Final 1

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A voluntary professional association for respiratory care practitioners.

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The national credentialing agency for respiratory care practitioners.

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One who successfully passes the Entry Level exam earns these credentials.

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One who passes the Advanced Practioner level exam earns these credentials.

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A private, voluntary association that establishes standards for accrediting institutions responsible for health care.

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Freedom to decide about one's own care?

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Binds the patient and the health care provider to tell the truth.

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Privileged information, which may not be revealed without express permission.

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Never use treatment to injure or harm the sick.

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Requires that the care giver actively contribute to the health and well being of the patient.

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Any conduct which creates a resonable apprehension of being touched in an injurous manner

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The failure to do something that a reasonable person, guided by ordinary considerations, would do.

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Defamation by the written word

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Defamation by oral speech

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Unreasonable lack of skills to fulfill professional duties

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A predefined category of admitting diagnoses, which have a fixed rate of reimbursement

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An ongoing process designed to detect and correct factors that interfere with the delivery of quality, cost effective health care

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A specific algorithm used by RCPs to independently initiate and adjust therapy using guidelines established by medical staff

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A process whereby a private agency recognizes that certain qualification have been met by an individual to work as a Respiratory Care Practitioner.

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Permission granted by a government agency to practice an occupation

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An approach based on the natural course of an ilness that integrates the way the products and services are used and reimbursed

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A service outside the scope of a respiratory therapist's care would be:

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Which of the following is NOT an advantage of using therapist driven protocols

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The main reason thta the state requires all practicing RCPs to have a current license from the Board of Medicine

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When making your patient rounds, you have a heated discussion with a staff nurse who refuses to allow you to give a patient a STAT breathing treatment ordered until she first gives the patinet a bath. To resolve this issue, you should first notify the:

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Asepsis is defined as:

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Sterile is defined as:

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Infection control strategies aim to do all of the following EXCEPT:

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A term used to describe a microorganism capable of producing disease
Bacteria

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Nosocomial infections are ___________ acquired infections

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To minimize the spread of infection, you should wash your hands for a minimum of _________ between patients.

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Most hospital acquired infections will be caused by:

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Unless otherwise indicated, this type of precaution should be used for all patients.

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Once properly identified, viruses often respond to antibiotic therapy.

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Which types of patients are particularly susceptible to nosocomial infections?
(select all that apply)

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Patients with artifical airways, such as a trach, are at increased risk for nosocomial infections because:
(select all that apply)

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The single most important method of reducing hospital acquired infections is:

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The most difficult of all pathogens to kill are

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Which of the following is NOT a major route of infection into the lung

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A lab method used for classifying bacteria

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Protective or reverse isolation is required for all of the following types of patients EXCEPT:

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When water is not available, which of the following may be used as long as hands are not visibly dirty?

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A Ziehl-Neelsen stain, also called an acid fast test, is used to specifically identify which organism?

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Unlike airborne precautions, droplet precautions are used for infectious agents which usually do not travel beyond this distance.

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Masks, gowns, gloves and goggles are items which are considered:

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Of the following, which type of infection is most likely to lead to death?

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The most common route for the spread of nosocomial infections

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Of the various sources of infection within the hospital, which are NOT easily controlled?

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The single most important method to infection control is:

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One who carries a microorganism

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Disease causing organisms are called:

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A possible by-product of ethylene oxide sterilization is:

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Of the follwoing choices, which method of cleaning is the BEST for instruments which are used to enter the body or the blood stream?

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The most difficult of all pathogens to kill:

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What method of disinfection uses hot water immersion at 63-70 C for 30 minutes?

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What are the major consideration when using disposable equipment?

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The preferred method fo sterilization of equipment that has been grossly contaminated with an extremely virulent (aggressive) pathogen, and is no longer of use, is which of the following?

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An item has returned from the Central Sterile Suppy after being autoclaved. The outside processing color indicator has converted showing heat exposure. You now know:

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Of the follwoing techniques, which is not capable of sterilization?

