A home care patient receiving continuous noninvasive positive pressure ventilation through a na-sal mask complains of pressure sores over the nasal bridge. Which of the following actions could help to alleviate this problem?
1. Artificial skin
2. Forehead spacer
3. Reduce strap tension
4. Try nasal pillows
a. 2 and 4 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 1, 2, 3, and 4
Q. 2 Which of the following alarm systems is needed for postacute care patients who require only in-termittent pressure-limited noninvasive positive pressure ventilation?
a. High-pressure alarm
b. Loss of power alarm
c. Low-pressure alarm
d. Low-exhaled-volume alarm
Q. 3 Characteristics common to most positive pressure ventilation designed for use in the home setting include which of the following?
1. Volume cycling to end inspiration
2. High-pressure pneumatic power source
3. Backup internal power supply
4. Rotary piston drive mechanism
a. 1 and 3 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 3, and 4 only
Q. 4 Essential features of positive pressure ventilators that are used in alternative care settings on pa-tients with intact ventilatory drive and respiratory muscles include which of the following?
1. Mandatory minimum rate
2. Flow or inspiratory time control
3. Breath-triggering mechanism
4. Spontaneous breathe mode
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 are advantages of pressure-limited ventilators used in alternative settings except?
1. Are responsive to changing flow demands.
2. Can deliver higher volumes and pressures.
3. Are lightweight and less expensive.
4. Can compensate for small leaks.
a. 1 and 3 only
b. 1, 2, and 4 only
c. 2 and 4 only
d. 2, 3, and 4 only
Q. 6 Which of the following strategies would you recommend for a hemodynamically unstable patient with an intact upper airway who requires home ventilatory support?
a. Invasive positive pressure ventilation
b. Noninvasive positive pressure ventilation
c. Abdominal displacement ventilation
d. Negative pressure ventilation
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