Chapter 21; Long Term Ventilation

Chapter 21; Long Term Ventilation

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The American College of Chest Physicians (ACCP) considers long-term ventilator (LTV)-assisted patients to be those who require mechanical ventilation for at least _______ hours per day for _______ days or more.

a.	4; 7
b.	6; 14
c.	6; 21
d.	8; 21

 

 

ANS:   C

The ACCP considers LTV-assisted patients to be those who require mechanical ventilation for at least 6 hours a day for 21 days or longer.

 

DIF:    1                      REF:    pg. 429

 

2. One of the goals of long-term mechanical ventilation (LTMV) in the home or alternative care site is which of the following?

a.	Permit lung healing
b.	Reduce hospitalizations
c.	Relieve respiratory distress
d.	Improve pulmonary gas exchange

 

 

ANS:   B

The overall goal of LTMV at home or in other alternative care sites is to improve the patient’s quality of life by enhancing the individual’s living potential; improving the patient’s physical and physiological level of function; reducing morbidity; reducing hospitalizations; extending life; and providing cost-effective care. The other options are the goals of acute mechanical ventilation.

 

DIF:    1                      REF:    pg. 429

 

3. Which site for mechanical ventilation of patients provides the least patient independence and quality of life?

a.	Intensive care unit
b.	Skilled nursing facility
c.	Long-term care hospital
d.	Chronic assisted ventilator unit

 

 

ANS:   A

ICUs and CCUs provide invasive monitoring, extensive care, and a higher ratio of practitioners to patients. Therefore, these units are both more expensive and provide the least patient independence and quality of life. All the other options provide the patient with more independence and, as such, quality of life.

 

DIF:    1                      REF:    pg. 430

 

4. The preferred location for ventilator-dependent patients is ________________________.

a.	a skilled nursing facility
b.	a subacute care unit
c.	their own homes
d.	a long-term acute care hospital

 

 

ANS:   C

The person’s own home is the preferred location for a ventilator-dependent patient; it is the least expensive option and provides the best quality of life for these individuals. Long-term acute care hospitals are designed to care for patients who require extensive monitoring and care. These patients may still be acutely ill, but they no longer require the intensive care provided in a hospital CCU. A subacute care unit is an intermediate care site, which is not as expensive as an acute care site and provides somewhat more patient independence and quality of life. A skilled nursing facility is considered a long-term care site. These sites do not have the resources to treat acutely ill patients.

 

DIF:    1                      REF:    pg. 430

 

5. A patient with which condition is a suitable candidate for home care ventilation?

a.	Flail chest due to trauma
b.	Amyotrophic lateral sclerosis
c.	Severe exacerbation of asthma
d.	Acute respiratory distress syndrome

 

 

ANS:   B

A patient with ALS will become completely ventilator dependent and depend on life support from the ventilator. A patient with flail chest due to trauma is acutely ill and usually can be weaned in the intensive care unit. A patient with severe exacerbation of asthma requires ventilation only for a short time, until the exacerbation has resolved. Patients with ARDS require intensive care and usually are not sent home with ventilators.

 

DIF:    2          REF:    pg. 430| pg. 431