Deck 24: Performing Chest Physiotherapy

Question 1

When teaching the family how to provide CPT and postural drainage (PD)for their loved one at home,what instructions does the nurse provide?

A) The best times for treatments are usually in the morning before breakfast and 1 hour before bedtime.
B) The patient will tell you when he or she needs treatment.
C) The family needs to hire a physiotherapist to come in and do the treatments.
D) Increase the physiotherapy sessions during acute exacerbations of asthma to keep the airways clear.

Answer 1

The best times for treatments are usually in the morning before breakfast and 1 hour before bedtime.

Question 2

An Acapella CPT device has been shown to be of greatest benefit to patients experiencing:

A) Empyema
B) Bronchopleural fistula
C) Cystic fibrosis (CF)
D) Pleural effusion

Answer 2

Cystic fibrosis (CF)

Question 3

Studies have compared the effectiveness of newer airway clearance methods with manual chest physiotherapy (CPT)and have found that the CPT and the newer devices are safe and effective modalities for clearing airway secretions.The use of mechanical devices,however,does which of the following? (Select all that apply.)

A) Reduce patient satisfaction
B) Reduce adherence
C) Allow for self-administration
D) Do not cause discomfort

Answer 3

Allow for self-administration
Do not cause discomfort

Question 4

An Acapella device requires that the patient:

A) Fill the lungs completely
B) Cough while the device is vibrating
C) Hold breath for 2 to 3 seconds
D) Adjust the device to a medium resistance setting

Question 5

How should the patient be positioned to move secretions in the right and left lower lobe superior bronchi?

A) Sitting up and leaning forward
B) Flat on the stomach with a pillow
C) On the right side in Trendelenburg's position
D) On the left side with the head elevated

Question 6

Chest percussion,vibration,and shaking are indicated for patients with which of the following conditions?

A) Osteoporosis
B) Sternal pain
C) Pneumonia
D) Abdominal aneurysm resection

Question 7

The system that lines the internal lumen of the tracheobronchial tree and consists of a thin layer of mucus that constantly is propelled toward the larynx by cilia is called the ________________.

Question 8

The _______________ provides positive expiratory pressure (PEP)with oral airway oscillations.

Question 9

________________ is positioning the patient so that the position of the lung segment to be drained allows gravity to have its greatest effect.

Question 10

What is the appropriate procedure when the nurse is performing percussion?

A) Perform percussion for 3 to 5 minutes for each position
B) Use the back and shoulders to create pressure for the cupping
C) Perform clapping primarily using motion from the shoulders
D) Hold the hand loosely over the chest wall, with the fingers and the thumb apart.

Question 11

____________________ consists of physical chest wall maneuvers such as percussion,vibration and shaking,postural drainage (PD),and cough.

Question 12

Contraindications for postural drainage include which of the following? (Select all that apply.)

A) Increased intracranial pressure
B) Active hemoptysis
C) Pulmonary edema
D) Rib fracture
E) None of above

Question 13

The patient is very frail and thin and has osteoporosis,has just undergone abdominal surgery,and is at risk for developing respiratory complications.What is the best technique for controlling respiratory secretions in this patient?

A) Forceful coughing
B) Percussion
C) Vibration
D) Shaking

Question 14

To move secretions from small distal airways into larger central airways,the nurse would utilize ________________ and _______________.

Question 15

The nurse is instructing the patient on how to use his Acapella device.What should the nurse tell the patient to do?

A) Take a full breath in and fill his lungs
B) Hold his breath for 5 to 10 seconds
C) Cough forcefully to clear the lungs
D) Exhale slowly for 3 to 4 seconds

Question 16

The nurse is planning to perform CPT with postural drainage on a patient who is receiving continuous tube feedings.Before performing CPT,what should the nurse do? (Select all that apply.)

A) Stop tube feedings for 30 to 45 minutes before postural drainage
B) Check for residual feeding in the patient's stomach
C) Give bronchodilators immediately before the procedure
D) Withhold free water to increase the viscosity of mucus

Question 17

Trendelenburg's position is contraindicated for with of the following? (Select all that apply.)

A) Hypotension
B) Hypertension
C) Esophageal surgery
D) Distended abdomen

Question 18

A patient with which of the following conditions is a candidate for postural drainage?

A) Pulmonary edema
B) Active hemoptysis
C) Bronchiectasis
D) Pulmonary embolism

Question 19

The patient is complaining of feeling congested.After assessing the patient,the nurse places the patient in the proper position and claps her cupped hands against the patient's thorax.She does this because she is aware that ______________ assists in loosening retained secretions from the airway.

Question 20

The physician has ordered that the patient receive percussion and vibration to help clear airway secretions.Where must the nurse place her hands?

A) On the patient's clavicles
B) On the patient's spine and sternum
C) On the patient's abdomen
D) On the patient's ribs