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All of the following are TRUE about humidification and contact time except:


A) The longer a gas is exposed to water, the greater is the amount of evaporation.
B) The rate of gas flow through a humidifier determines contact time.
C) Low flows decrease and high flows increase relative humidity output.
D) Bubble humidifier contact time depends on the water column depth.

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What is the total water output of unheated large-volume jet nebulizers?


A) 10 to 16 mg H2O/L
B) 16 to 25 mg H2O/L
C) 26 to 35 mg H2O/L
D) 33 to 55 mg H2O/L

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What is the most reliable indicator that the gas delivered by a servo-controlled heated-wire humidifier system is fully saturated at the airway?


A) observing no visible condensate anywhere in the delivery tubing
B) confirming an airway temperature between 32° and 35° C
C) observing a few drops of condensate at or near the patient's airway
D) observing condensate over the full length of the delivery tubing

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Which of the following are types of heat-moisture exchangers (HMEs) ? I.simple condenser II.hygroscopic condenser III.hydrophobic condenser


A) I and II
B) II and III
C) I, II, and III
D) III

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When using nebulizers, where should you place them to minimize risk of contamination?


A) in the inspiratory limb only, at a high point in the circuit
B) in both the expiratory and inspiratory limbs, at high points in the circuit
C) in the expiratory limb only, at a low point in the circuit
D) in both the expiratory and inspiratory limbs, at low points in the circuit

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To minimize problems with environmental safety when aerosol therapy is prescribed for immunosuppressed patients or those with tuberculosis, what precautions should you follow? I.those for tuberculosis exposure II.Centers for Disease Control and Prevention (CDC) standards and contact precautions III.CDC standards and airborne precautions


A) I, II, and III
B) I and II
C) II and III
D) I and III

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The aerosol output (in mg/L) of an ultrasonic nebulizer depends mainly on which of the following?


A) signal amplitude
B) chamber baffling
C) source current
D) signal frequency

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All of the following are features of an ideal heat-moisture exchanger (HME) except:


A) high compliance
B) minimal dead space
C) 70% or higher efficiency
D) minimal flow resistance

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A patient with chronic obstructive pulmonary disease (COPD) is receiving heated water aerosol treatments through a jet nebulizer four times daily as a supplement to other bronchial hygiene measures designed to aid in mobilizing retained secretions. After each session, you notice the presence of moderate wheezing. Which of the following recommendations would you make to the physician?


A) Discontinue the heated water aerosol treatments.
B) Consider prior treatment with a bronchodilator.
C) Switch to a higher-density aerosol (e.g., ultrasonic) .
D) Discontinue the other bronchial hygiene measures.

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At high flow rates, what do some bubble humidifiers produce?


A) additional heat
B) microorganisms
C) low pressures
D) aerosol particles

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The temperature of gas delivered to a patient's airway by a servo-controlled heated humidifier should not vary by more than how much?


A) 2° C
B) 4° C
C) 6° C
D) 8° C

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Which of the following mean mass aerodynamic diameter (MMAD) aerosol suspensions is produced by an ultrasonic nebulizer operated at 1.25 MHz?


A) 1 to 2 μ\mu m
B) 6 to 10 μ\mu m
C) 4 to 6 μ\mu m
D) less than 1 μ\mu m

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All of the following are true of heat-moisture exchangers (HMEs) except:


A) Moisture output falls at high volumes and rates of breathing.
B) High inspiratory flows and high FIO2 values can decrease HME efficiency.
C) In-use HMEs have little effect on flow resistance to breathing.
D) HMEs reduce bacterial colonization of ventilator circuits.

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Administration of dry gases at flows exceeding 4 L/min can cause which of the following? I.structural damage II.heat loss III.water loss


A) I and II
B) II and III
C) I and III
D) I, II, and III

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Unheated bubble humidifiers are of limited effectiveness at flows above which of the following?


A) 4 L/min
B) 6 L/min
C) 8 L/min
D) 10 L/min

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Which of the following methods are used to heat the gas delivered by a heated humidifier system? I.using a wraparound heater (yoke or collar) II.placing a heating element in-line with gas flow III.using a reservoir immersion heater IV.placing a "hot plate" at humidifier base


A) II and IV
B) I, II, and III
C) III and IV
D) I, II, III, and IV

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A design that increases surface area and enhances evaporation by incorporating an absorbent material partially submerged in a water reservoir that is surrounded by a heating element best describes what type of humidifier?


A) bubble
B) wick
C) cascade
D) hygroscopic

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Which of the following is FALSE about heated humidifier condensate?


A) It can block or obstruct the delivery circuit.
B) It must be treated as contaminated waste.
C) It requires that circuits be drained frequently.
D) It poses minimal infection risk.

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A patient receiving ventilatory support is being provided with humidification using a heat-moisture exchanger (HME) . A physician orders a bronchodilator drug administered through a metered-dose inhaler (MDI) via the ventilator circuit. Which of the following must be performed to ensure delivery of the drug to the patient?


A) The inspiratory flow setting of the ventilator should be increased.
B) The HME must be removed from the circuit during MDI use.
C) The VT setting of the ventilator should be decreased.
D) A heated humidifier should replace the HME when using the MDI.

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To produce the highest possible density aerosol from an ultrasonic nebulizer, how would you set the controls? Amplitude Flow


A)  HighHigh \text { High\quad High }
B)  HighLow \text { High\quad Low }
C)  Low High \text { Low \quad High }
D)  LowLow \text { Low\quad Low }

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