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Other than providing a backup H cylinder for a home care O2 therapy patient who uses a concentrator, what other safety measure would you take to ensure an uninterrupted supply?


A) Provide an emergency backup battery-powered concentrator.
B) Arrange for emergency transport of the patient to a hospital.
C) Notify the power company that life-support equipment is in use.
D) Provide an emergency backup liquid O2 system.

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Which of the following would indicate that a patient is not sufficiently stable for home mechanical ventilation? 1) Severe dyspnea while breathing on the ventilator 2) Airway secretions cleared only by suctioning 3) Frequent premature ventricular contractions 4) Use of a cuffed oral endotracheal tube


A) 2 and 4 only
B) 1, 2, and 3 only
C) 3 and 4 only
D) 1, 3, and 4 only

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When visiting a home care patient receiving nasal O2 at 2 L/min through an O2 concentrator, you measure the FiO2 of the outlet gas as 0.63. Which of the following best explains this finding?


A) This FiO2 is normal at this flow.
B) The sieve pellets are exhausted.
C) The gas inlet filter must be clogged.
D) Electrical power is inadequate.

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Which of the following are first-line aerosol drug delivery systems for home care patients? 1) Small volume nebulizer 2) Dry powder inhaler 3) Metered dose inhaler


A) 1 and 2 only
B) 2 and 3 only
C) 1 and 3 only
D) 1, 2, and 3

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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? 1) Bubble humidifier 2) Pressure-reducing valve 3) Calibrated low-flow flowmeter


A) 1 and 2 only
B) 1, 2, and 3
C) 2 and 3 only
D) 1 and 3 only

Correct Answer

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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.

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Which of the following is typically not included as part of a good discharge plan?


A) Evaluating both the patient and the discharge site
B) Providing caregiver travel to and from the discharge site
C) Confirming or securing financial resources
D) Providing patient and caregiver education and training

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Which of the following factors would you consider in determining the frequency of follow-up visits needed by a home care patient? 1) Level of self-care the patient is able to provide 2) Type and complexity of home care equipment used 3) Patient's condition and therapeutic objectives 4) Level of family or caregiver support available


A) 1, 2, 3, and 4
B) 2 and 4 only
C) 1 and 3 only
D) 3 and 4 only

Correct Answer

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All of the following indicate that a patient is stable enough to be considered for home ventilatory support except:


A) pH = 7.34; PCO2 = 48; HCO3- = 27
B) FiO2 = 35%
C) 15 cm H2O positive end expiratory pressure (PEEP)
D) Absence of cardiac arrhythmias

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What is the primary use of compressed O2 cylinders in alternative settings? 1) Ambulation (small cylinders) 2) Backup supply (large cylinders) 3) Primary supply (large cylinders)


A) 1 and 2 only
B) 2 and 3 only
C) 1 and 3 only
D) 1, 2, and 3

Correct Answer

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