Exam 40: Bronchial Hygiene Therapy

Key consideration in teaching a patient to develop an effective cough regimen includes which of the following? I.strengthening of the expiratory muscles II.instruction in breathing control III.instruction in proper positioning

Proper instructions for positive expiratory pressure include all of the following except:

Contraindications for positive airway pressure therapies include all of the following except:

A chronic obstructive pulmonary disease patient cannot develop an effective cough. Which of the following would you recommend to help this patient generate a more effective cough? I.enhancing expiratory flow by bending forward at the waist II.using short, expiratory bursts or the "huffing" method III.using only moderate (as opposed to full) inspiration IV.having the patient "tense" the neck muscles while coughing

Percussion should NOT be performed over which of the following areas? I.surgery sites II.bony prominences III.fractured ribs

If tolerated, a specified postural drainage position should be maintained for at least how long?

Advantages of the flutter valve over other bronchial hygiene methods include all of the following except:

Partial airway obstruction can result in all of the following except:

All of the following are contraindications for directed coughing except the presence of:

A physician orders bronchodilator drug therapy in combination with positive expiratory pressure (PEP). Which of the following methods could you use to provide this combined therapy? I. Attach a dry powder inhaler in-line with the PEP apparatus. II. Attach a metered-dose inhaler to the system’s one-way valve inlet. III. Place a small-volume nebulizer in-line with the PEP apparatus.

Which of the following are mandatory components of the preassessment for postural drainage? I.vital signs II.bedside pulmonary function tests III.auscultation

Primary objectives for postural drainage include all of the following except:

A physician orders positive expiratory pressure therapy for a 14-year-old child with cystic fibrosis. All of the following responses should be monitored on this patient except:

A patient recovering from anesthesia after abdominal surgery is having difficulty developing an effective cough. Which of the following phases of the cough reflex are primarily affected in this patient?

What is the correct sequence of actions during the active cycle of breathing (ACB) method? I.relaxation and breathing control II.three or four thoracic expansion exercises III.one or two FETs (huffs)

In general, chest physical therapy can be expected to improve airway clearance when a patient's sputum production exceeds what volume?

Maintaining an open glottis during coughing (as with the FET) can help to minimize increases in pleural pressure and lessen the likelihood of bronchiolar collapse. Which of the following techniques can aid the practitioner in teaching the patient this maneuver?