How does the success of long-term weaning in acute care hospitals ...

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How does the success of long-term weaning in acute care hospitals compare with that in long-term acute care (LTAC) hospitals?
 
  A. acute care hospitals: 25 to 39; LTAC hospitals: 42 to 53
  B. acute care hospitals: 41 to 55; LTAC hospitals: 55 to 68
  C. acute care hospitals: 57 to 80; LTAC hospitals: 70 to 90
  D. acute care hospitals: 80 to 90; LTAC hospitals: >90

Question 2

Which of the following advantages are associated with tracheostomy versus endotracheal intubation for patients who are expected to require long-term ventilatory support? I. Less patient sedation is required. II. Less endotracheal suctioning is needed. III. The patient's work of breathing is decreased. IV. Communication is facilitated.
 
  A. I, II only
  B. II, III only
  C. I, III, IV only
  D. I, II, III, IV

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Answer to Question 1

ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: The success of long-term weaning in acute care hospitals ranges from 57 to 80 of hospital survivors, depending on access to weaning facilities. Weaning success in LTAC hospitals ranges from 70 to 90 of survivors, and time to weaning averages 40 days in most series.
D. Incorrect response: See explanation C

Answer to Question 2

ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: For patients who require, or are expected to require, ventilatory support for longer than average, placement of a tracheostomy has the attraction of enabling reduction in sedation, easier patient communication, decreased work of breathing (lower airway resistance), and enhanced airway clearance with suctioning.
D. Incorrect response: See explanation C

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TYSM

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