Exam 43: Airway Clearance Therapy Act

Which of the following should be charted after completing a postural drainage treatment? 1) Amount and consistency of sputum produced 2) Patient tolerance of procedure 3) Position(s) used (including time) 4) Any untoward effects observed

Which of the following can provoke a cough? 1) Anesthesia 2) Foreign bodies 3) Infection 4) Irritating gases

Key considerations in initial and ongoing patient assessment for chest physical therapy include which of the following? 1) Posture and muscle tone 2) Breathing pattern and ability to cough 3) Sputum production 4) Cardiovascular stability

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

Properly performed chest vibration is applied at what point?

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

Which of the following are mandatory components of the preassessment for postural drainage? 1) Vital signs 2) Bedside pulmonary function tests 3) Auscultation

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

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

Proper instructions for positive expiratory pressure include which of the following? 1) Take in a breath that is larger than normal, but do not fill lungs completely. 2) Exhale forcefully and maintain an expiratory pressure of 10 to 20 cm H₂O. 3) After 10 to 20 breaths, take two or three "huff"' coughs, and rest as needed. 4) Repeat the cycle 8 to 10 times, not to exceed 30 min.

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? 1) Coordinating coughing with pain medication 2) Using the forced expiration technique (FET) 3) Supplying manual epigastric compression 4) "Splinting" the operative site

What is the movement of small volumes of air back and forth in the respiratory tract at high frequencies (12 to 25 Hz) called?

Which of the following conditions are associated with chronic production of large volumes of sputum? 1) Bronchiectasis 2) Pulmonary fibrosis 3) Cystic fibrosis 4) Chronic bronchitis

Which of the following are potential indications for positive airway pressure therapies? 1) Reduce air trapping in asthma or chronic obstructive pulmonary disease. 2) Help mobilize retained secretions. 3) Prevent or reverse atelectasis. 4) Optimize bronchodilator delivery.

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? 1) Patient's medication schedule 2) Patient's meal schedule 3) Location of surgical incision

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

A nurse explains to you that a certain neuromuscular patient cannot develop a good cough. Which of the following would you consider to manage this patient's clearance problem? 1) Combining manual chest compression with suctioning 2) Coordinating the coughing regimen with pain medication 3) Using the autogenic drainage method 4) Using mechanical insufflation-exsufflation

Which of the following can impair mucociliary clearance in intubated patients? 1) Use of respiratory stimulants 2) Tracheobronchial suctioning 3) Inadequate humidification 4) High inspired oxygen concentrations

Indications for directed coughing include which of the following? 1) Enhance other airway clearance therapies. 2) Help patients with tuberculosis clear secretions. 3) Help prevent postoperative pulmonary complications. 4) Obtain sputum specimens for diagnostic analysis.

The airway clearance technique that uses a pneumatic device to deliver compressed gas minibursts to the airway at rates above 100/min best describes which of the following?