Deck 23: Facilitating Ventilation Patterns and Breathing Strategies

Question 1

What is the leading cause of death in patients with spinal cord injury with tetraplegia?

A) Pressure sores
B) Cardiovascular insult
C) Pneumonia
D) Infection

Answer 1

C

Question 2

All of the following are significant ventilatory movement strategies for patients with spinal cord injuries EXCEPT:

A) pair trunk flexion activities with exhalation.
B) pair upward eye gaze with inspiration.
C) pair downward eye gaze with exhalation.
D) pair trunk flexion activities with inspiration.

Answer 2

D

Question 3

All of the following are all considered daily dynamic activities that improve ventilation EXCEPT:

A) coming up to sitting.
B) coming up to standing.
C) dancing.
D) rolling.

Answer 3

C

Question 4

Time spent in a horizontal position can be used as an opportunity in:

A) retention of lung secretions.
B) active drainage.
C) passive drainage.
D) postural orthostatics.

Question 5

Positioning the patient for respiratory success is important before beginning the patient's therapy or daily-living activities.All of the following positions are associated with the respiratory pattern EXCEPT:

A) trunk flexion.
B) trunk extension.
C) shoulder adduction, internal rotation.
D) shoulder abduction, external rotation.

Question 6

To improve exhalation potential,increase the patient's:

A) relative trunk extension.
B) relative trunk flexion.
C) relative pelvic posterior rotation.
D) relative pelvic anterior rotation.

Question 7

Individuals with breathing impairments (whether primary or secondary in origin)require interventions aimed at optimizing ventilation an improving:

A) oxygen consumption.
B) oxygen delivery.
C) oxygen diffusion.
D) oxygen supply.

Question 8

The patient's subjective feeling of shortness of breath is known as:

A) eupnea.
B) hyperpnea.
C) dyspnea.
D) Cheyne-Stokes respiration.

Question 9

Inhalation promotes trunk extension,and exhalation promotes:

A) trunk side flexion (right).
B) trunk elongation.
C) trunk flexion.
D) trunk side flexion (left).

Question 10

The pectorals muscle group provides powerful anterior and lateral expansion of the upper chest and can substitute quite effectively for paralyzed intercostal muscles in the:

A) lower chest.
B) rib cage.
C) shoulder.
D) upper chest.

Question 11

Minimal patient instruction is necessary to facilitate diaphragmatic breathing using the:

A) lateral costal breathing technique.
B) upper chest inhibition technique.
C) Jacobsen technique.
D) scoop technique.

Question 12

If it is necessary for a patient to undergo extended time in bed,a major emphasis must be placed on mobilization in an effort to prevent:

A) weight gain.
B) pressure sores.
C) anxiety.
D) immobility.

Question 13

The trapezius muscle assists in superior expansion of the:

A) chest.
B) throat.
C) diaphragm.
D) trachea.

Question 14

The following are all goals of teaching controlled-breathing techniques EXCEPT:

A) to decrease the rate of respiration.
B) to decrease the work of breathing.
C) to assist in relaxation.
D) to improve airway clearance by improving cough.

Question 15

The diaphragm acts both as a muscle of respiration and as a muscle in the group of:

A) trunk extension.
B) trunk flexion.
C) core stability.
D) abdominal bracing.

Question 16

The practitioner must actively include ventilation in every activity to help the patient understand that:

A) breathing transcends all activities.
B) body positioning is important.
C) endurance can improve.
D) inactivity limits function.

Question 17

The following are all indications for teaching controlled-breathing techniques EXCEPT:

A) rib fractures.
B) endocrine disturbances.
C) airway clearance dysfunction.
D) apprehension or nervousness.

Question 18

Normal breathing,repeated rhythmic inspiratory-expiratory cycles,is known as:

A) eupnea.
B) hyperpnea.
C) apnea.
D) Cheyne-Stokes respiration

Question 19

Patients with either primary pulmonary dysfunction or secondary pulmonary dysfunction can benefit from:

A) chest mobilization.
B) pectoralis facilitation.
C) scalene facilitation.
D) spinal mobilization.

Question 20

Sniffing is a simple and effective way of teaching:

A) controlled breathing.
B) diaphragmatic breathing.
C) hyperventilation.
D) Biot respiration.