Exam 56: Respiratory Care in Alternative Settings

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What are some disadvantages of O2 concentrators for home O2 therapy? 1) FiO2 values decrease with increased flow. 2) Backup O2 is required in case of electrical failure. 3) They cannot operate high-pressure devices. 4) Loss of electricity disrupts delivery.

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Which of the following are normally parts of the respiratory home care team? 1) Respiratory care 2) Durable medical equipment supplier 3) Pulmonary function 4) Nursing

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What electrically powered device can separate the O2 in room air from N2, thereby providing an enriched flow of O2 for therapeutic use?

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Which of the following strategies would you recommend for a cooperative patient with an intact upper airway who requires home ventilatory support?

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Which of the following personnel should be allowed to change a tracheostomy tube on a home care patient? 1) Trained family member 2) Respiratory care practitioner 3) Visiting nurse

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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? 1) Carefully assess patient's status. 2) Administer prescribed respiratory therapy. 3) Check and clean equipment (as needed). 4) Complete all appropriate documentation.

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What statutory regulations ensure that skilled nursing facilities and home health agencies meet minimum health and safety requirements? 1) The Joint Commission accreditation standards 2) Medicare provider certification program 3) State health agency regulations

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Routine in-home monthly maintenance of an O2 concentrator should include which of the following? 1) Flushing the system for 20 min with an inert gas 2) Confirming the FiO2 with a calibrated O2 analyzer 3) Cleaning and replacing the internal and external filters

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Which of the following functions should a respiratory care practitioner perform when making a home care visit? 1) Identify any problem areas or concerns of the patient. 2) Assess the equipment (operation, cleanliness, and supply needs). 3) Determine the patient's compliance with the therapy. 4) Assess the patient (including pre- and post-treatment measures).

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For which of the following categories of disorders is respiratory home care considered appropriate? 1) Cystic fibrosis 2) Chronic neuromuscular disorders 3) Acute restrictive disorders 4) Pulmonary obstructive lung disease

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Factors to consider when advising a patient on selection of durable medical equipment (DME) include which of the following? 1) Accreditation 2) Finder's fees 3) Cost 4) Availability

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Oxygen-conserving delivery systems include which of the following? 1) Transtracheal catheter 2) Reservoir cannula or pendant 3) Pulse dose

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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?

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Which of the following are components of a portable home suction unit? 1) Electric suction pump 2) Suction tubing 3) Collection bottle 4) DISS vacuum connector

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Providing regular in-home follow-up visits and assessing the patient's overall progress is the responsibility of which member of the respiratory home care team?

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A home care patient using a reservoir cannula for long-term, low-flow O2 therapy objects to the cosmetic appearance of the device. Which of the following alternatives would you recommend to this patient's physician as capable of addressing the patient's concerns? 1) Transtracheal catheter 2) Entrainment mask 3) Pendant reservoir

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What agency is primarily responsible for voluntary accreditation of postacute care providers?

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Disadvantages of home liquid O2 systems include which of the following? 1) Oxygen is lost when not used (because of venting). 2) The low temperature of liquid O2 can be a hazard. 3) Liquid O2 must be delivered when needed. 4) These systems cannot drive pneumatic equipment.

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

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According to the AARC, which of the following standards should be met when considering ventilatory support outside the acute care hospital? 1) Services must be based on the attending physician's prescription. 2) Those providing the support should be appropriately trained. 3) Appropriate recording and reporting mechanisms should exist. 4) Safe, effective, and appropriate equipment must be provided.

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