Which of the following methods can eliminate the need for conducting a separate sleep study to adjust a patient's CPAP level?
1. Use an auto-adjusting CPAP system.
2. Use SpO2 values to titrate the CPAP level.
3. Use a patient sleep log or diary.
a. 1 and 2 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 3
Q. 2 Which of the following procedures can help to minimize skin irritation in home care patients us-ing nasal CPAP? 1. Replace the mask every 3 months. 2. Adjust the mask straps. 3. Clean the mask daily.
a. 1 and 2 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 3
Q. 3 Common problems encountered when using adult nasal CPAP to treat sleep apnea include which of the following? 1. Nasal discomfort 2. Barotrauma 3. Conjunctivitis 4. Skin irritation
a. 1 and 3 only
b. 1, 3, and 4 only
c. 2 and 4 only
d. 2, 3, and 4 only
Q. 4 Which of the following secretion clearance methods could be considered for a home care patient who lives alone?
1. Forced expiratory technique
2. Positive end expiratory pressure mask therapy
3. Active cycle of breathing
4. Postural drainage, percussion, and vibration
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only
Q. 5 Which of the following evidence would support Medicare reimbursement for adult nasal CPAP equipment to treat sleep apnea?
a. History of loud snoring while sleeping and marked obesity
b. Polysomnography confirming sleep apnea
c. 6-hr sleep video demonstrating major sleep disturbances
d. Clinical laboratory evaluation showing erythrocytosis and hypercapnia
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