Question 1

Which of the following are hazards or complication of postural drainage therapy?
1) Cardiac arrhythmias
2) Increased intracranial pressure
3) Acute hypotension
4) Pulmonary barotraumas

Accepted Answer

Postural drainage therapy, which involves positioning the patient to assist in clearing mucus from the lungs, can lead to several complications. Cardiac arrhythmias may occur due to changes in body position affecting blood flow. Increased intracranial pressure can result from positions that elevate the head lower than the body. Acute hypotension can also occur due to shifts in blood volume when changing positions. Pulmonary barotrauma is not typically associated with postural drainage therapy, as it is more related to the application of external pressure to the airways, such as with mechanical ventilation.

Question 2

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

Accepted Answer

Postural drainage therapy involves the use of gravity.

Question 3

Absolute contraindications for postural drainage include which of the following?
1) Head and neck injury (until stabilized)
2) Active hemorrhage with hemodynamic instability
3) Uncontrolled airway at risk for aspiration

Accepted Answer

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

Question 4

If a patient's chest radiograph shows infiltrates in the posterior basal segments of the lower lobes, what postural drainage position would you recommend?

Accepted Answer

Infiltrates in the posterior basal segments of the lower lobes require postural drainage in the head-down position with the patient prone and a pillow under the abdomen. This position allows for drainage of secretions from the affected area.

Question 5

Which of the following clinical signs indicate that a patient is having a problem with retained secretions?
1) Copious amounts of sputum production
2) Labored breathing
3) Development of a fever
4) Increased inspiratory and expiratory crackles

Accepted Answer

The answer of Which of the following clinical signs indicate...

Question 6

Postural drainage should be considered in which of the following situations?
1) In patients with chronic obstructive lung disease
2) In patients who expectorate more than 25 to 30 ml sputum per day
3) In the presence of atelectasis caused by mucus plugging
4) In patients with cystic fibrosis or bronchiectasis

Accepted Answer

Postural drainage should be considered in patients who expectorate more than 25 to 30 ml sputum per day, in the presence of atelectasis caused by mucus plugging, and in patients with cystic fibrosis or bronchiectasis. It may be considered in patients with chronic obstructive lung disease, but it is not always necessary. Therefore, choices 2, 3, and 4 are correct, making option D the best choice.

Question 7

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?

Accepted Answer

The superior segments of the lower lobes are best drained with the patient in a prone position with a pillow under the abdomen and the bed flat, allowing gravity to assist in draining the affected area.

Question 8

A physician orders postural drainage for a patient with aspiration pneumonia in the anterior segments of the upper lobes. Which of the following positions would you recommend for this patient?

Accepted Answer

For aspiration pneumonia in the anterior segments of the upper lobes, the patient should be positioned supine (on their back) with a pillow under their knees to facilitate drainage from these areas. This position allows gravity to help drain secretions from the anterior segments of the upper lobes.

Question 9

Key considerations in initial and ongoing patient assessment for chest physical therapy include which of the following?
1) Posture and muscle tone
2) Breathing pattern and ability to cough
3) Sputum production
4) Cardiovascular stability

Accepted Answer

Chest physical therapy is aimed at improving respiratory function, which involves assessing and addressing issues related to posture and muscle tone, breathing patterns and coughing ability, sputum production, and ensuring cardiovascular stability. These factors are crucial for effective treatment and patient safety.

Question 10

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

Accepted Answer

There are only two absolute contraindications to turning: unstable spinal cord injuries and traction of arm abductors.

Question 11

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

Inspect any monitoring leads, IV tubing, and O₂ therapy equipment connected to the patient; if necessary, make adjustments to ensure continued function during the procedure.

Question 12

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?

Accepted Answer

Postural drainage for the right middle lobe involves positioning the patient with the right lung up, which is achieved by placing the patient in a head down and half-rotated to the left position. This allows gravity to assist in moving secretions from the affected area to the larger airways for removal. The other positions listed are not appropriate for postural drainage of the right middle lobe.

