Aerosol

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  1. Ten minutes into a hand-he;d nebulizer treatment given to deliver albuterol, the pt c/o dizziness and tingling fingers. What should be done?

    A) change the medication
    B) advise the pt to breathe in the same pattern
    C) tell the pt to breathe more slowly
    D) advise the pt to breathe deeper & faster
    C) tell the pt to breathe more slowly
    (this multiple choice question has been scrambled)
  2. A pt is being given a BD med by SVN powered by 5 lpm of O2. While watching the pt breathe, the RT notices that duing each inspiration, the mist disappears from the downstream end of the SVN. What should be recommended?

    A) add 10 ml of aerosol tubing as a reservoir
    B) increase the O2 flow
    C) tell the pt not to breathe so deeply
    D) decrease the O2 flow
    A) add 10 ml of aerosol tubing as a reservoir
    (this multiple choice question has been scrambled)
  3. A 3 YO pt with asthma is about to be d/c'd and needs to take an inhaled BD med at home. What device should be recommended?

    A) SVN with mouthpiece
    B) DPI w/ VHC
    C) MDI w/ VHC
    D) MDI
    C) MDI w/ VHC
    (this multiple choice question has been scrambled)
  4. An order has arrived to perform an induced sputum procedure on a pt suspected of having TB. What should be the first choice to nebulize for the pt?

    A) 0.45% saline
    B) 0.9% saline
    C) 7% saline
    D) distilled water
    C) 7% saline
    (this multiple choice question has been scrambled)
  5. What breathing pattern should be recommended for an aerosolized med to be deposited primarily in the larger airways?

    A) inhale an IC & inhale slowly
    B) inhale a Vt, inhale at a normal speed, breathe in a normal pattern
    C) inhale an IC & inhale at a normal speed
    D) inhale at a normal speed & breathe in a normal pattern
    B) inhale a Vt, inhale at a normal speed, breathe in a normal pattern
    (this multiple choice question has been scrambled)
  6. A physician calls an RT to evaluate a 40 YO pt w/ bronchitis and to make a recommendation for an aerosol delivery system. The pt's breath sounds indicate the presence of large airway secretions. Despite a good cough effort, the pt has difficulty in raising them. What should be recommended?

    A) use a hand-held nebulizer with 3 cc of normal saline q hour
    B) start a cascade type humidifier to an aerosol mask
    C) start a continuous USN to an aerosol mask
    D) place the pt into a mist tent
    C) start a continuous USN to an aerosol mask
    (this multiple choice question has been scrambled)
  7. A pt's humidity deficit is going to be the smallest under which of the following conditions?

    A) breathing in outside air at 80 degrees and 50% RH
    B) breathing in 40% O2 at 95 degrees through a passover type humidifier to an aerosol mask
    C) breathing in 6 lpm of O2 through a nasal cannula running through an unheated bubble humidifier
    D) breathing in regular hospital RA at 72 degrees and 40% RH
    B) breathing in 40% O2 at 95 degrees through a passover type humidifier to an aerosol mask
    (this multiple choice question has been scrambled)
  8. A USN would be recommended for aerosol rx for the following reason:

    A) it can be used to nebulze bland aerosols and liquid meds into an aerosol
    B) it's droplets are between 10 and 20 mic's in diameter
    C) it delivers a wide variety of aerosol droplets
    D) it delivers a uniform aerosol droplet of about 3 micrometers in diameter
    D) it delivers a uniform aerosol droplet of about 3 micrometers in diameter
    (this multiple choice question has been scrambled)
  9. A pt has an ETT. Which of the following devices would be the least effective in reducing this pt's humidity deficit?

    A) unheated bubble type himidifier
    B) wick type humidifier set at 35 degrees C
    C) USN
    D) membrane type humidifier set st 35 degrees C
    A) unheated bubble type himidifier
    (this multiple choice question has been scrambled)
  10. An adult pt with chronic bronchitis has a normal temp. To fully saturate the inhaled air, how much AH must be provided by the humidifier?

    A) 35 degrees C
    B) 760 mm Hg
    C) 47 mm Hg
    D) 44 mg/L
    D) 44 mg/L
    (this multiple choice question has been scrambled)
  11. A pt's heated humidifier unit has a water reservoir temp of 40 degrees. The humidified gas is travelling through large bore tubing to the pt. Which of the following statements are true?

