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egan 9 chapter 51
res 230
| Question | Answer |
|---|---|
| Which of the following factors would you consider in determining the frequency of follow-up visits needed by a home care patient? | I. Level of self-care the patient is able to provide. II. Type and complexity of home care equipment used. III. Patient's condition and therapeutic objectives. IV. Level of family or caregiver support available. |
| Components of a typical adult home nasal CPAP apparatus include all of the following except: | high-pressure gas source. |
| 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? | I. Airway obstruction II. Catheter clogging III. Stoma infection |
| Which of the following would indicate that a patient is not sufficiently stable for home mechanical ventilation? | I. Severe dyspnea while breathing on the ventilator. III. Frequent premature ventricular contractions. IV. Use of a cuffed oral endotracheal tube |
| What is the primary use of compressed O2 cylinders in alternative settings? | I. Ambulation (small cylinders) II. Backup supply (large cylinders) |
| 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 |
| Most portable home liquid O2 systems can provide low-flow O2 (2 L/min) for about how long? | 5 to 8 hours |
| 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 | I. Transtracheal catheter |
| Which of the following negative-pressure ventilation systems require a separate negative pressure generator? | I. Body wrap III. Chest cuirass |
| Which O2 delivery system would you recommend for an active home care patient with low FIO2 needs who desires increased mobility? | Conserving device used in conjunction with a portable liquid O2 system. |
| Which of the following strategies would you recommend for a hemodynamically unstable patient with an intact upper airway who requires home ventilatory support? | Negative-pressure ventilation |
| What is the major potential problem in the application of bland aerosol therapy in the home care setting? | Infection |
| To determine if a home setting can support the equipment needs of a mechanically ventilated patient being considered for discharge, which of the following would you assess? | I. Available space for equipment II. Amperage of power supply III. Number and location of grounded outlets IV. Presence of hazardous appliances |
| Absolute contraindications for using noninvasive positive-pressure ventilation include all of the following except: | copious secretions. |
| What electrically powered device can separate the O2 in room air from N2, thereby providing an enriched flow of O2 for therapeutic use? | O2 concentrator |
| 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? | I. Equipment operation and disinfection II. Patient assessment and monitoring III. Airway management and clearance IV. Emergency procedures |
| Which of the following methods can eliminate the need for conducting a separate sleep study to adjust a patient's CPAP level? | I. Use an auto-adjusting CPAP system. II. Use SpO2 values to titrate the CPAP level. |
| What is the purpose of the small refillable liquid O2 tank that comes with many stationary home liquid O2 reservoirs? | Provide O2 to ambulatory patients outside the home |
| Types of negative-pressure ventilators used in postacute care include all of the following except: | abdominal displacement device. |
| While visiting a home care patient who uses a multidose vial of an expensive bronchodilator, you notice that the expiration date for this medication has passed. Which of the following actions would you recommend at this time? | Dispose of the medication as recommended by the manufacturer. |
| Which patients are better suited for subacute rather than for acute care? | II. Those who have a determined course of treatment. III. Those who are recovering from an acute illness. |
| A home care patient will be receiving nasal O2 at 0.5 L/min using a large compressed gas cylinder. Which of the following additional equipment would you specify for this patient? | II. Pressure-reducing valve III. Calibrated low-flow flowmeter |
| To avoid product failure, transtracheal catheters and their tubing should be replaced every how often? | Every 3 months |
| At flows between 1 and 2 L/min, a typical molecular sieve O2 concentrator provides an O2 concentration of about what level? | 95% |
| All of the following are advantages of pressure-limited ventilators used in alternative settings except they: | can deliver higher volumes and pressures. |
| Mechanical ventilation in the home setting can be provided by all of the following methods except: | positive pressure through an oral endotracheal tube. |
| 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? | Reliance on outside vendors/diagnostic testing.Reliance mainly on portable equipment,performed with minimal supervision. reliance assessment/documentation/care planning. interaction with professionalteam/patient's family. |
| The O2 in the inner reservoir of a home liquid O2 system is maintained at what temperature? | -300° F |
| Advantages of O2 concentrators for home O2 therapy include all of the following except they: | can power most pneumatic equipment. |
| Routine tracheostomy care for a home care patient can be provided by whom? | I. Respiratory care practitioner II. Trained family member III. Visiting nurse |
| Postacute care settings include all of the following except: | trauma centers. |
| 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. | Replace the device and fill with distilled water, not tap water. |
| Transtracheal O2 therapy (TTOT) should be considered as an option for what patients requiring long-term O2 therapy? | remain hypoxemic with standard approaches. ,do not comply well when using other devices. ,exhibit complications with nasal delivery. ,prefer TTOT for cosmetic reasons.,require increased mobility. |
| Which of the following evidence would support Medicare reimbursement for adult nasal CPAP equipment to treat sleep apnea? | Polysomnograph confirming sleep apnea |
| Which of the following would you recommend as the solution used to fill a bubble humidifier used for home O2 therapy? | Distilled water |
| For which of the following groups would you recommend long-term negative pressure ventilation in an alternative setting? | Patients who cannot or will not use noninvasive positive-pressure ventilation (NPPV). Patients who need frequent airway access for suctioning.Patients with severe nasal congestion or obstruction. |
| Home O2 therapy can be justified in patients with PaO2 values greater than 55 mm Hg in all of the following conditions except: | peripheral vascular disease. |
| Which of the following personnel should be allowed to change a tracheostomy tube on a home care patient? | Respiratory care practitioner, Visiting nurse |
| What is the correct order of steps to recommend to the home caregivers who are responsible for cleaning nondisposable respiratory care equipment? | Disassemble equipment,Wash in cool water,Soak in warm soapy water,Scrub equipment,Rinse and drain excess water |
| Physical hazards associated with home O2 therapy equipment include all of the following except: | gaseous explosions. |
| Which of the following conditions is an indication for application of noninvasive positive-pressure ventilation (NPPV)? | The patient requires low concentrations of supplemental O2. |
| Common problems encountered when using adult nasal CPAP to treat sleep apnea include all of the following except: | barotraumas. |
| After fitting a home care patient with a CPAP nasal mask, you set the prescribed pressure and turn on the flow generator. At this point, the mask pressure reading is 0 cm H2O. What is the most likely cause of this problem? | Large system leak |
| Where is most postacute respiratory care provided? | The home |
| During what phase of subacute or long-term care management does the respiratory care practitioner establish short- and long-term rehabilitation goals for the patients? | Treatment planning |
| What agency is primarily responsible for voluntary accreditation of postacute care providers? | The Joint Commission (TJC) (formerly Joint Commission on Accreditation of Hospitals Organization [JCAHO]) |
| Which of the following would you consider recommending for a home care patient receiving nasal CPAP who complains of severe nasal dryness? | Room vaporizer,Heat-moisture exchanger (HME),In-line humidifier ,Saline nasal spray |
| All of the following are components of the patient evaluation aspect of a good discharge plan except the patient's: | socioeconomic status and neighborhood characteristics |
| HCFA regulations require that prescriptions for home O2 therapy be based on: | documented hypoxemia. |
| Which of the following strategies would you recommend for a patient with a tracheotomy who requires home ventilatory support? | Positive-pressure ventilation |
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Cam1228
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