Exam 39: Lung Expansion Therapy

Which of the following are potential hazards of intermittent positive-pressure breathing (IPPB)? I.air-trapping, auto-PEEP II.hyperventilation III.nosocomial infection IV.increased airway resistance

How can the transpulmonary pressure gradient be increased? I.increasing alveolar pressure II.decreasing pleural pressure III.decreasing transthoracic pressure

Preliminary planning for intermittent positive-pressure breathing (IPPB) should include which of the following? I.evaluating alternative approaches to the patient's problem II.setting specific, individual clinical goals or objectives III.conducting a baseline assessment of the patient

Which of the following is not a potential hazard of intermittent positive-pressure breathing?

In teaching a patient to perform the sustained maximal inspiration maneuver during incentive spirometry, what would you say?

Which of the following are appropriate initial settings for intermittent positive-pressure breathing given to a new patient?

Which of the following modes of lung expansion therapy is physiologically most normal?

In administering intermittent positive-pressure breathing therapy, which of the following breathing patterns would be most desirable?

Which of the following statements is not true about intermittent positive-pressure breathing (IPPB)?

Which of the following positions is ideal for intermittent positive-pressure breathing therapy?

Which of the following patient groups should be considered for lung expansion therapy using intermittent positive-pressure breathing (IPPB)? I.patients with clinically diagnosed atelectasis who are not responsive to other therapies II.patients at high risk for atelectasis who cannot cooperate with other methods III.all obese patients who have undergone abdominal surgery

Which of the following is false about gastric distention with intermittent positive-pressure breathing (IPPB)?

In order to eliminate leaks in an alert patient receiving intermittent positive-pressure breathing therapy, which of the following adjuncts would you first try?

Which of the following patient categories are at high risk for developing atelectasis? I.those who are heavily sedated II.those with abdominal or thoracic pain III.those with neuromuscular disorders

Which of the following mechanisms probably contribute to the beneficial effects of continuous positive airway pressure (CPAP) in treating atelectasis? I.recruitment of collapsed alveoli II.decreased work of breathing III.improved distribution of ventilation IV.increased efficiency of secretion removal

Lung expansion methods that increase the transpulmonary pressure gradients by increasing alveolar pressure include which of the following? I.incentive spirometry (IS)II.positive end-expiration pressure therapy III.intermittent positive-pressure breathing (IPPB)IV.expiratory positive airway pressure (EPAP)

What is the optimal breathing pattern for intermittent positive-pressure breathing (IPPB) treatment of atelectasis?

What should the monitoring of patients using incentive spirometry include? I.number of breaths per session II.volume and flow goals achieved III.maintenance of breath-hold IV.patient effort and motivation

In observing a postoperative woman conduct incentive spirometry, you note repetitive performance of the sustained maximal inspiration maneuver at a rate of about 10 to 12/min. Which of the following would you recommend to her?

What is the most common complication associated with intermittent positive-pressure breathing (IPPB)?