Question 1

Which of the following measures would you use to ask patients for the presence of copious mucus production?

Accepted Answer

The answer of Which of the following measures would you...

Question 2

In acute respiratory distress syndrome (ARDS) or ALI, use of the prone position can result on which of the following?
I.improvement of redistribution of blood flow
II.improvement of the lung's overall $\dot { V } / \dot { Q }$ balance
III.protection of the lung from pressure injury

Accepted Answer

The prone position in patients with ARDS or ALI can lead to improvement in the redistribution of blood flow, enhancement of the lung's overall ventilation/perfusion ($\dot { V } / \dot { Q }$) balance, and protection of the lung from pressure injury. This position helps in more uniform ventilation, reduces the pressure on the lung tissue, and can improve oxygenation.

Question 3

Which of the following is NOT a hazard or complication of postural drainage therapy?

Accepted Answer

Pulmonary barotrauma is not typically associated with postural drainage therapy. Postural drainage involves positioning the patient to assist in clearing mucus from the lungs and does not involve the application of external pressure that could cause barotrauma.

Question 4

All of the following laboratory data are essential in assessing a patient's need for bronchial hygiene therapy except:

Accepted Answer

Hematology results are not essential in assessing a patient's need for bronchial hygiene therapy, as they are not directly related to the patient's pulmonary function. However, chest radiograph, PFTs, and ABGs/oxygen saturation are important to evaluate the patient's lung function and determine the severity of their respiratory condition, which can guide the decision to initiate bronchial hygiene therapy.

Question 5

The application of gravity to achieve specific clinical objectives in respiratory care best describes which of the following?

Accepted Answer

Postural drainage therapy involves positioning the patient so that gravity can assist in the removal of secretions from specific lung segments. The other choices involve different techniques that do not necessarily rely on gravity for their therapeutic effect.

Question 6

Which of the following clinical signs indicate that a patient is having a problem with retained secretions?
I.lack of sputum production
II.labored breathing
III.development of a fever
IV.increased inspiratory and expiratory crackles

Accepted Answer

Retained secretions can lead to a lack of sputum production as the patient is unable to effectively clear these secretions. Labored breathing may occur as the airways become obstructed. A fever can develop due to the infection or inflammation caused by the retained secretions. Increased inspiratory and expiratory crackles are heard as a result of the secretions within the airways.

Question 7

In setting up a postural drainage treatment schedule for a postoperative patient, which of the following information would you try to obtain from the patient's nurse?
I.patient's medication schedule
II.patient's meal schedule
III.location of surgical incision

Accepted Answer

All three pieces of information are important for setting up a postural drainage treatment schedule. The medication schedule can affect the timing of treatment, the meal schedule is important to avoid nausea or discomfort during treatment, and the location of the surgical incision is crucial to avoid causing pain or disrupting the healing process.

Question 8

Which if the following is the only absolute contraindication to turning?

Accepted Answer

Unstable spinal cord injuries are the only absolute contraindication to turning. Turning can be done in all other situations listed, but with caution and consideration of the patient's individual condition.

Question 9

When assessing the potential need for postoperative bronchial hygiene for a patient, all of the following factors are relevant except:

Accepted Answer

The number of prior surgical procedures is less relevant to the need for postoperative bronchial hygiene than the patient's age and respiratory history, the nature and duration of the current surgery, and the type of anesthesia used. These factors directly influence lung function and the potential for respiratory complications, whereas the number of prior surgeries does not directly impact postoperative pulmonary care needs.

Question 10

When turning a critically ill patient, one should be on guard for which of the following "plumbing" problems?
I.aspiration of circuit condensate
II.disconnection of vascular lines
III.ventilator disconnection
IV.accidental extubation

Accepted Answer

Turning a critically ill patient can lead to various "plumbing" problems due to the movement and handling involved. These can include aspiration of circuit condensate if the patient is on mechanical ventilation, disconnection of vascular lines which are critical for medication and fluid administration, ventilator disconnection which can lead to a lack of respiratory support, and accidental extubation which is a serious risk when moving patients who are intubated.

