Chapter 35: Humidity and Bland Aerosol Therapy

Egan's Fundamentals of Respiratory Care 10th Edition By Kacmarek - Stoller

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Chapter 35: Humidity and Bland Aerosol Therapy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. What is the point in the respiratory track where inspired gas reaches body temperature, ambient pressure, saturated (BTPS) conditions?
a. point of thermal equilibrium
b. hygroscopic saturation boundary
c. thermal inversion boundary
d. isothermic saturation boundary

 

 

ANS:  D

As inspired gas moves into the lungs, it achieves BTPS conditions (body temperature, 37° C; barometric pressure; saturated with water vapor [100% relative humidity at 37° C]). This point, normally approximately 5 cm below the carina, is called the isothermic saturation boundary.

 

DIF:    Recall             REF:   p. 819            OBJ:   1

 

  1. Which of the following is FALSE about the isothermic saturation boundary (ISB)?
a. Below the ISB, temperature and relative humidity remain constant.
b. Above the ISB, temperature and humidity increase during exhalation.
c. The ISB is normally located just below the larynx (vocal cords).
d. Above the ISB, temperature and humidity decrease during inspiration.

 

 

ANS:  C

This point, normally approximately 5 cm below the carina, is called the isothermic saturation boundary (ISB). Above the ISB, temperature and humidity decrease during inspiration and increase during exhalation.

 

DIF:    Recall             REF:   p. 819            OBJ:   1

 

  1. Which of the following factors cause the isothermic saturation boundary (ISB) to shift farther down into the airways?
  2. decreased ambient temperature
  3. increased tidal volume (VT)
  4. endotracheal intubation
a. 1 and 2
b. 2 and 3
c. 1 and 3
d. 1, 2, and 3

 

 

ANS:  D

The ISB shifts distally when a person breathes through the mouth rather than the nose; when he or she breathes cold, dry air; when the upper airway is bypassed (breathing through an artificial tracheal airway); or when the minute ventilation is higher than normal.

 

DIF:    Recall             REF:   p. 819            OBJ:   1

 

  1. What is the primary goal of humidity therapy?
a. decrease airway reactivity to cold
b. maintain normal physiologic conditions
c. deliver drugs to the airway
d. reduce upper airway inflammation

 

 

ANS:  B

The primary goal of humidification is to maintain normal physiological conditions in the lower airways.

 

DIF:    Recall             REF:   p. 819            OBJ:   3

 

  1. Indications for warming inspired gases include all of the following except:
a. treating a patient whose airways are reactive to cold
b. providing humidification when the upper airway is bypassed
c. treating a patient with a low body temperature (hypothermia)
d. reducing upper airway inflammation or swelling

 

 

ANS:  D

See Box 35-1.

 

DIF:    Recall             REF:   p. 820            OBJ:   2

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