Exam 40: Bronchial Hygiene Therapy

Which of the following occur(s) during the compression phase of a cough? I.expiratory muscle contraction II.opening of the glottis III.rapid drop in alveolar pressure

If a patient's chest radiograph shows infiltrates in the posterior basal segments of the lower lobes, what postural drainage position would you recommend?

What factors can hinder effective coughing? I.artificial airways II.neuromuscular disease III.systemic dehydration IV.pain or fear of pain V.use of expectorants

While reviewing the chart of a patient receiving postural drainage therapy, you notice that the patient tends to undergo mild desaturation during therapy (a drop in SpO₂ from 93% to 89% to 90%). Which of the following would you recommend to manage this problem?

Soon after you initiate postural drainage in a Trendelenburg position, the patient develops a vigorous and productive cough. Which of the following actions would be appropriate at this time?

A patient with a tracheostomy tube is having difficulty developing an effective cough. Which of the following phases of the cough reflex are primarily affected in this patient?

Which of the following is false about the FET?

Why is strenuous patient coughing during postural drainage in a head-down position contraindicated?

What happens during the exsufflation phase of mechanical insufflation-exsufflation? I. Airway pressure is abruptly decreased to –30 to –50 cm H2O. II. Negative airway pressure is maintained for 2 to 3 seconds. III. Peak expiratory “cough” flows reach near normal values.

What are the best documented preventive uses of bronchial hygiene therapy? I.prevent retained secretions in the acutely ill II.maintain lung function in cystic fibrosis III.prevent postoperative pulmonary complications

Conditions that can affect airway patency and cause abnormal clearance of secretions include which of the following? I.foreign bodies II.tumors III.inflammation IV.bronchospasm

In setting up a postural drainage treatment schedule for a postoperative patient, which of the following information would you try to obtain from the patient's nurse? I.patient's medication schedule II.patient's meal schedule III.location of surgical incision

What is the ideal patient position for directed coughing?

Which of the following is not an advantage of the Acapella over the flutter?

Patients can control a flutter valve's pressure by changing what?

Which of the following measures would you use to ask patients for the presence of copious mucus production?

A patient with abdominal muscle weakness is having difficulty developing an effective cough. Which of the following phases of the cough reflex are primarily affected in this patient? I.irritation II.inspiration III.compression IV.expulsion

Which of the following acutely ill patients is LEAST likely to benefit from application of chest physical therapy?

Primary objectives for turning include all of the following except to:

Which of the following clinical signs indicate that a patient is having a problem with retained secretions? I.lack of sputum production II.labored breathing III.development of a fever IV.increased inspiratory and expiratory crackles