A
Which patients are better suited for subacute rather than for acute care (select all that apply)?
1. those who no longer need diagnostics or invasive procedures
2. those who have a determined course of treatment
3. those who are recovering from an acute illness
What is 2 and 3
What 3 settings can be utilized for pulmonary rehab?
What is hospital, outpatient rehab clinics, homecare
For a patient undergoing pulmonary rehabilitation, how far should his/her training intensity be pushed?
a) 40%–50% predicted maximal heart rate
b) 60%–70% predicted maximal heart rate
c) 70%–80% predicted maximal heart rate
d) 80%–90% predicted maximal heart rate
What is
c) 70%–80% predicted maximal heart rate
Which of the following are potential hazards involved with using O2 in a patient’s home (select all that apply)?
I. Improper storage and handling
II. Fire
III. Inadequate ventilation
What is
I. Improper storage and handling
II. Fire
III. Inadequate ventilation
For a mechanically ventilated patient who is being transported from home to a physician visit, where should the manual resuscitation bag be kept?
a) With the patient
b) In the car
c) With the caregiver
d) With the respiratory therapist
What is
a) With the patient
What does DME stand for?
What is durable medical equipment (DME)
A patient is not likely to be suitable for cardiopulmonary rehabilitation if he/she has which of the following conditions?
a) Asthma
b) COPD
c) Cystic fibrosis
d) Ishemic coronary disease
What is d) Ishemic coronary disease
A patient is experiencing significant symptoms of fatigue and dyspnea during exercise. Which of the following should the respiratory therapist do first?
a) Double the patient's workload
b) Increase the patient’s workload
c) Reduce the patient’s workload
d) Monitor the situation
What is
c) Reduce the patient’s workload
Where should a copy of the patient’s DNR order be located in the patient’s home?
a) In a fireproof box with other important papers
b) Over the patient’s bed
c) In a file cabinet
d) In a safe deposit box
What is
b) Over the patient’s bed
A pediatric patient using a mechanical ventilator is going for a ride in a car. In addition to securing the patient in a car seat in the vehicle, what must the parents also be instructed to do?
a) Clean the filters on the ventilator
b) Confirm that the pressure alarms are working
c) Secure the ventilator in the car
d) Make sure the ventilator is above the child
What is c) Secure the ventilator in the car
From a psychosocial standpoint, the scientific basis for pulmonary rehabilitation rests with all of the following, except:
a) COPD can negatively affect the patient’s overall outlook/motivation
b) Patients with COPD often have anxiety and stress
c) Psychosocial support and physical reconditioning can produce the best possible outcome
d) Pulmonary rehabilitation can cure depression
What is d) Pulmonary rehabilitation can cure depression
Which of the following are exercise components of a pulmonary rehabilitation program (select all that apply)?
I Bodybuilding exercises
II Endurance exercises
III Strength training
IV Stretching and flexibility exercises
What is
II Endurance exercises
III Strength training
IV Stretching and flexibility exercises
Which of the following are considered to be adequate arterial oxygenation conditions for exercise training?
a) PaO2 > 45 mm Hg and SpO2 > 68%
b) PaO2 > 50 mm Hg and SpO2 > 80%
c) PaO2 > 55 mm Hg and SpO2 > 88%
d) PaO2 > 60 mm Hg and SpO2 > 90%
What is c) PaO2 > 55 mm Hg and SpO2 > 88%
For a patient receiving home O2 therapy, what is the primary goal?
a) Proper arterial O2 saturation during sleep
b) Proper arterial O2 saturation during exercise
c) Proper arterial O2 saturation during daily activities
d) Proper arterial O2 saturation at all activity levels
What is d) Proper arterial O2 saturation at all activity levels
How would you instruct a home care patient to clean their svn?
a. wash with detergent, soak in vinegar for 20 min, rinse dry on a clean towel
b. wash with detergent, rinse, soak in vinegar for 20 min, rinse, wipe dry, set on a clean towel
c. wash with detergent, rinse, soak in vinegar for 20 min, rinse, set on a clean towel
d. wash with detergent, soak in vinegar for 10 min, rinse dry on a clean towel
What is c. wash with detergent, rinse, soak in vinegar for 20 min, rinse, set on a clean towel
The exercise prescription portion of a pulmonary rehabilitation program often includes all of the following, except:
a) Lower and upper extremity aerobic exercises
b) Ventilatory muscle training via progressive resistance
c) Breath holding for up to five minutes
d) Timed walking exercises
What is c) Breath holding for up to five minutes
The long term benefits/goals of pulmonary rehab include (select all that apply):
a. decreased perception of level of dyspnea
b. improved ability to do ADL
c. ability to decrease daily medications
d. decreased frequency of hospitalizations
What is
a. decreased perception of level of dyspnea
b. improved ability to do ADL
d. decreased frequency of hospitalizations
Which of the following types of breathing may make it possible for some patients to maintain adequate oxygenation without supplemental oxygen (select all that apply)?
I Diaphragmatic breathing
II Hyperventilation
III Pursed–lip breathing
IV Hypoventilation
What is
I Diaphragmatic breathing
III Pursed–lip breathing
A respiratory therapist is caring for a patient who lives 3000 feet above sea level. At this altitude, O2 delivery devices deliver oxygen at
a) A higher volume and higher pressure
b) A higher volume and lower pressure
c) The same volume and lower pressure
d) The same volume and higher pressure
What is c) The same volume and lower pressure
Which of the following determine the required battery duration for a patient on home mechanical ventilation (select all that apply)?
I. How dependent the patient is on the ventilator
II. The frequency of power outages in the area
III. The size of the patient’s residence
IV. Medicares reimbursement rate
What is
I. How dependent the patient is on the ventilator
II. The frequency of power outages in the area
A patient is undergoing an intensive pulmonary rehabilitation program. How long do intensive pulmonary programs normally last?
What is 4-12 weeks
For a patient undergoing pulmonary rehabilitation, how often should the patient’s exercise workload be reassessed?
What is every exercise session
A patient has an end-stage terminal illness. What are the primary goals of home respiratory care (select all that apply)?
I. Disease management (treatment options to improve symptoms) and health promotion
II. Provide physical and psychological comfort
III. Make it possible for the patient to die at home
What is
II. Provide physical and psychological comfort
III. Make it possible for the patient to die at home
How often should a respiratory therapist test the ventilator alarms per the manufacturer’s instructions?
a) If there appears to be a problem
b) During every home visit
c) If the alarm has gone off
d) Once a month
What is b) During every home visit
Which of the following are requirements for a patient on home care (select all that apply)?
a. Properly grounded 3-prong electrical outlets
b. Fuses, not circuit breakers
c. Access to a physician within 30 miles
d. A back up ventilator if a patient requires a ventilator
e. Oxygen cylinders if the patient is dependent on oxygen
What is
a. Properly grounded 3-prong electrical outlets
d. A back up ventilator if a patient requires a ventilator
e. Oxygen cylinders if the patient is dependent on oxygen