Before Initiating PEP Therapy,the Respiratory Care Practitioner Verifies the Physician's

Before initiating PEP therapy,the respiratory care practitioner verifies the physician's order for PEP therapy.Upon review of the patient's chart,it is noted that the patient has an acute sinusitis and a history of epistaxis.What should this tell the practitioner about the patient?

A) The patient may have cystic fibrosis also and the PEP therapy should be given with a mucolytic drug.
B) The patient should be set in the Fowler's position before the therapy is initiated.
C) A drug with alpha effects should be given before proceeding with the therapy.
D) The patient should be carefully evaluated before PEP therapy is initiated.

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