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jj35 jj35
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6 years ago
To minimize a patient's infection risk between drug treatments with a small-volume jet nebulizer (SVN), what would you do?
 
  a. Rinse the SVN with sterile water; air dry.
  b. Carefully repackage the SVN in its wet state.
  c. Rinse the SVN with tap water; run until dry.
  d. Throw out the SVN after every treatment.



Q. 2  A patient with an acute exacerbation of asthma is not responding to the standard dose and fre-quency of an aerosolized bronchodilator and is now receiving small-volume jet nebulizer (SVN) therapy every 30 min.
 
  Which of the following would you recommend to the patient's physician at this time?
  a. Discontinue the aerosolized bronchodila-tor.
  b. Increase the frequency of SVN therapy to every 10 min.
  c. Consider continuous nebulization of the drug.
  d. Add more diluent to the SVN to extend treatment time.



Q. 3  What is the major problem with using large volume nebulizers for continuous aerosol drug thera-py?
 
  a. Decreased pulmonary deposition
  b. Drug reconcentration and toxicity
  c. Frequent interruption of therapy
  d. Greater waste of drug



Q. 4  To decrease the dead space volume of a small-volume jet nebulizer during drug administration, what should you do?
 
  a. Decrease the nebulizer flow.
  b. Turn the nebulizer upside-down.
  c. Continue treatment until nebulizer begins to sputter.
  d. Increase the nebulizer flow.



Q. 5  In mouth-breathing adult patients, which of the following factors is crucial in determining whether to use a mask or mouthpiece for aerosol drug delivery with a small-volume jet nebulizer?
 
  a. Clinician experience
  b. Drug concentration
  c. Patient preference and comfort
  d. Brand of small-volume jet nebulizer
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wrote...
6 years ago
(Answer to Q. 1)  ANS: A
The Centers for Disease Control and Prevention recommends that nebulizers be cleaned and dis-infected, or rinsed with sterile water, and air-dried between uses.

(Answer to Q. 2)  ANS: C
An alternative approach is to provide continuous nebulization with a specialized large-volume nebulizer.

(Answer to Q. 3)  ANS: B
A potential problem with continuous bronchodilator therapy is drug concentration increase.

(Answer to Q. 4)  ANS: C

(Answer to Q. 5)  ANS: C
The selection of delivery method (mask or mouthpiece) should be based on patient ability, pref-erence, and comfort.
jj35 Author
wrote...
6 years ago
TY
wrote...
6 years ago
My pleasure
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