Exam 40: Bronchial Hygiene Therapy

Key considerations in initial and ongoing patient assessment for chest physical therapy include which of the following? I.posture and muscle tone II.breathing pattern and ability to cough III.sputum production IV.cardiovascular stability

Conditions that can lead to bronchiectasis include all of the following except:

Which of the following airway clearance techniques would you recommend for a 15-month-old infant with cystic fibrosis?

Strenuous expiratory efforts in some chronic obstructive pulmonary disease (COPD) patients limit the effectiveness of coughing. Why is this so?

Which of the following is/are TRUE of postural drainage? i.It is most effective in disorders causing excessive sputum.II.It is most effective in head-down positions greater than 25 degrees.III.It requires adequate systemic hydration to be effective.IV.It improves mucociliary clearance in normal subjects.V.It improves pulmonary function in stable chronic obstructive pulmonary disease patients.

Retention of secretions can result in full or partial airway obstruction. Mucus plugging can result in which of the following? I.hypoxemia II.atelectasis III.shunting

Which of the following best describes positive expiratory pressure (PEP) therapy?

In acute respiratory distress syndrome (ARDS) or ALI, use of the prone position can result on which of the following? I.improvement of redistribution of blood flow II.improvement of the lung's overall $\dot { V } / \dot { Q }$ balance III.protection of the lung from pressure injury

Which of the following should be considered when selecting a bronchial hygiene strategy? I.patient's goals, motivation, and preferences II.effectiveness and limitations of technique or method III.patient's age, ability to learn, and tendency to fatigue IV.need for assistants, equipment, and cost

A physician orders postural drainage for a patient with aspiration pneumonia in the superior segments of the left lower lobe. Which of the following positions would you recommend for this patient?

A typical mechanical insufflation-exsufflation treatment session should continue until what point? I. Secretions are cleared. II. The vital capacity (VC) returns to baseline. III. The SpO₂ returns to baseline.

All of the following can impair mucociliary clearance in intubated patients except:

All of the following would indicate a successful outcome for postural drainage therapy except:

In theory, how does positive expiratory pressure (PEP) help to move secretions into the larger airways? I.filling underaerated segments through collateral ventilation II.preventing airway collapse during expiration III.causing bronchodilation during inspiration

All of the following are goals of bronchial hygiene therapy except:

A patient recovering from abdominal surgery is having difficulty developing an effective cough. Which of the following actions would you recommend to aid this patient in generating a more effective cough? I.coordinating coughing with pain medication II.using the forced expiration technique (FET)III.supplying manual epigastric compression IV."splinting" the operative site

In assessing an adult outpatient for bronchial hygiene therapy, you notice the following: (1) no history of cystic fibrosis or bronchiectasis, (2) sputum production of 30 to 50 ml/day, (3) an effective cough, and (4) good hydration. Which of the following would you recommend?

A physician orders postural drainage for a patient with an abscess in the right middle lobe. Which of the following positions would you recommend for this patient?

All of the following responses indicate that postural drainage should be terminated except:

Which of the following conditions alter normal mucociliary clearance? I.bronchospasm II.cystic fibrosis (CF)III.ciliary dyskinesia