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Noninvasive Ventilation
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1: Negative pressure ventilation is contraindicated for which condition?
flail chest
COPD
obstructive sleep apnea
post-surgical ventilator for congenital heart disease
2: The complications of negative pressure ventilation include all of the following, EXCEPT ___.
ventilator-induced lung injury
gastrointestinal bleeding
back pain
peripheral venous pooling
3: Contraindications for noninvasive positive-pressure ventilation include all of the following, EXCEPT ____.
facial trauma or surgery
active vomiting
blunt chest trauma
acute abdominal process
4: The effectiveness of noninvasive positive-pressure ventilation is questionable for which of the following conditions?
COPD exacerbations
ARDS
acute cardiogenic pulmonary edema
neuromuscular conditions
5: Which interface is considered optimal for noninvasive positive-pressure ventilation to manage acute respiratory failure?
helmet
nasal mask
total face mask
oronasal (full) face mask
6: Mechanical dead space during noninvasive positive-pressure ventilation is increased by using which of the following?
A. single-limbed ventilator circuit
B. double-limbed ventilator circuit
C. heat and moisture exchanger
A and C
7: Desirable features for institutional bilevel ventilators include which of the following?
leak compensation
trigger compensation
graphic display
all of the above
8: In the U.S., the most common mode of ventilation applied to noninvasive positive-pressure ventilation is ____ ventilation.
volume control
pressure support
pressure control
pressure control with volume guarantee
9: Which of the following circumstances suggests that noninvasive positive-pressure ventilation would NOT succeed in managing ventilatory failure?
APACHE II score less than 29
pH greater than 7.30
presence of pneumonia
Glasgow coma score greater than 15
10: Which of the following statements does NOT correctly apply to aerosol delivery with noninvasive positive-pressure ventilation?
metered-dose inhalers are ineffective
nebulizer placement should be proximal to the patient
nebulizer placement should be between the patient and leak valve
aerosols are effectively delivered via nasal interface
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