In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Question: Which of the following best an aerosol?Answer: D. Suspension of liquid or solid in a gas Question: What devices generate therapeutic ?Answer: A. I & II- & Nebulizers Question: The mass of aerosol particles by a nebulizer in a given unit time best describes which quality of the aerosol?Answer: C. Question: Which of the following describes the mass of drug leaving the mouthpiece of a nebulizer as ?Answer: B. Emitted Question: of the following is a common method to measure aerosol particle size?Answer: C. Cascade Question: What is used to identify the particle diameter, which corresponds to the most typical settling behavior of an aerosol?Answer: C. mean mass aerodynamic (MMAD) Question: what is the retention of aerosol resulting from contact with respiratory tradct mucosa called?Answer: D. Deposition Question: What is the primary mechanism for deposition of , high mass particles(greater than 5 um) inthe respiratory tract?Answer: A. Inertial Question: What will aerosol deopisiton by inertial impaction?Answer: A. II & III-Variable or passages & turbulent gas flow Question: do most aerosol particles in the 5-10 um range deposit?Answer: D. Upper Question: Where do most particles in the 1-5 um range deposit?Answer: C. airways Question: What term describes the primary mechanism for deposition of small ?Answer: C. diffusion Question: Which of the following aerosols would have the highest rate of deposition by ?Answer: MMAD of 0.1 Question: do most aerosol particles that are less than 3 um deposit?Answer: A. Alveoli Question: What is teh process by which aerosol suspension over time?Answer: C. Aging Question: What is the primary hazard of aerosol drug ?Answer: A. untoward drug Question: To minimize risk of infection associated with aerosol drug , whjat should you do?Answer: D. I, II, III-Sterilize nebs b/w pts, replace in use units, rinse nebs with sterile water Question: To monitor a pt for possibility of reactive during aerosol drug therapy what should u do?Answer: D. I,II,III,IV-Measure pre & post peak flow and/or %forced expiratory volume in 1 second, Auscultatefor adventitious breath , Observe pt's response & Communicate with pt during therapy Question: After water aerosol tx thru jet nebs you notice a dramatic increase in the magnitude of coarse crackles heard on auscultation. Recommendations?Answer: C. Add coughing and postural to the therapy Question: What is the preferred method for delivering to spntaneously breathing and intubated, ventialted pts?Answer: C. MDI(Metered Dose ) Question: Immediately aftert firing, the aerosol produced by most MDI's are how large?Answer: D. 35 Question: Most of the generated by the majority of MDI's consist of what?Answer: B. Propellant Question: When fired inside the mouth what % of the drug dose by a simple MDI deposits in the oropahrynx?Answer: D. 80% Question: Before inspiration and of a MDI, the pt should exhale to which of the following?Answer: C. Functional capacity Question: To ensure delivery of proper drug dosage with an MDI, which of the must be done first?Answer: C. II&III- Canister should be warmed to hand or body temp, & canister should be shaken. Question: What groups of pts are most likely to have difficulty using a simple MDI for aerosol drug therapy?Answer: D. I,II,III- Pts in acute distress, infants & young children, persons Question: What is a potential limitation of flow triggered MDI ?Answer: C. High flows necessary for Question: For which pts would you recommend against using a flow MDI as the sole bronchodilator delivery system?Answer: A. Pt to develop acute severe bronchospasm Question: The key difference b/w and MDI chamber and a spacer is that the holding chamber incorporates what?Answer: B. One way inspiratory Question: What device would you select to deliver an aerolized bronchodilatoir to a child?Answer: B. MDI, holding , and mask Question: use of a dry powder inhaler(DPI) requires that the pt be able to do what?Answer: A. inspiratory flows of 60 l/min or higher Question: What device the pt's inspiratory effort to dispense the dose?Answer: C. Dry Inhaler(DPI) Question: For what pt groups is the DPI for administration NOT recommended?Answer: A. I&II- Infants and children under 5, pt's with an acute bronchospastic Question: Exhalation into what can result in loss of drug delivery?Answer: C. Dry inhaler Question: SVN ouput drops lowering pt's bed while giving a treatment but there is 3ml of solution still left in reservoir. Correct Problem?Answer: C. pt so that the SVN is