Question 11

Postural drainage should be considered in all of the following situations except:

Accepted Answer

Postural drainage is a technique used to help clear mucus from the lungs and is particularly beneficial for patients with conditions that lead to increased mucus production, such as cystic fibrosis, bronchiectasis, or significant sputum production. It can also be helpful in cases of atelectasis caused by mucus plugging. However, it is not typically indicated for patients with chronic obstructive lung disease (COPD) unless they have a specific indication such as excessive mucus production, because COPD primarily involves issues with airway obstruction rather than mucus plugging.

Question 12

Primary objectives for postural drainage include all of the following except:

Accepted Answer

Primary objectives for postural drainage include helping to mobilize secretions, normalize functional residual capacity, and prevent pneumonia. Improving $\dot { V } / \dot { Q }$ is not a primary objective of postural drainage.

Question 13

What are the best documented preventive uses of bronchial hygiene therapy?
I.prevent retained secretions in the acutely ill
II.maintain lung function in cystic fibrosis
III.prevent postoperative pulmonary complications

Accepted Answer

The answer of What are the best documented preventive uses...

Question 14

Primary objectives for turning include all of the following except to:

Accepted Answer

Turning is primarily done to promote lung expansion, prevent retention of secretions, and improve oxygenation. It does not directly aim to prevent postural hypotension, which is more related to changes in body position from lying to standing.

Question 15

Which of the following is/are TRUE of postural drainage?
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.IV.It improves mucociliary clearance in normal subjects.V.It improves pulmonary function in stable chronic obstructive pulmonary disease patients.

Accepted Answer

Postural drainage is a technique used to help clear mucus from the lungs and is particularly effective in conditions that lead to excessive sputum production. It often involves positioning the body in ways that use gravity to assist in mucus clearance, with head-down positions greater than 25 degrees being among the most effective. Adequate hydration is important for the technique's effectiveness, as it helps to thin the mucus, making it easier to clear.

Question 16

All of the following are considered bronchial hygiene therapies except:

Accepted Answer

Incentive spirometry is not considered a bronchial hygiene therapy. It is a technique used to encourage deep breathing and prevent post-operative respiratory complications. The other options, postural drainage and percussion, positive airway pressure, percussion, vibration, and oscillation are all considered bronchial hygiene therapies.

Question 17

In which of the following patients would you consider modifying any head-down positions used for postural drainage?
I.a patient with unstable blood pressure
II.a patient with a cerebrovascular disorder
III.a patient with systemic hypertension
IV.a patient with orthopnea

Accepted Answer

Modifying head-down positions for postural drainage is considered for patients with unstable blood pressure, cerebrovascular disorders, systemic hypertension, and orthopnea to avoid exacerbating their conditions or causing discomfort.

Question 18

Key considerations in initial and ongoing patient assessment for chest physical therapy include which of the following?
I.posture and muscle tone
II.breathing pattern and ability to cough
III.sputum production
IV.cardiovascular stability

Accepted Answer

All of the considerations listed are important in initial and ongoing patient assessment for chest physical therapy. Posture and muscle tone can affect breathing mechanics, and breathing pattern and ability to cough are directly related to the effectiveness of chest physical therapy. Sputum production provides information about the patient's respiratory status, and cardiovascular stability must be assessed to ensure that chest physical therapy does not cause adverse effects.

Question 19

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?

Accepted Answer

It is appropriate to inspect and adjust the equipment to ensure function during therapy. Canceling the therapy without attempting to reposition the patient may not be necessary. Turning off the ECG monitor or IV line could compromise patient safety. Therefore, the best option is to inspect and adjust the equipment before starting the therapy.

Question 20

Absolute contraindications for postural drainage include which of the following?
I.head and neck injury (until stabilized)II.active hemorrhage with hemodynamic instability
III.uncontrolled airway at risk for aspiration

Accepted Answer

The answer of Absolute contraindications for postural drainage include which...

Quiz 40: Bronchial Hygiene Therapy

Which of the following measures would you use to ask patients for the presence of copious mucus production?

In acute respiratory distress syndrome (ARDS) or ALI, use of the prone position can result on which of the following? I.improvement of redistribution of blood flow II.improvement of the lung's overall $\dot { V } / \dot { Q }$ balance III.protection of the lung from pressure injury

Which of the following is NOT a hazard or complication of postural drainage therapy?

All of the following laboratory data are essential in assessing a patient's need for bronchial hygiene therapy except:

The application of gravity to achieve specific clinical objectives in respiratory care best describes which of the following?

