Which of the following conditions is an indication for application of noninvasive ventilation (NIV)?
a. The patient requires low concentrations of supplemental O2.
b. The patient cannot swallow without the risk of aspiration.
c. The patient's peak cough flows are less than 3 L/sec.
d. Because of facial trauma, an airtight mask seal is impossible.
Q. 2 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.
Q. 3 Patient parameters that lay caregivers of home mechanical ventilation should assess regularly in-clude which of the following? 1. Vital signs 2. Skin color or diaphoresis 3. Chest excursions 4. Breath sounds
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only
Q. 4 Which of the following are prerequisites to successful home-based mechanical ventilation?
1. Presence of adequate professional support
2. Willingness of family to accept responsibility
3. Patient's condition, especially stability
4. Overall viability of the home care plan
a. 1, 2, and 3 only
b. 2 and 4 only
c. 1, 2, 3, and 4
d. 3 and 4 only
Q. 5 What is the first step in discharging a patient from an acute care facility who will require home-based mechanical ventilation?
a. Patient and family education and training are initiated.
b. The family is consulted about the feasibil-ity.
c. All equipment and necessary supplies are readied.
d. The physician writes appropriate orders and sets objectives.
Q. 6 You have been asked to organize a patient and family education program as part of a discharge plan for a patient requiring home ventilatory support. Which of the following areas would you be sure to cover?
1. Equipment operation and disinfection
2. Patient assessment and monitoring
3. Airway management and clearance
4. Emergency procedures
a. 1, 2, and 3 only
b. 2 and 4 only
c. 1, 2, 3, and 4
d. 3 and 4 only
Quick Reply
