Deck 21: Airway Clearance Techniques

Question 1

The techniques of ________ and _______ are at opposite ends of a spectrum

A) vibration, clapping
B) clapping, shaking
C) vibration, gentle high-frequency force
D) vibration, shaking

Answer 1

D

Question 2

The three-phased repeated active cycle of breathing technique (ACBT)includes all of the following EXCEPT:

A) active percussive reflex.
B) the forced expiratory technique.
C) breathing control.
D) thoracic expansion.

Answer 2

A
Breathing control,the forced expiratory technique,and thoracic expansion are part of ACBT.

Question 3

Vibration involves:

A) a more vigorous nature.
B) a gentle high frequency force.
C) a strong shaking.
D) soft clapping.

Answer 3

B

Question 4

Inhalation of prescribed bronchodilator medications should take placed before:

A) administration of supplemental oxygen to improve alveolar respiration.
B) airway clearance maneuvers to improve secretion removal by opening the airways.
C) determining the patients resting vital signs.
D) after airway clearance maneuvers to maintain open airways.

Question 5

Which therapeutic pulmonary modality simultaneously delivers intrathoracic percussion and aerosolized solution for bronchodilation?

A) Extrapulmonary oscillation ventilator (EOV)
B) Intrapulmonary oscillation ventilator (IOV)
C) Extrapulmonary percussive ventilator (EPV)
D) Intrapulmonary percussive ventilator (IPV)

Question 6

Airway clearance must take place on a daily basis.For this reason,many patients and caregivers need to consider modifications to the:

A) equipment schedule.
B) caregiver's schedule.
C) patient's schedule.
D) therapist's schedule.

Question 7

Shaking involves:

A) a gentle high-frequency force.
B) a more vigorous force.
C) a rhythmic oscillatory force.
D) a gentle low-frequency force.

Question 8

The process of prescribing an appropriate technique for secretion mobilization should be ongoing,with periodic:

A) increased frequency.
B) equipment checks.
C) reevaluation of the method.
D) patient/caregiver education.

Question 9

Light percussion,_______ and ________ are used in conjunction with postural drainage positioning:

A) vibration, clapping
B) clapping, shaking
C) vibration, shaking
D) soft clapping, shaking

Question 10

Positive expiratory pressure creates a backpressure to stent the airways open during:

A) diaphragmatic respiration.
B) inhalation.
C) collateral ventilation.
D) exhalation.

Question 11

All of the following contribute to the success of an airway clearance technique EXCEPT:

A) the reevaluation.
B) patient or caregiver adherence.
C) patient motivation or independence.
D) responsiveness of the vendor.

Question 12

All of the following are reasons for using manual hyperinflation on a patient EXCEPT:

A) the patient has an artificial airway.
B) the patient is mechanically ventilated.
C) the patient has a tracheostomy. d, the patient has a productive cough.

Question 13

Postural drainage is accomplished by positioning the patient so that the angle of the lung segment to be drained allows:

A) is closest to the physical therapist.
B) farthest from the physical therapist.
C) aligned with the bronchial tree.
D) gravity to have its greatest effect.

Question 14

In selecting a technique,the effectiveness of the technique is measured both ________ and _______

A) intrinsically, extrinsically
B) initially, terminally
C) practically, functionally
D) subjectively, objectively

Question 15

Preparation for any secretion removal technique should include:

A) evaluation of the patient's pulmonary status.
B) preparation of the surrounding area.
C) removal of all jewelry.
D) review of the patient's medical history.

Question 16

An inflatable vest linked to an air-pulsed generator is used with:

A) low-frequency chest wall oscillation.
B) low-frequency chest wall vibration.
C) high-frequency chest wall vibration.
D) high-frequency chest wall oscillation.

Question 17

Complications that occur as a result of a technique or precautions associated with a particular method should guide a patient or caregiver to:

A) find an alternate technique.
B) seek additional training.
C) find a new therapist.
D) contact the vendor.

Question 18

A breathing technique that uses expiratory airflow to mobilize bronchial secretions is:

A) automatic drainage.
B) breathing control.
C) autogenic drainage.
D) controlled drainage.

Question 19

A regular program of exercise has been shown to improve all of the following outcomes in patients with lung disease EXCEPT:

A) O₂ consumption.
B) CO₂ consumption.
C) work capacity.
D) respiratory muscle endurance.

Question 20

The aim of loosening retained secretions by the use of percussion is so that:

A) they can be sent to the laboratory for culturing.
B) they may be removed by suctioning or expectoration.
C) they can be picked up and removed by the lymphatic system.
D) they may be redirected through collateral circulation.