Question 13

Which of the following are mandatory components of the preassessment for postural drainage?
1) Vital signs
2) Bedside pulmonary function tests
3) Auscultation

Accepted Answer

Vital signs (1) should be assessed prior to any intervention, including postural drainage. Auscultation (3) is necessary to determine the location and characteristics of any abnormal breath sounds that may indicate areas of congestion and need for postural drainage. Bedside pulmonary function tests (2) are not mandatory but can provide additional information about respiratory function and may be helpful in determining the need for postural drainage. Option 4 is not listed in the question.

Question 14

Which of the following laboratory data are essential in assessing a patient's need for airway clearance therapy?
1) Chest radiograph
2) Pulmonary function tests
3) Hematology results
4) ABGs/oxygen saturation

Accepted Answer

Chest radiographs can help determine the presence of secretions in the airways and pulmonary function tests can assess an individual's airway function. ABGs and oxygen saturation can show how well the patient is oxygenating and if airway clearance therapy is needed. Hematology results are not crucial for assessing the need for airway clearance therapy.

Question 15

In which of the following patients would you consider modifying any head-down positions used for postural drainage?
1) A patient with unstable blood pressure
2) A patient with a cerebrovascular disorder
3) A patient with systemic hypertension
4) A patient with orthopnea

Accepted Answer

Head-down positions can exacerbate conditions related to blood flow and pressure, such as unstable blood pressure, cerebrovascular disorders, systemic hypertension, and orthopnea, making it necessary to modify or avoid such positions in these patients.

Question 16

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 17

Primary objectives for turning include which of the following?
1) Prevent postural hypotension.
2) Promote lung expansion.
3) Prevent retention of secretions.
4) Improve oxygenation.

Accepted Answer

Turning patients helps in promoting lung expansion, preventing retention of secretions, and improving oxygenation by facilitating better breathing and airway clearance.

Question 18

Which of the following are considered airway clearance therapies?
1) Postural drainage and percussion
2) Incentive spirometry
3) Positive airway pressure
4) Percussion, vibration, and oscillation

Accepted Answer

Airway clearance therapies are techniques used to remove mucus from the airways. Postural drainage and percussion, incentive spirometry, and positive airway pressure are all airway clearance therapies. Percussion, vibration, and oscillation are not airway clearance therapies.

Question 19

Which of the following are true of postural drainage?
1) It is most effective in disorders causing excessive sputum.
2) It is most effective in head-down positions greater than 25 degrees.
3) It requires adequate systemic hydration to be effective.
4) It improves mucociliary clearance in normal subjects.

Accepted Answer

1, 2, and 3 only. Postural drainage is a technique used to clear mucus from the lungs and is most effective in conditions that produce excessive sputum. 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 commonly used for certain lung segments. Adequate hydration is important for the technique's effectiveness, as it helps thin the mucus, making it easier to clear. While it can improve mucociliary clearance in individuals with certain lung conditions, stating it improves clearance in normal subjects (4) is not specifically accurate in the context of the benefits of postural drainage, as normal subjects typically do not require interventions to improve mucociliary clearance.

Question 20

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?
1) Patient's medication schedule
2) Patient's meal schedule
3) Location of surgical incision

Accepted Answer

In setting up a postural drainage treatment schedule, it's important to consider the patient's medication and meal schedules to avoid conflicts or discomfort during the treatment. Additionally, knowing the location of the surgical incision is crucial to avoid putting pressure on or causing pain to the area during the treatment.

Quiz 43: Airway Clearance Therapy Act

Which of the following are hazards or complication of postural drainage therapy? 1) Cardiac arrhythmias 2) Increased intracranial pressure 3) Acute hypotension 4) Pulmonary barotraumas

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

Absolute contraindications for postural drainage include which of the following? 1) Head and neck injury (until stabilized) 2) Active hemorrhage with hemodynamic instability 3) Uncontrolled airway at risk for aspiration

If a patient's chest radiograph shows infiltrates in the posterior basal segments of the lower lobes, what postural drainage position would you recommend?

