Exam 24: Performing Chest Physiotherapy

The nurse is teaching a caregiver how to perform postural drainage at home for a patient with chronic bronchitis.What instruction should the nurse provide?

The nurse receives a prescription for a high-frequency chest wall oscillation (HFCWO)vest airway clearance system on several patients.The nurse should question the prescription on the patient with which condition?

The system that lines the internal lumen of the tracheobronchial tree and consists of a thin layer of mucus that constantly is propelled toward the larynx by cilia is called the _____________.

A patient has received instructions on the use of a positive expiratory pressure (PEP)device.Which action by the patient indicates an understanding of the teaching?

The nurse is teaching the family of a patient with cystic fibrosis how to use a high-frequency chest wall oscillation (HFCWO)vest.The nurse informs the family that this device will do which of the following? (Select all that apply.)

The nurse receives prescriptions on several patients for chest percussion,vibration,and shaking.The nurse is aware that chest physiotherapy manoeuvres are indicated for which patient?

The nurse is planning to perform postural drainage on a patient who is receiving continuous tube feedings.What should the nurse do before performing the treatment? (Select all that apply.)

The nurse is reviewing medical records on several patients.Which findings reported in the chart indicate the need for postural drainage? (Select all that apply.)

A patient who is very frail and thin with osteoporosis has just undergone abdominal surgery.The nurse anticipates that which technique will be used to control respiratory secretions in this patient?

The health care provider prescribes percussion on a patient to help clear airway secretions.Which action by the nurse is appropriate?

Percussion and vibration are prescribed on a patient with retained pulmonary secretions.Which action by the student nurse should the nursing instructor question?

The nurse auscultates the patients' lung fields and notes congestion in several patients.The nurse anticipates that postural drainage may be used for the patient with which condition?

The nurse is teaching a patient how to use a positive expiratory pressure (PEP)device.What instruction should the nurse give to the patient?

The nurse positions the patient flat on the back with a small pillow under the knees to drain the right and left _____________________.

The nurse receives a prescription for postural drainage using Trendelenburg's position.On which patients should the nurse question the prescription? (Select all that apply.)

The patient is complaining of feeling congested.After assessing the patient,the nurse places the patient in the proper position and claps his or her cupped hands against the patient's thorax.He or she does this because he or she is aware that ______________ assists in loosening retained secretions from the airway.

A patient has retained secretions in the right and left lower lobe superior bronchi.A nurse is demonstrating to the caregiver how to perform percussion and vibration.Which action by the nurse is appropriate?