Which of the following clinical signs indicate that a patient is having a problem with retained secretions? I.lack of sputum production II.labored breathing III.development of a fever IV.increased inspiratory and expiratory crackles

In setting up a postural drainage treatment schedule for a postoperative patient, which of the following information would you try to obtain from the patient's nurse? I.patient's medication schedule II.patient's meal schedule III.location of surgical incision

Which if the following is the only absolute contraindication to turning?

When assessing the potential need for postoperative bronchial hygiene for a patient, all of the following factors are relevant except:

When turning a critically ill patient, one should be on guard for which of the following "plumbing" problems? I.aspiration of circuit condensate II.disconnection of vascular lines III.ventilator disconnection IV.accidental extubation

Postural drainage should be considered in all of the following situations except:

Primary objectives for postural drainage include all of the following except:

What are the best documented preventive uses of bronchial hygiene therapy? I.prevent retained secretions in the acutely ill II.maintain lung function in cystic fibrosis III.prevent postoperative pulmonary complications

Primary objectives for turning include all of the following except to:

All of the following are considered bronchial hygiene therapies except:

In which of the following patients would you consider modifying any head-down positions used for postural drainage? I.a patient with unstable blood pressure II.a patient with a cerebrovascular disorder III.a patient with systemic hypertension IV.a patient with orthopnea

Key considerations in initial and ongoing patient assessment for chest physical therapy include which of the following? I.posture and muscle tone II.breathing pattern and ability to cough III.sputum production IV.cardiovascular stability

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?

Absolute contraindications for postural drainage include which of the following? I.head and neck injury (until stabilized) II.active hemorrhage with hemodynamic instability III.uncontrolled airway at risk for aspiration

Quiz 40: Bronchial Hygiene Therapy

Which of the following measures would you use to ask patients for the presence of copious mucus production?

In acute respiratory distress syndrome (ARDS) or ALI, use of the prone position can result on which of the following? I.improvement of redistribution of blood flow II.improvement of the lung's overall V˙/Q˙\dot { V } / \dot { Q }V˙/Q˙​ balance III.protection of the lung from pressure injury

Which of the following is NOT a hazard or complication of postural drainage therapy?

All of the following laboratory data are essential in assessing a patient's need for bronchial hygiene therapy except:

The application of gravity to achieve specific clinical objectives in respiratory care best describes which of the following?

Which of the following clinical signs indicate that a patient is having a problem with retained secretions? I.lack of sputum production II.labored breathing III.development of a fever IV.increased inspiratory and expiratory crackles

In setting up a postural drainage treatment schedule for a postoperative patient, which of the following information would you try to obtain from the patient's nurse? I.patient's medication schedule II.patient's meal schedule III.location of surgical incision

Which if the following is the only absolute contraindication to turning?

When assessing the potential need for postoperative bronchial hygiene for a patient, all of the following factors are relevant except:

When turning a critically ill patient, one should be on guard for which of the following "plumbing" problems? I.aspiration of circuit condensate II.disconnection of vascular lines III.ventilator disconnection IV.accidental extubation

Postural drainage should be considered in all of the following situations except:

Primary objectives for postural drainage include all of the following except:

What are the best documented preventive uses of bronchial hygiene therapy? I.prevent retained secretions in the acutely ill II.maintain lung function in cystic fibrosis III.prevent postoperative pulmonary complications

Primary objectives for turning include all of the following except to:

All of the following are considered bronchial hygiene therapies except:

In which of the following patients would you consider modifying any head-down positions used for postural drainage? I.a patient with unstable blood pressure II.a patient with a cerebrovascular disorder III.a patient with systemic hypertension IV.a patient with orthopnea

Key considerations in initial and ongoing patient assessment for chest physical therapy include which of the following? I.posture and muscle tone II.breathing pattern and ability to cough III.sputum production IV.cardiovascular stability

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?

Absolute contraindications for postural drainage include which of the following? I.head and neck injury (until stabilized) II.active hemorrhage with hemodynamic instability III.uncontrolled airway at risk for aspiration

In acute respiratory distress syndrome (ARDS) or ALI, use of the prone position can result on which of the following? I.improvement of redistribution of blood flow II.improvement of the lung's overall $\dot { V } / \dot { Q }$ balance III.protection of the lung from pressure injury

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?