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What is the appropriate concentration of ethyl or isopropyl alcohol when used for surface disinfection?

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Sterilization is achieved by various means through effecting the cells in which way(s)?

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Which of the following do we depend upon to guarantee sterilization?

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Quality control requires use of both cylce strips (gas or steam) and biologic indicators to confirm proper processing.

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Once activated, Cidex will be fully potent for:

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The pH range for Cidex is:

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Once opened, sterile fluids may be used within ___ before they should be disposed.

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The types of tests for contamination include all of the following except:

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Which of the following steps is not part of basic equipment processing?

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A simple disinfectant made with vinegar and water (1:3) contains which of the following?

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"Processing by risk" means:

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Alcohol is best used for:

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Another name for bleach is:

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A method which combines heat and pressure to achieve sterilization

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Fluid and medication precautions include which of the following?

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When using contact precautions, where should single patient use equipment be disposed?

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The chemical symbol for nitric oxide gas is:

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The chemical symbol for carbon dioxide gas is

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The chemical symbol for Oxygen is

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The chemical symbol for Helium gas is

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The chemical symbol for Nitrogen gas is

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The color code for CO2 gas is

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The color code for Helium gas is

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The color code for Nitrous oxide gas is

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The color code for air is

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The color code for oxygen is

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Our natural atmosphere contains % oxygen

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Our natural atmosphere contains % nitrogen

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Oxygen will explode at 100% purity

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Oxygen is produced commercially through the process of

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Taking safety into consideration, at what pressure is it recommended to change used tanks for a full tank?

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As a safety device, if an E cylinder's internal pressure or temperature is rising to dangerous levels, the _________ will activate thereby releasing the gas safely.

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If a medical gas cylinder has a "+" mark after its service pressure, it may be filled up to ___ psi.

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Standards of gas purity are set by the

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Which organization requires color coding of gas cylinders?

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The ___________________ is a safety system, for tanks larger than E, that uses threaded connections, which vary in thread number and thread angle, so that similar sized cylinders containing dissimilar gases cannot be misused.

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The ONLY sure way to verify that oxygen is contained in a cylinder is by:

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A device that incorporates both a reducing valve and a flow device is a ________________.

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An H cylinder of oxygen contains ________ cu ft. of gas.

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What style regulator do small size cylinders use?

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The safety system that applies to the valve outlets of small cylinders

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As a safety device, if an H cylinder's internal temperature or pressure rises to dangerous levels, the _________________ will activate, thereby safely releasing the gas.

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What is the purpose of "cracking" the tank?

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The only accurate method to determine the contents of a liquid filled cylinder is

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If a tank is leaking after putting on a regulator, which of the following is the proper course of action?

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Calculate the duration of flow from the cylinder. Your final answer must be in hours and minutes.

A full H cylinder when the flowmeter is set at 5L/min. For safety reasons, assume that you will NOT use all of the gas in the cylinder

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Calculate the duration of flow from the following cylinder.

An E cylinder containing 1250 psi and the flowmeter is set at 3L/min. For safety reasons, assume that you will NOT use all of the gas in the cylinder.

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Calculate the duration of flow for the following cylinder.

An E cylinder containing 1800 psi and the flowmeter is set at 2L/min. For safety reasons, assume that you will NOT use all of the gas in the cylinder.

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Calculate the duration of flow for the following cylinder.

An H cylinder containing 1200 psi and the flowmeter is set at 8L/min. For safety reasons, assume that you will NOT use all of the gas in the cylinder.

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A patient has a nasal cannula and needs to be transported with an E cylinder that is lying flat underneath the stretcher. You would recommend using which type of flowmeter?

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Which of the following safety systems is utilized for equipment operating at less than 200 psi to prevent misconnections to inappropriate gases?

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If the outlet of a Bourdon gauge became partially obstructed creating back pressure, the indicated flow would ___________.