    A) condensation will occur & the gas will remain saturated & the RH will increase
    B) the gas will warm & expand as it travels to the Pt & the gas will remain saturated & the RH will increase
    C) the gas will remain saturated & the RH will decrease
    D) condensation with occur & the gas will remain saturated
    D) condensation with occur & the gas will remain saturated
    (this multiple choice question has been scrambled)
  12. The pop-off valve is whistling on a pt's bubble humidifier to a 35% O2 air entrainment mask. What could be the problem?

    A) the air entrainment mask should be set at 28% O2
    B) the reservoir jar is not screwed tightly into the top of the humidifier
    C) the air entrainment mask should be set at 40% O2
    D) the small bore tubing is pinched
    D) the small bore tubing is pinched
    (this multiple choice question has been scrambled)
  13. A humidity or aerosol system delivering body temp gas is used in all the following situations EXCEPT:

    A) pt with a trach
    B) 20 MO infant with laryngotracheobronchitis
    C) pt with COPD & thick secretions
    D) hypothermic near drowning victim
    B) 20 MO infant with laryngotracheobronchitis
    (this multiple choice question has been scrambled)
  14. A pt's SVN is not putting out as much aerosol as it was a short time ago. To correct the problem, what should be checked?

    A) make sure the one-way valve is patent & make sure the O2 can flow down the capillary tube
    B) make sure the fluid level is correct & make sure the jet is patent & make sure the fluid can flow up the capillary tube
    C) make sure the fluid level is correct & make sure the one-way valve is patent
    D) make sure the jet is patent & make sure the O2 can flow down the capillary tube
    B) make sure the fluid level is correct & make sure the jet is patent & make sure the fluid can flow up the capillary tube
    (this multiple choice question has been scrambled)
  15. A pt has pneumonia and needs an inhaled antibiotic. What size particle generator should be recommended to treat the problem?

    A) 1-3 mics
    B) 10-20 mics
    C) 2-5 mics
    D) 20-50 mics
    A) 1-3 mics
    (this multiple choice question has been scrambled)
  16. A USN has a flashing couplant indicator light. The RT notices that the output has decreased from what is was before. The most likely problem is:

    A) not enough water in the couplant chamber
    B) too much water in the solution cup
    C) a loose electrical cable
    D) too much water in the couplant chamber
    A) not enough water in the couplant chamber
    (this multiple choice question has been scrambled)
  17. A RT notices that the water has collected at the low point of the large bore tubing of a pt's heated aerosol system. The aerosol is "puffing" out of the end of the tubing. What should be done?

    A) empty the water from the large bore tubing into a waste water jar
    B) empty the water from the tubing into the reservoir so it is not wasted
    C) add water to the reservoir jar
    D) empty the water from the reservoir jar
    A) empty the water from the large bore tubing into a waste water jar
    (this multiple choice question has been scrambled)
  18. The physician wants a pt with a trach to inhale RA that is fully saturated at body temp. The selected device must be able to meet the following criteria:

    A) deliver 40% RH & provide 47 mm Hg vapor pressure & deliver 44 mg/L AH
    B) deliver 40% RH & provide 44 mm Hg vapor pressure
    C) deliver 100% RH & provide 44 mm Hg vapor pressure
    D) deliver 100% RH & provide 47 mm Hg vapor pressure & deliver 44 mg/L AH
    D) deliver 100% RH & provide 47 mm Hg vapor pressure & deliver 44 mg/L AH
    (this multiple choice question has been scrambled)
  19. It is best to coach a patient to breathe in the following pattern for particle deposition in smaller airways & alveoli:

    A) inhale an IC & hold the breath for up to 10 sec before exhalating & inhale at a slow speed
    B) inhale a Vt & inhale at a slow speed
    C) inhale a Vt & inhale rapidly
    D) inhale an IC & inhale at a normal speed
    A) inhale an IC & hold the breath for up to 10 sec before exhalating & inhale at a slow speed
    (this multiple choice question has been scrambled)
  20. When doing rounds, a RT notices that very little aerosol is going from an LVN to a pt's trach mask. Which of the following could be the problem?

