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Egans Medical Gas Therapy Exam with precise detailed solutions

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Egans Medical Gas Therapy Exam with precise detailed solutions

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Egans Medical Gas Therapy Exam with precise detailed ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




solutions


1. Specific clinical objectives of oxygen (O2) therapy include which of the following?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




1. Decrease the symptoms caused by chronic hypoxemia.
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2. Decrease the workload hypoxemia imposes on the heart and lungs.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




3. Correct documented arterial hypoxemia.
||//\\|| ||//\\|| ||//\\|| ||//\\||




4. Correct documented respiratory acidosis.
||//\\|| ||//\\|| ||//\\|| ||//\\||




a.

2 and 4 only
||//\\|| ||//\\|| ||//\\||




b.

3 and 4 only
||//\\|| ||//\\|| ||//\\||




c.

1 and 3 only
||//\\|| ||//\\|| ||//\\||




d.

1, 2, and 3 only - correct answer✔✔1, 2, and 3 only
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




2. Properly applied O2 therapy can decrease which of the following?
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1. Ventilatory demand
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2. Work of breathing
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3. Cardiac output
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a.

2 and 3 only
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b.

1 and 2 only
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,c.

1, 2, and 3
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d.

1 and 3 only - correct answer✔✔1, 2, and 3
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




3. Benefits of properly applied O2 therapy in patients with chronic hypoxemia include which
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




of the following?
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1. Reversal of pulmonary vasoconstriction
||//\\|| ||//\\|| ||//\\|| ||//\\||




2. Relief of pulmonary hypertension
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3. Decreased right ventricular workload
||//\\|| ||//\\|| ||//\\|| ||//\\||




4. Improved pulmonary vital capacity
||//\\|| ||//\\|| ||//\\|| ||//\\||




a.

1 and 3 only
||//\\|| ||//\\|| ||//\\||




b.

1, 2, and 3 only
||//\\|| ||//\\|| ||//\\|| ||//\\||




c.

3 and 4 only
||//\\|| ||//\\|| ||//\\||




d.

2, 3, and 4 only - correct answer✔✔1, 2, and 3 only
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




4. Which of the following would indicate a need for O2 therapy for an adult or a child?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




1. SaO2 less than 90%
||//\\|| ||//\\|| ||//\\|| ||//\\||




2. PaCO2 greater than 45 mm Hg
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




3. PaO2 less than 60 mm Hg
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




a.

2 and 3 only
||//\\|| ||//\\|| ||//\\||

,b.

1 and 2 only
||//\\|| ||//\\|| ||//\\||




c.

1, 2, and 3 ||//\\|| ||//\\|| ||//\\||




d.

1 and 3 only - correct answer✔✔1 and 3 only
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




5. You start a chronic obstructive pulmonary disease (COPD) patient on a nasal O2 cannula at
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




2 L/min. What is the maximum time that should pass before assessing this patient's PaO2 or
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




SaO2?
||//\\||




a.

2 hr ||//\\||




b.

8 hr ||//\\||




c.

12 hr ||//\\||




d.

72 hr - correct answer✔✔2 hr
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




6. According to AARC clinical practice guidelines, what is the minimum frequency for
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




checking the functioning of an O2 delivery system? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




a.

Every 4 hr ||//\\|| ||//\\||




b.

Every 8 hr ||//\\|| ||//\\||




c.

Every 24 hr ||//\\|| ||//\\||

, d.

Every 48 hr - correct answer✔✔Every 24 hr ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




7. You set up an Oxy-Hood with an FiO2 of 0.5 for a newborn infant. What is the maximum
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




time that should pass before assessing this patient's PaO2 or SaO2?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




a.

1 hr ||//\\||




b.

2 hr ||//\\||




c.

8 hr ||//\\||




d.

12 hr - correct answer✔✔1 hr
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8. When determining a need for O2 therapy, the respiratory therapist should assess which of
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




the following?
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1. Neurologic status
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2. Pulmonary status
||//\\|| ||//\\||




3. Cardiac status ||//\\|| ||//\\||




a.

1 and 2 only
||//\\|| ||//\\|| ||//\\||




b.

2 and 3 only
||//\\|| ||//\\|| ||//\\||




c.

1 and 3 only
||//\\|| ||//\\|| ||//\\||




d.

1, 2, and 3 - correct answer✔✔1, 2, and 3
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||

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