Exam 56: Respiratory Care in Alternative Settings

Which patients are better suited for subacute rather than for acute care? 1) Those who no longer need diagnostics or invasive procedures 2) Those who have a determined course of treatment 3) Those who are recovering from an acute illness

What is the most common respiratory home care modality?

You are caring for a patient who has just received a transtracheal catheter for long-term continuous home O₂ therapy. Which of the following problems should you be on guard for with this patient? 1) Airway obstruction 2) Catheter clogging 3) Stoma infection

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

While visiting a patient who has been receiving transtracheal O₂ therapy for 6 months, you note marked erythema and swelling at the stoma site. Which of the following actions would be appropriate at this time?

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 areas would you be sure to cover? 1) Equipment operation and disinfection 2) Patient assessment and monitoring 3) Airway management and clearance 4) Emergency procedures

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?

Who should perform routine removing and cleaning of a transtracheal O₂ catheter?

Home O₂ therapy can be justified in patients with PaO₂ values greater than 55 mm Hg in which of the following conditions? 1) Cor pulmonale 2) Erythrocythemia (hematocrit >56%) 3) Congestive heart failure 4) Peripheral vascular disease

Which of the following strategies would you recommend for a patient with a tracheotomy who requires home ventilatory support?

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?

Examples of terminally ill patients with short life expectancies who can receive ventilatory support in the home setting include which of the following? 1) Patients with end-stage chronic obstructive pulmonary disease 2) Patients with kyphoscoliosis 3) Patients with lung cancer

What is the most common way to determine the proper CPAP level for an individual patient?

Which of the following is an additional goal of home care of the terminally ill patient near the end of life?

Which of the following are acceptable methods of documenting the presence of hypoxemia in patients being considered for home O₂ therapy? 1) Blood gas analysis 2) Pulse oximetry 3) Physical examination

Making necessary contacts with outside agencies that can help with home care is the responsibility of which member of the respiratory home care team?

One cubic foot (1 cu/ft) of liquid O₂ equals how many cu/ft of gaseous O₂?

Essential features of positive pressure ventilators that are used in alternative care settings on patients with intact ventilatory drive and respiratory muscles include which of the following? 1) Mandatory minimum rate 2) Flow or inspiratory time control 3) Breath-triggering mechanism 4) Spontaneous breathe mode

To avoid product failure, transtracheal catheters and their tubing should be replaced every how often?

Key environmental factors that should be assessed in considering discharge of a patient to the home care setting include which of the following? 1) Heating and ventilation 2) Humidity 3) Lighting 4) Airborne pollutants