Which of the following clinical signs indicate that a patient is having a problem with retained secretions? 1) Copious amounts of sputum production 2) Labored breathing 3) Development of a fever 4) Increased inspiratory and expiratory crackles

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?

A physician orders postural drainage for a patient with aspiration pneumonia in the anterior segments of the upper lobes. Which of the following positions would you recommend for this patient?

Key considerations in initial and ongoing patient assessment for chest physical therapy include which of the following? 1) Posture and muscle tone 2) Breathing pattern and ability to cough 3) Sputum production 4) Cardiovascular stability

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

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?

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?

Which of the following are mandatory components of the preassessment for postural drainage? 1) Vital signs 2) Bedside pulmonary function tests 3) Auscultation

Which of the following laboratory data are essential in assessing a patient's need for airway clearance therapy? 1) Chest radiograph 2) Pulmonary function tests 3) Hematology results 4) ABGs/oxygen saturation

In which of the following patients would you consider modifying any head-down positions used for postural drainage? 1) A patient with unstable blood pressure 2) A patient with a cerebrovascular disorder 3) A patient with systemic hypertension 4) A patient with orthopnea

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

Primary objectives for turning include which of the following? 1) Prevent postural hypotension. 2) Promote lung expansion. 3) Prevent retention of secretions. 4) Improve oxygenation.

Which of the following are considered airway clearance therapies? 1) Postural drainage and percussion 2) Incentive spirometry 3) Positive airway pressure 4) Percussion, vibration, and oscillation

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? 1) Patient's medication schedule 2) Patient's meal schedule 3) Location of surgical incision

Quiz 43: Airway Clearance Therapy Act

Which of the following are hazards or complication of postural drainage therapy? 1) Cardiac arrhythmias 2) Increased intracranial pressure 3) Acute hypotension 4) Pulmonary barotraumas

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

Absolute contraindications for postural drainage include which of the following? 1) Head and neck injury (until stabilized) 2) Active hemorrhage with hemodynamic instability 3) Uncontrolled airway at risk for aspiration

If a patient's chest radiograph shows infiltrates in the posterior basal segments of the lower lobes, what postural drainage position would you recommend?

Which of the following clinical signs indicate that a patient is having a problem with retained secretions? 1) Copious amounts of sputum production 2) Labored breathing 3) Development of a fever 4) Increased inspiratory and expiratory crackles

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?

A physician orders postural drainage for a patient with aspiration pneumonia in the anterior segments of the upper lobes. Which of the following positions would you recommend for this patient?

Key considerations in initial and ongoing patient assessment for chest physical therapy include which of the following? 1) Posture and muscle tone 2) Breathing pattern and ability to cough 3) Sputum production 4) Cardiovascular stability

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

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?

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?

Which of the following are mandatory components of the preassessment for postural drainage? 1) Vital signs 2) Bedside pulmonary function tests 3) Auscultation

Which of the following laboratory data are essential in assessing a patient's need for airway clearance therapy? 1) Chest radiograph 2) Pulmonary function tests 3) Hematology results 4) ABGs/oxygen saturation

In which of the following patients would you consider modifying any head-down positions used for postural drainage? 1) A patient with unstable blood pressure 2) A patient with a cerebrovascular disorder 3) A patient with systemic hypertension 4) A patient with orthopnea

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

Primary objectives for turning include which of the following? 1) Prevent postural hypotension. 2) Promote lung expansion. 3) Prevent retention of secretions. 4) Improve oxygenation.

Which of the following are considered airway clearance therapies? 1) Postural drainage and percussion 2) Incentive spirometry 3) Positive airway pressure 4) Percussion, vibration, and oscillation

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? 1) Patient's medication schedule 2) Patient's meal schedule 3) Location of surgical incision

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?