Potpourri! Home Care, Pulm Rehab, Spec Procedures

Question 1

Which is true for apnea testing for brain death? F-23

Accepted Answer

Absence of respiratory movements is a positive test for brain death, Remove pt from vent, give 100% Oxygen

Question 2

What is the "L" in Persing's NAVEL? (It's not Lint!!!)

Accepted Answer

Lidocaine

Question 3

Which home disinfectant is no longer recommended for use by the CF Foundation? (Persing)

Accepted Answer

vinegar (acetic acid)

Question 4

What drug administration routes should be tried first before instilling a med down the ETT?

Accepted Answer

IO, IV

Question 5

Which is not typically covered by a Do Not Resuscitate (DNR) order? F-22, F-23

Accepted Answer

IV Fluids

Question 6

Which is untrue concerning the use of oxygen concentrators in the home? G-15

Accepted Answer

They can safely provide 100% O2 at flows of up to 6 L/min

Question 7

Which are risk factors for SIDS? F-16

Accepted Answer

Infants that snore, Sibling of SIDS baby, ALTE's (Apparent Life-Threatening Episodes), Preterm infants with significant Hx of Apnea

Question 8

Which of the following is false about molecular sieve O2 concentrators?

Accepted Answer

Increasing the flow will increase FiO2

Question 9

Which is the least expensive way to administer O2 in the home, per Persing p. 182?

Accepted Answer

O2 E cylinders

Question 10

How would you best determine a home patient's compliance with a smoking cessation program?

Accepted Answer

CO monitoring

Question 11

What is the name of this device and technique? (Persing)

Accepted Answer

Mouth-to-Valve-Mask Ventilation, Valve Mask

Question 12

Used in the home health setting, what is the specialized device pictured?

Accepted Answer

An O2 conserving device, Pulse dose O2 regulator

Question 13

Which is not a breathing exercise for rehabilitation patients per Persing?

Accepted Answer

Autogenic breathing

Question 14

While bagging a patient there is no resistance felt & the chest isn't rising. What's wrong?

Accepted Answer

Leak arount the mask, Leak around ETT cuff, Leak around O2 intake valve, Leak around exhalation valve

Question 15

Which oxygen device is best to use during CPR?

Accepted Answer

Resuscitator bag at 15 LPM and 100% with reservoir

Question 16

What is the 1 drug that can be injected directly into the heart when other routes have failed? (Persing)

Accepted Answer

Epinephrine

Question 17

Concerning a mass casualty or disaster plan, what is Triage? F-19

Accepted Answer

Prioritizing who gets care when casualty/patient numbers exceed caregivers, Allocation of vital resources when demand exceeds supply, Sorting by likelyhood of survival, ABCDE - Airway Breathing Circulation Disability (LOC) Exposure (Temp)

Question 18

Which is correct concerning the 6 minute walk test (aka 6MWT, aka exercise walk test)? G-12

Accepted Answer

Increased walk distance over time indicates improvement

Question 19

Which are correct concerning Defibrillation? F-17

Accepted Answer

Synchronizing switch muct be OFF, Only 2 indications: V-Fib and Pulseless V-Tach, Indicated for life-threatening abnormal cardiac rhythms

Question 20

Which is not a product recommended for disinfection of reusable home respiratory equipment? (Persing)

Accepted Answer

gluteraldehyde

Question 21

According to the Special Procedures chapter, what's an RRT? F-19

Accepted Answer

Medical Emergency Team, Rapid Response Team

Question 22

How many vents are in the National Strategic Stockpile for mass casualty events (before Covid-19 anyway)? (Persing)

Accepted Answer

6000, Becker has no idea

Question 23

Which is true concerning Air Transport of patients? F-19, F-20

Accepted Answer

As the altitude , ET tube cuff pressures also vary, The patient's PaO2 will decrease as aircraft altitube increases

Question 24

What vital capacity should a home care patient have for an effect cough? (Persing)

Accepted Answer

10 - 15 mL/kg

Question 25

What is the dose of meds given via ETT vs. via IV?

Accepted Answer

2-3 times IV dose f/b 10 mL saline f/b hyperventilation

Question 26

Which is not true concerning an Interdisciplinary Plan of Care? G-11

Accepted Answer

Only nursing and physicians need to collaborate on the plan

Question 27

Do I need to know the drugs that make up NAVEL???

Accepted Answer

Oui, Oui je fais!, Youse bettcha!, Yes if I want to get that question right!, Yes, Yes I do!

Question 28

All are goals of Pulmonary Rehabilitation accept? G-11

Accepted Answer

Control of Pain, Dyspnea with morphine

Question 29

According to Kettering, what is the range for a transport helicopter?

Accepted Answer

81 to 150 miles

Question 30

Which are devices to help in conserving oxygen in the home? G-14

Accepted Answer

Pulse-dose oxygen delivery systems, Reservior cannulas, Transtracheal oxygen catheters

Potpourri! Home Care, Pulm Rehab, Spec Procedures

Questions 30

Potpourri! Home Care, Pulm Rehab, Spec Procedures

Questions 30