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It is possible to distinguish between a single stage reducing valve and a multi-stage reducing valve by counting the number of _____________.

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When using this type of flowmeter the ball will jump when plugged into a gas source

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The Bourdon gauge measures:

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Used as an alternative means for providing air to a patient without using an air cylinder

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The standard working pressure for medical gas equipment is ________.

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The device which converts the high pressure within a cylinder to a workable pressure is a:

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Bulk piping alarms activate when:

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The NFPA standard for bulk oxygen systems requires that the reserve supply be:

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The advantage to using liquid bulk storage oxygen systems is:

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The terminal point of a piping system where equipment, such as a flowmeter, can be connected is the:

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A device used to both reduce pressure and control the flow from a medical gas cylinder is:

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The key property of helium which makes it useful as a therapeutic gas is its:

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The limiting factor of a Thorpe tube flowmeter is:

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When using a Thorpe tube style flowmeter, where should you look to read the actual flow being delivered?

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This device is used to mix both air and oxygen proportionally to deliver a specific FIO2

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When oxygen is in use, which of the following items should be avoided?

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As a safety precaution, when oxygen is in use, a sign should be visibly posted.

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This type of alarm will sound when low pressure is sensed while using an air-oxygen proportioner:

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The purpose of a pop off valve is:

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This type of valve is used Used to isolate regions during times of maintenance or for fire safety without cutting off the entire system

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You are called to assist in transporting a patient to radiology. The patient is currently on oxygen therapy using a nasal cannula set at 2 liter per minute. According to the nurse, the test will take exactly 2 hours. The room that will be used during the test does not have piped oxygen available. You have obtained an “E” cylinder containing 1500 psi. According to the information above, will you have enough oxygen in the tank to last during the procedure?

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Alveolar oxygen tension is determined by:

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Which symbol represents the fraction of inspired air?

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Total barometric pressure at sea level is:

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The movement of air in and out of the lungs is called:

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Which of the following in NOT a response to inadequate oxygen supply?

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When oxygen therapy is indicated, what is the role of the RT?

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An inadequate quantity of oxygen in the blood

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This can occur when high concentrations of oxygen are used and the oxygen replaces the nitrogen in the alveoli.

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This type of hypoxia may result from anemia, carbon monoxide poisoning or sickle cell disease

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In a "normal, healthy person", the body's main stimulus to breathe is rising levels of ____________________.

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The toxic effects of oxygen result from a combination of and the amount of .

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Assessing a patient's need for oxygen includes which of the following?

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COPD patients receiving aggressive oxygen therapy are particularly at risk for:

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How much oxygen is in room air?

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This type of hypoxia may result from high altitude, hypoventilation or diffusion defects.

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The body's first sign of hypoxemia is:

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How does hypoxemia affect the neurologic system?

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Oxygen toxicity results when using a greater than % for to hours

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Which of the following gases primarily serves to hold the alveoli open?

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To prevent ROP or RLF, PaO2 should be kept between ___________.

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A COPD patient often has chronic hypercarbia and mild hypoxemia. As a result, they rely on the _____________ to breathe

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For a healthy person, the normal PaO2 range while breathing room air is _____________.

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A PaO2 of 60-70 mmHg would be considered _______________

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With oxygen therapy and relief of tissue hypoxia, the RCP can expect a clearer sensorium and a more alert patient.

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This type of hypoxemia does not respond to traditional oxygen therapy

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Adjusting FiO2 gradually (5%) may minimize the risk of atelectasis

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Regardless of the risk, you should never withholds supplemental oxygen from a hypoxic patient.

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Which patient population is at risk of developing ROP/RLF

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BTPS stands for:

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Humidity, as water vapor, is water in a ________________form.

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When a gas has a content that is equal to its capacity, what is it the relative humidity?