    A) the neb is not screwed tightly into the DISS connector on the flowmeter & the neb jet is obstructed & the water level is below the refill line & the capillary tube is obstructed
    B) the water level is above the refill line & the neb is not screwed tightly on the DISS connector
    C) the neb jet is obstructed & the water level is below the refill line
    D) the water level is above the refill line & the water level is below the refill line & the capillary tube is obstructed
    A) the neb is not screwed tightly into the DISS connector on the flowmeter & the neb jet is obstructed & the water level is below the refill line & the capillary tube is obstructed
  21. A 64 YO pt with a long smoking hx and a dx of chronic bronchitis has been admitted again with complaints of SOB and productive cough. Which of the following questions should be asked to gain an understanding of the pt's problem to better guide aerosol therapy?

    A) make sure the fluid level is correct & make sure the one-way valve is patent
    B) inhale an IC & inhale slowly
    C) "how many hours do you sleep at night?"
    D) "has the volume of your secretions changed over the last week? & "ae there any meds that make your breathing easier?"
    D) "has the volume of your secretions changed over the last week? & "ae there any meds that make your breathing easier?"
    (this multiple choice question has been scrambled)
  22. A 22 YO pt with asthma has frequent business trips by airplane. What type of neb should be recommended for her liquid meds?

    A) breath-enhanced neb
    B) standard neb
    C) vibrating mesh nubulizer
    D) breath-activated neb
    C) vibrating mesh nubulizer
    (this multiple choice question has been scrambled)
  23. a 40 YO female pt has been sick with the flu for 8 days and was admitted with dehydration  and pneumonia. IV fluids were started. She was given an aerosol mask with 35% O2 and continuous aerosol of NS through a USN. An hour later she reported worsening SOB. Her breath sounds revealed crackles that were not there before rx was started. What is the most likely cause?

    A) she is allergic to NS
    B) her secretions have swollen
    C) her influenza is worse
    D) the dehydration is worse
    B) her secretions have swollen
    (this multiple choice question has been scrambled)
  24. A 40 YO pt has just been intubated and started on mechanical ventilation. It is anticipated that this will be needed for at least several days. What should be the first choice for humidification?

    A) VMN q 2 hr
    B) heated HME
    C) SVN q 4 hr
    D) heated cascade type humidifier
    D) heated cascade type humidifier
    (this multiple choice question has been scrambled)
  25. A 14 Yo pt with severe asthma has just been given a new med of inhaled corticosteroids by a dpi. After rapidly inhaling the meds, the pt begins to cough vigorously. Breath sounds reveal increased wheezing in all lung fields. What should be recommended?

    A) have the pt inhale slowly through the dpi
    B) stop taking the dpi meds
    C) have the pt inhale quickly through the dpi
    D) increase the dose of the dpi med until the wheezing goes away
    B) stop taking the dpi meds
    (this multiple choice question has been scrambled)
  26. A pt with CHF is having an exacerbation of that condition. The physician is going to support the pt's breathing with NIV while treating aggressively. What should be recommended for her humidification?

    A) wick type humidifier
    B) no need for added humidity
    C) HME
    D) large volume nebulizer
    A) wick type humidifier
    (this multiple choice question has been scrambled)
  27. Complications of bland aerosol rx include all of the following EXCEPT:

    A) swollen secretions that may block airways
    B) increased humidity deficit
    C) fluid overload in an infant
    D) aerosol induced bronchospasm
    B) increased humidity deficit
    (this multiple choice question has been scrambled)
  28. An alcoholic pt has been admitted with a high fever and a productive cough. A pulmonary abscess is suspected. What sputum characteristics should be evaluated to hel assess the effectiveness of aerosol & other rx?

    A) platlet count & color
    B) smell & consistency
    C) smell, consistency &color
    D) specific gravity & smell & consistency
    C) smell, consistency &color
    (this multiple choice question has been scrambled)

Card Set Information

Author:
Anonymous
ID:
316320
Filename:
Aerosol
Updated:
2016-02-22 19:53:24
Tags:
aerosol
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Description:
aerosol
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