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keke12345676 keke12345676
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6 years ago
The risk of overhydration with continuous delivery of bland water aerosols is greatest among which patient group?
 
  1. Patients with fluid or electrolyte imbalances
  2. Patients with fever and infection
  3. Infants and small children
  a. 1, 2, and 3
  b. 1 and 2 only
  c. 2 and 3 only
  d. 1 and 3 only



Q. 2  What are some problems common to mist tents? 1. Heat retention 2. CO2 buildup 3. Hypothermia
 
  a. 1, 2, and 3
  b. 1 and 2 only
  c. 2 and 3 only
  d. 1 and 3 only



Q. 3  Which of the following devices would you recommend to administer bland water aerosol to an infant or small child?
 
  a. Face tent
  b. Croup tents
  c. T tube
  d. Aerosol mask



Q. 4  All mist tents prevent CO2 build-up by what process?
 
  a. Recirculating the gas
  b. Providing high gas flows
  c. Using CO2 absorbers
  d. Cooling the gas



Q. 5  Which of the following measures can help to ensure a good sputum sample?
 
  a. Using an ultrasonic nebulizer instead of a jet nebulizer
  b. Using a 5 saline solution instead of a 3 concentration
  c. Having the patient rinse the mouth or blow the nose before induction
  d. Using the lowest possible aerosol density (high flow and low output)



Q. 6  A physician orders bland water aerosol administration to a patient with a tracheostomy. Which of the following airway devices could you use to meet this goal?
 
  1. Tracheostomy mask
  2. Face tent
  3. T tube
  4. Aerosol mask
  a. 2 and 4 only
  b. 1, 2, and 3 only
  c. 1 and 3 only
  d. 2, 3, and 4 only



Q. 7  For which of the following patients might you recommend bland aerosol therapy via an ultrasonic nebulizer (USN)?
 
  1. Patient with upper airway edema
  2. Patient with a bypassed upper airway
  3. Patient who must provide a sputum specimen
  a. 1, 2, and 3
  b. 2 and 3 only
  c. 2 only
  d. 3 only
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wrote...
6 years ago
(Answer to Q. 1)  ANS: D
The risk of overhydration is highest for infants, small children, and those with preexisting fluid or electrolyte imbalances.

(Answer to Q. 2)  ANS: B
Any body enclosure poses two problems: CO2 build-up and heat retention.

(Answer to Q. 3)  ANS: A
Infants and small children may not readily tolerate direct airway appliances such as masks, so en-closures such as mist tents and aerosol hoods are used to deliver bland aerosol therapy to these patients.

(Answer to Q. 4)  ANS: B
CO2 build-up can be reduced by providing sufficiently high gas flow rates.

(Answer to Q. 5)  ANS: C
To ensure a good sputum sample, every effort must be made to separate saliva from true respira-tory tract secretions. In some cases, protocols include having patients brush their teeth and tongue surface thoroughly and rinse their mouths before sputum induction.

(Answer to Q. 6)  ANS: C
The T tube is used for patients who are orally or nasally intubated or who have a tracheostomy. The tracheostomy mask is used solely for patients who have a tracheostomy.

(Answer to Q. 7)  ANS: D
Exceptions include the use of the USN for sputum induction where the high output (1 to 5 ml/min) and aerosol density seems to yield higher quantity and quality of sputum specimens for analysis, but at some cost increased airway reactivity.
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