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When a gas is holding less than its maximum capacity, the amount of water it would take to re-saturate the gas is the :

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What is the goal for humidity therapy for the patient who has an artificial airway who is receiving medical gas therapy?

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If the supplemental level of humidity is greater than required by the patient, which of the
following can occur?

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Where would you expect to find condensation?

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Cool humidity therapy can be used to treat which of the following?

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When dry secretions are rehydrated, they could potentially form ______, which could cause airway obstructions.

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The amount of water which can be contained in any gas is limited by its temperature.

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An expression of the percentage of water vapor compared to a saturated state.

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When a gas, at a given temperature, is holding as much water as possible, it is said to be
fully_________

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Keeping the amount of humidity that a patient must contribute to a minimum will reduce the overall stress to the body.

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Which of the following is a vehicle for pathogens?

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Simple humidifiers are designed to return dry therapeutic gases to approximatley ___ relative humidity

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The primary function of the upper airway is to ________ inspired air.

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Once a gas that is fully saturated at a given temperature begins to cool, the temperature at which condensation begins to form is called the:

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What is the main goal of humidity therapy for the patient with an intact airway who is receiving medical gas?

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If a gas, at a certain temperature, is holding its full potential of water vapor and is then heated, the potential to hold water vapor will

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In a normal individual, at what level in the airway does the inspired atmosphere each BTPS?

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Neonates are at greater risk of overhydration

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At the alveolar level, water vapor exerts a partial pressure of ____________ mmHg

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Water is constantly lost from the lungs and the skin through breathing and sweating.

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Which route of inhalation is more efficient for heating and humidifying inspired air?

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Which type of flow aids evaporation and allows for more moisture to be "picked up" in the gas stream?

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Which of the following is NOT a hazard of humidity therapy?

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Unheated bubble humidifiers are intended to restore ambient humidity to approximately
______ of relative humidity.

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Which of the following techniques should be used to minimize the risk of infection when using humidity
therapy.

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Hazards of condensation include which of the following?

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The following are goals of humidity therapy EXCEPT:

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Which of the following are examples of large volume, warmed humidifiers. Choose all that apply.

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HME's are classified as _________________ humidifiers.

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Which of the following factors effect humidifier output?

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If the temperature of a gas drops, the ability to hold water vapor will ___________________.

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Which of the following are disadvantages of using a heat moisture exchanger? Choose all that apply.

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Condensation or "Rain Out" is dependent on which of the following:

RTH110 RTH110 Test sobre Final 1, creado por wch2952 el 12/10/2015.

A voluntary professional association for respiratory care practitioners.

The national credentialing agency for respiratory care practitioners.

One who successfully passes the Entry Level exam earns these credentials.

One who passes the Advanced Practioner level exam earns these credentials.

A private, voluntary association that establishes standards for accrediting institutions responsible for health care.

Freedom to decide about one's own care?

Binds the patient and the health care provider to tell the truth.

Privileged information, which may not be revealed without express permission.

Never use treatment to injure or harm the sick.

Requires that the care giver actively contribute to the health and well being of the patient.

Any conduct which creates a resonable apprehension of being touched in an injurous manner

The failure to do something that a reasonable person, guided by ordinary considerations, would do.

Defamation by the written word

Defamation by oral speech

Unreasonable lack of skills to fulfill professional duties

A predefined category of admitting diagnoses, which have a fixed rate of reimbursement

An ongoing process designed to detect and correct factors that interfere with the delivery of quality, cost effective health care

A specific algorithm used by RCPs to independently initiate and adjust therapy using guidelines established by medical staff

A process whereby a private agency recognizes that certain qualification have been met by an individual to work as a Respiratory Care Practitioner.

Permission granted by a government agency to practice an occupation

A term used to describe a microorganism capable of producing disease
Bacteria

Which types of patients are particularly susceptible to nosocomial infections?
(select all that apply)

Patients with artifical airways, such as a trach, are at increased risk for nosocomial infections because:
(select all that apply)