delivery system? 1) Stability 2) Low cost 3) Easy application 4) Disposability

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You are giving a 80% He:20% O2 mixture to an asthmatic patient through a nonrebreathing mask with a compensated Thorpe tube O2 flowmeter set at 8 L/min. What is the actual flow being delivered to the patient?

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Retinopathy of prematurity (ROP) is a potentially serious management problem mainly in the care of whom?

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In which of the following procedures is air embolism a potential complication? 1) Central line placement 2) Lung biopsy 3) Hemodialysis

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A physician wants a stable FiO2 of 0.5 for a newborn infant with severe hypoxemia. Which of the following systems would you select?

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What is the most common complication of hyperbaric oxygen therapy?

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Some strategies for minimizing the risk of fire hazard with O2 therapy include which of the following? 1) Using the lowest effective FiO2 2) Properly educating patients and caregivers 3) Avoiding aluminum regulators and other high-risk devices 4) Mixing the oxygen with carbon dioxide.

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What is the maximum FiO2 expected to be delivered by most air-entrainment masks?

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Benefits of properly applied O2 therapy in patients with chronic hypoxemia include which of the following? 1) Reversal of pulmonary vasoconstriction 2) Relief of pulmonary hypertension 3) Decreased right ventricular workload 4) Improved pulmonary vital capacity

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You set up an Oxy-Hood with an FiO2 of 0.5 for a newborn infant. What is the maximum time that should pass before assessing this patient's PaO2 or SaO2?

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Directing a cool O2 mixture to an infant in an Oxy-Hood can result in which of the following? 1) Increased O2 consumption 2) Increased convective heat loss 3) Apnea (cessation of breathing)

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