Exam 43: Airway Clearance Therapy Act

A patient about to receive postural drainage and percussion is attached to an electrocardiographic (ECG) monitor and is receiving both intravenous (IV) solutions and O₂ (through a nasal cannula). Which of the following actions would be appropriate for this patient?

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

Which of the following should be considered when selecting an airway clearance strategy? 1) Patient's goals, motivation, and preferences 2) Effectiveness and limitations of technique or method 3) Patient's age, ability to learn, and tendency to fatigue 4) Need for assistants, equipment, and cost

Which of the following is true about exercise and airway clearance? 1) Exercise can enhance mucus clearance. 2) Exercise can improve pulmonary function. 3) Exercise can improve matching. 4) Exercise can cause desaturation in some patients.

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?

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

What factors can hinder effective coughing? 1) Artificial airways 2) Neuromuscular disease 3) Systemic overhydration 4) Pain or fear of pain

A normal cough reflex includes which of the following phases? 1) Irritation 2) Inspiration 3) Compression 4) Expulsion

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? 1) Enhancing expiratory flow by bending forward at the waist 2) Using short, expiratory bursts or the "huffing" method 3) Using only moderate (as opposed to full) inspiration 4) Having the patient "tense" the neck muscles while coughing

Which of the following is the most appropriate airway clearance method for an infant with cystic fibrosis?

During autogenic drainage, when should patients be encouraged to cough?

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?

Directed coughing is useful in helping to maintain airway clearance in which of the following cases? 1) Bronchiectasis 2) Acute asthma 3) Cystic fibrosis 4) Spinal cord injury

A physician orders postural drainage for a patient with aspiration pneumonia in the anterior segments of the upper lobes. Which of the following positions would you recommend for this patient?

Which of the following are necessary for normal airway clearance? 1) Patent airway 2) Functional mucociliary escalator 3) Effective cough 4) Normal pulmonary compliance

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

Whether using traditional methods or the FET, a period of diaphragmatic breathing and relaxation should always follow attempts at coughing. What is the purpose of this approach?

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?

What duration of time and pressure is recommended when using MIE devices to clear airways secretions in adults?

What happens during the exsufflation phase of mechanical insufflation-exsufflation? 1) Airway pressure is abruptly decreased to -30 to -50 cm H₂O. 2) Negative airway pressure is maintained for 2 to 3 sec. 3) Peak expiratory "cough" flows reach near normal values.