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For which of the following patients might you recommend bland aerosol therapy administration? I.patient with upper airway edema II.patient with a bypassed upper airway III.patient who must provide a sputum specimen


A) I, II, and III
B) II and III
C) I and II
D) I and III

Correct Answer

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What are some problems common to mist tents? I.heat retention II.CO2 buildup III.hypothermia


A) I, II, and III
B) I and II
C) II and III
D) I and III

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When using water traps to help minimize the problems caused by condensation in a heated humidifier ventilator circuit, where would you place the traps?


A) in the expiratory limb only, at a high point in the circuit
B) in both the expiratory and inspiratory limbs, at high points in the circuit
C) in the expiratory limb only, at a low point in the circuit
D) in both the expiratory and inspiratory limbs, at low points in the circuit

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The greater the temperature of the gas, the:


A) more water vapor it can hold
B) less water vapor it can hold
C) less efficient the humidifier is
D) more water vapor is lost

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An ideal heat-moisture exchanger (HME) should have an efficiency rating of at least which of the following?


A) 30%
B) 50%
C) 70%
D) 90%

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Key considerations in selecting or recommending humidity or bland aerosol therapy for a patient include which of the following? I.required gas flow II.presence of an artificial tracheal airway III.character of pulmonary secretions IV.need for or duration of mechanical ventilation V.presence of heat-moisture exchanger (HME) contraindications


A) II, III, and IV
B) I, II, and III
C) III, IV, and V
D) I, II, III, IV, and V

Correct Answer

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Which type of humidifier "traps" the patient's body heat and expired water vapor to raise the humidity of inspired gas?


A) membrane
B) bubble
C) heat-moisture exchanger
D) passover

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Which of the following inspired conditions should be maintained when delivering medical gases to the nose or mouth?


A) 50% relative humidity (RH) at 20° to 22° C
B) 100% RH at 20° to 22° C
C) 80% RH at 28° to 32° C
D) 100% RH at 32° to 35° C

Correct Answer

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All of the following are true regarding large-volume jet nebulizers except:


A) A variable air-entrainment port allows air mixing and different FIO2 values.
B) Liquid particles are generated by mechanical vibration energy.
C) They are pneumatically powered and attach directly to a flowmeter.
D) Baffling causes impaction or removal of large, unstable particles.

Correct Answer

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In checking a servo-controlled heated-wire humidifier system, you notice that a few drops of condensate tend to form but only near the patient's airway. Based on this observation, what can you conclude?


A) The gas at the airway is fully saturated.
B) The temperature setting of the heater is too high.
C) The airway temperature exceeds the dew point.
D) The temperature setting of the heater is too low.

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All of the following are potential hazards of using heat-moisture exchangers except:


A) failure of low-pressure alarms to detect disconnection
B) underhydration or impaction of secretions
C) hypoventilation due to increased dead space
D) unintended tracheal lavage from condensate

Correct Answer

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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)

Correct Answer

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A heat-moisture exchangers has an efficiency rating of 80%. What does this mean?


A) Of the exhaled water vapor, 80% returns to the patient on inspiration.
B) The inspired temperature is 80% of the expired temperature.
C) Of the exhaled water vapor, 20% returns to the patient on inspiration.
D) The device provides 80% relative humidity at body temperature.

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How often should heat-moisture exchangers be inspected and replaced?


A) at least every shift
B) when contaminated by secretions
C) at least every day
D) when condensate is visible

Correct Answer

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Which of the following best describes the performance of a typical hygroscopic condenser HME?


A) 40 mg/L water vapor exhaled; 27 mg/L returned
B) 40 mg/L water vapor exhaled; 20 mg/L returned
C) 27 mg/L water vapor exhaled; 40 mg/L returned
D) 44 mg/L water vapor exhaled; 37 mg/L returned

Correct Answer

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All of the following are potential hazards of using a heated humidifier during mechanical ventilation except:


A) aerosolization of condensate during disconnection
B) underhydration or impaction of secretions
C) hypoventilation due to increased dead space
D) unintended tracheal lavage from condensate

Correct Answer

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Heat-moisture exchangers (HMEs) are mainly used to do what?


A) warm and humidify gases delivered to the trachea via ventilator circuits
B) humidify therapeutic gases delivered at high flows to the lower airway
C) provide extra humidity for a patient with thick or retained secretions
D) warm and humidify dry therapeutic gases delivered to the upper airway

Correct Answer

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The risk of overhydration with continuous delivery of bland water aerosols is greatest among which patient group? I.patients with fluid or electrolyte imbalances II.patients with fever and infection III.infants and small children


A) I, II, and III
B) I and II
C) II and III
D) I and III

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What should happen when the remote temperature sensor of a heated humidifier becomes disconnected or fails? I. Power to the heater should be interrupted. II. Auditory and visual alarms should trigger. III. The unit’s outlet valve should lock closed.


A) I and II
B) II and III
C) I and III
D) I, II, and III

Correct Answer

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For which of the following patients might you recommend bland aerosol therapy via an ultrasonic nebulizer (USN) ? I.patient with upper airway edema II.patient with a bypassed upper airway III.patient who must provide a sputum specimen


A) I, II, and III
B) II and III
C) II
D) III

Correct Answer

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