Exam 43: Airway Clearance Therapy Act

Primary objectives for turning include which of the following? 1) Prevent postural hypotension. 2) Promote lung expansion. 3) Prevent retention of secretions. 4) Improve oxygenation.

What is the ideal patient position for directed coughing?

Which of the following conditions impair secretion clearance by affecting the cough reflex? 1) Muscular dystrophy 2) Amyotrophic lateral sclerosis 3) Chronic bronchitis 4) Cerebral palsy

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

Which of the following occur(s) during the compression phase of a cough? 1) Expiratory muscle contraction 2) Opening of the glottis 3) Rapid drop in alveolar pressure

Which of the following laboratory data are essential in assessing a patient's need for airway clearance therapy? 1) Chest radiograph 2) Pulmonary function tests 3) Hematology results 4) ABGs/oxygen saturation

Which of the following are advantages of the Acapella over the flutter? 1) It can customize frequency. 2) It can be used in any posture. 3) It is more portable. 4) It can customize flow resistance.

A physician orders positive expiratory pressure therapy for a 14-year-old child with cystic fibrosis. Which of the following responses should be monitored on this patient? 1) Peak flow or forced expiratory volume in 1 sec (FEV₁) per forced vital capacity percentage 2) Patient's minute volume 3) Quantity and character of sputum 4) Breath sounds

Which of the following are true about the FET? 1) It causes less bronchiolar collapse than traditional coughing. 2) It occurs from mid to low lung volume without glottis closure. 3) It has a period of diaphragmatic breathing and relaxation. 4) It occurs from mid to high lung volume without glottis closure.

For which of the following patients directed coughing might be contraindicated? 1) Patient with poor coronary artery perfusion 2) Postoperative upper-abdominal surgery patient 3) Long-term care patient with retained secretions 4) Patient with an acute unstable spinal injury

Percussion should not be performed over which of the following areas? 1) Surgery sites 2) Bony prominences 3) Fractured ribs

In assessing an adult outpatient for airway clearance 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?

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?

What does phase 1 of autogenic drainage involve?

Which of the following are goals of airway clearance therapy? 1) Help reverse the underlying disease process. 2) Help mobilize retained secretion. 3) Improve pulmonary gas exchange. 4) Reduce the work of breathing.

Which of the following are considered airway clearance therapies? 1) Postural drainage and percussion 2) Incentive spirometry 3) Positive airway pressure 4) Percussion, vibration, and oscillation

Retention of secretions can result in full or partial airway obstruction. Mucus plugging can result in which of the following? 1) Hypoxemia 2) Atelectasis 3) Shunting

Which of the following is the only absolute contraindication to turning?

Postural drainage should be considered in which of the following situations? 1) In patients with chronic obstructive lung disease 2) In patients who expectorate more than 25 to 30 ml sputum per day 3) In the presence of atelectasis caused by mucus plugging 4) In patients with cystic fibrosis or bronchiectasis

Conditions that can affect airway patency and cause abnormal clearance of secretions include which of the following? 1) Foreign bodies 2) Tumors 3) Inflammation 4) Bronchospasm