RES 130 Lung Expansion Therapy/Bronchial Hygiene Exam 3
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| Strenuous expiratory efforts in some chronic obstructive pulmonary disease (COPD) patients limit the effectiveness of coughing. Why is this so? | show 🗑
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| Under which of the following conditions would mechanical insufflation-exsufflation with an oronasal mask probably NOT be effective? | show 🗑
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| show | B) Restore lung volume and minimize fatigue.
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| All of the following are goals of bronchial hygiene therapy except: | show 🗑
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| show | B) Move the patient to the sitting position until the cough subsides.
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| All of the following conditions impair secretion clearance by affecting the cough reflex except: | show 🗑
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| A typical mechanical insufflation-exsufflation treatment session should continue until what point? | show 🗑
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| show | B) I and II I. Prevent retained secretions in the acutely ill. II. Maintain lung function in cystic fibrosis.
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| show | A) prevent postural hypotension.
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| Which of the following acutely ill patients is LEAST likely to benefit from application of chest physical therapy? | show 🗑
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| show | B) Patient supine with a pillow under knees, bed flat
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| During chest physical therapy, a patient has an episode of hemoptysis. Which of the following actions would be appropriate at this time? | show 🗑
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| show | B) I, II, and III 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.
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| show | D) Pulmonary barotraumas
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| show | D) When the patient has unstable spinal cord injuries.
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| A physician orders postural drainage for a patient with aspiration pneumonia in the superior segments of the left lower lobe. Which of the following positions would you recommend for this patient? | show 🗑
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| In which of the following patients would you consider modifying any head-down positions used for postural drainage? | show 🗑
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| Which of the following is false about the FET? | show 🗑
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| When assessing the potential need for postoperative bronchial hygiene for a patient, all of the following factors are relevant except: | show 🗑
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| Which of the following measures would you use to ask patients for the presence of copious mucus production? | show 🗑
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| Which of the following occur(s) during the compression phase of a cough? | show 🗑
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| 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? | show 🗑
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| show | A) prevent pneumonia.
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| show | C) hematology results.
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| Percussion should NOT be performed over which of the following areas? | show 🗑
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| Conditions that can lead to bronchiectasis include all of the following except: | show 🗑
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| show | B) Inspect and adjust the equipment to ensure function during therapy.
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| Properly performed chest vibration is applied at what point? | show 🗑
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| In general, chest physical therapy can be expected to improve airway clearance when a patient’s sputum production exceeds what volume? | show 🗑
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| Which of the following conditions are associated with chronic production of large volumes of sputum? | show 🗑
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| Which of the following are mandatory components of the preassessment for postural drainage? | show 🗑
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| Which of the following should be charted after completing a postural drainage treatment? | show 🗑
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| show | B) Having the patient phonate or “huff” during expiration.
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| show | C) I, II, III, and IV I. Posture and muscle tone II. Breathing pattern and ability to cough III. Sputum production IV. Cardiovascular stability
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| 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 would you recommend to manage this problem? | show 🗑
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| Conditions that can affect airway patency and cause abnormal clearance of secretions include which of the following? | show 🗑
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| show | B) I, II, III I. Patent airway II. Functional mucociliary escalator III. Effective cough
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| show | B) Postural drainage therapy
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| show | C) I and IV I. Patient with poor coronary artery perfusion IV. Patient with an acute unstable spinal injury
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| show | D) necrotizing pulmonary infection.
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| show | B) I, II, and III I. It is most effective in disorders causing excessive sputum. II. It is most effective in head-down positions greater than 25 degrees. III. It requires adequate systemic hydration to be effective.
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| Key consideration in teaching a patient to develop an effective cough regimen includes which of the following? | show 🗑
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| All of the following are considered bronchial hygiene therapies except: | show 🗑
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| show | B) acute asthma.
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| show | A) use of respiratory stimulants.
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| 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? | show 🗑
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| Absolute contraindications for postural drainage include which of the following? | show 🗑
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| 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? | show 🗑
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| During autogenic drainage, when should patients be encouraged to cough? | show 🗑
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| Partial airway obstruction can result in all of the following except: | show 🗑
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