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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. III.Use a patient sleep log or diary.


A) I and II
B) II and III
C) I and III
D) I, II, and III

E) B) and C)
F) A) and C)

Correct Answer

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Basic principles of infection control in the home care setting include which of the following? I.Avoid visits by friends with respiratory infections. II.Have caregivers follow proper handwashing techniques. III.Incinerate all disposable equipment and supplies.


A) I and II
B) II and III
C) I and III
D) I, II, and III

E) B) and C)
F) None of the above

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Mechanical ventilation in the home setting can be provided by all of the following methods except:


A) positive pressure through an oral endotracheal tube
B) positive pressure through an intact upper airway
C) intermittent abdominal displacement methods
D) negative pressure through an intact upper airway

E) All of the above
F) C) and D)

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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? I.transtracheal catheter II.entrainment mask III.pendant reservoir


A) I
B) II and III
C) I and II
D) I, II, and III

E) A) and D)
F) All of the above

Correct Answer

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What is the most common respiratory home care modality?


A) aerosol therapy
B) mechanical ventilation
C) O2 therapy
D) nasal continuous positive airway pressure (CPAP)

E) A) and B)
F) A) and C)

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Advantages of home liquid O2 systems include all of the following except they:


A) usually include a small refillable portable subsystem
B) do not require an O2 service delivery company
C) provide large-volume O2 storage in a small space
D) are useful for rehabilitation activities (e.g., walking)

E) A) and D)
F) B) and D)

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For patients receiving home respiratory care, follow-up evaluation by a home care team member should occur at least how often?


A) daily
B) biweekly
C) monthly
D) as needed

E) C) and D)
F) B) and D)

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Which of the following are first-line aerosol drug delivery systems for home care patients? I.small-volume nebulizer II.dry powder inhaler III.metered-dose inhaler


A) I and II
B) II and III
C) I and III
D) I, II, and III

E) None of the above
F) B) and C)

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The O2 in the inner reservoir of a home liquid O2 system is maintained at what temperature?


A) -300° F
B) 212° F
C) 0° F
D) -150° F

E) A) and D)
F) B) and C)

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Emergency situations that home mechanical ventilation caregivers must be trained to recognize and manage include all of the following except:


A) ventilator or power failure
B) tension pneumothorax
C) artificial airway obstruction
D) ventilator circuit problems

E) A) and B)
F) A) and C)

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


A) 22.80
B) 7.48
C) 860.00
D) 3.14

E) A) and D)
F) B) and D)

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Which of the following agents is recommended by the American Respiratory Care Foundation for disinfection of respiratory home care equipment?


A) activated glutaraldehyde
B) 70% ethyl alcohol solution
C) sodium hypochlorite solution
D) quaternary ammonium compound

E) None of the above
F) C) and D)

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A home care patient on transtracheal O2 therapy at 0.5 L/min frantically calls you, unable to reinsert the catheter after cleaning. What would you recommend?


A) Use a clean, pointed instrument to guide catheter reinsertion.
B) Put on a nasal cannula at 1 L/min and call the physician.
C) Insert the catheter into the nasal cavity about 3 to 4 inches.
D) Insert the catheter into the oral cavity.

E) A) and B)
F) A) and C)

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At 3 to 5 L/min output, a typical molecular sieve O2 concentrator provides O2 concentrations at what level?


A) 65% to 78%
B) 78% to 85%
C) 85% to 93%
D) >93%

E) All of the above
F) A) and B)

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Routine removing and cleaning of a transtracheal O2 catheter should be performed by whom?


A) visiting nurse
B) respiratory care practitioner
C) physician
D) patient

E) None of the above
F) B) and C)

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Which of the following is FALSE about home O2 therapy?


A) A PRN (as needed) prescription for O2 is acceptable.
B) Hypoxemia can be confirmed by arterial blood gas (ABG) or oximetry.
C) A PaO2 at or below 55 mm Hg documents need.
D) An SaO2 below 88% is clinical evidence of need.

E) B) and C)
F) C) and D)

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


A) every week
B) every 3 months
C) every month
D) every 6 months

E) None of the above
F) A) and C)

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Components of a typical adult home nasal CPAP apparatus include all of the following except:


A) CPAP pressure valve
B) flow-generating device
C) high-pressure gas source
D) form-fitting nasal mask

E) A) and D)
F) B) and C)

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Which O2 delivery system would you recommend for an active home care patient with low FIO2 needs who desires increased mobility?


A) traditional low-flow nasal cannula supplied by O2 concentrator
B) compressor-driven humidifier with supplemental O2 through a concentrator
C) conserving device used in conjunction with a portable liquid O2 system
D) air entrainment mask driven by a large (H/K) compressed gas cylinder

E) C) and D)
F) A) and B)

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Which of the following groups of hospitalized infants are frequently set up on apnea monitors?


A) those at risk for respiratory syncytial virus
B) those at risk for sudden infant death syndrome (SIDS)
C) those at risk for epiglottitis
D) those at risk for pneumonia

E) A) and C)
F) B) and C)

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