more upright. Question: What happens as the for flow delivered thru a SVN gets higher?Answer: D. I,II,III-Tx time shorter, Patricle size becomes smaller, Aerosol output becomes greater. Question: , when using a 50-psi flowmeter to drive a SVN, you set the flow at what?Answer: C. 6-8 L/min Question: To minimize a pt's risk b/w drug tx's with a SVN what would you do?Answer: A. the SVN with sterile water; air dry Question: Physician has ordered an anitviral agent ribavirin(Virazole) to be administered by aerosol to an infant with . Use which device?Answer: B. SPAG-Small aerosol generator Question: When using a SPAG to administer to an infant which air flow settings would you use?Answer: A. NEB-8L/min Chamber-8L/min Question: What problems are associated with the delivery of Virazole using the SPAG?Answer: B. I&III-Caregiver exposure to drug , drug precipitation in ventilator circuits Question: Virazole aerosol precipitation causing malfunction of vent can be overcome by what?Answer: A. I&II-Placing a one way b/w SPAG and circuit, Placing HEPA filter proximal to exhgalation valve Question: of SVUN (Small volume ultrasonic Nebs) for drug delivery include all of the following except:Answer: D. Decreased Question: For maintenance administration of bronchodilators to adult pt w/adequate inspiratory flow, which aersol would u recommend?Answer: D. III&IV- DPI, pMDI and chamber Question: What drug delivery system would you recommend against using with a toddler or small child?Answer: A. I&II- MDI & Question: On , what % of an aerosol drug delivery device's output actually deposits in the lungs?Answer: B. 10%-20% Question: Possible complications associated w. the of an aerosol drug delivery device include all except:Answer: B. or fluid imbalances Question: What would you recommend as initial for pt admitted to ER w/ acute airway obstruction?Answer: A. I&II- Asess dose response of MDI albuterol (up to 12 puffs), & Provide up to 3 SVN tx's w/albuterol q 20 . Question: Appropriate documentation when conducting point of care assessment of a pt's response to bronchodilator therapy all except:Answer: D. blood levels of the agent Question: What is false about the use of PEFR in assessing pts response to therapy?Answer: B. PEFR is the standard for bronchodilator response Question: When a pt's response to bronchodilator therapy u notice a decrease in wheezing accompanied by an overall decrease in breath sounds. Whats most likely?Answer: A. airway obstruction Question: When assessing a pt's response to therapy u notice a decrease in wheezing accompanied by an overall increase in breath sounds. Whats most likely?Answer: C. Decrease in obstruction Question: What is teh dose response assessment of an MDI bronchodilator?Answer: B. Give 4 puffs 1-2 minutes apart; repeat up to 12 puffs w/continued improvement. Best dose max subjective relief and highest PEFR w/o side effects. Question: Ina dose response seessment of pt's response to MDI bronchodilator, you would stop the dose when?Answer: A. I,II,&III-When PEFR improves <10%to15%, When tachycardia occurs, when tremors are Question: Asthma pt in severe resp distress presents to ER and is started on albuterol by SVN. Approaches recommended to therapy to pt.?Answer: D. I,II,III,IV-Perform ABG analysis, Monitor SpO2, Asses breath sound & vitals before & after each tx., Measure PEFR or expiratory volume(FEV1) in 1 second before & after tx. Question: An asthmatic in severe ditress is to ER. After full asessment and obatining a pre-tx baseline, you start pt on albuterol with a SVN. When should you stop documentation & tx?Answer: A. The pt's symptoms are relieved pr PEFR/FEV1 in 1 exceeds 70% of personal best. Question: What factor is most crucial in developing an effective program of aerosol drug self administration in an adult pt maintenance bronchodilator therapy?Answer: D. good patient Question: Best way to confirm that an asthmatic OP can self manage a newly prescribed aerosol drug therapy?Answer: B. Have pt provide a or return demo. Question: Physician ordes continuous bronchodilator therapy with 1:200 albuterol for asthma pt at dosage of 20mg/hr. How much 1:200 will be needed for 1st hr of tx?Answer: C. 4 Question: Indications of an adverse drug during continuous bronchodilator therapy include all except:Answer: A. decreased Question: When using a chamber style adapter with an MDI to deliver a bronchodilator to a pt receiving mech ventilation, with what you coordinate MDI firing?Answer: A. of inspiration Question: Answer: |
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