Question 1

Which one of the following therapies would be best used to reduce air trapping in asthma and COPD?

Accepted Answer

A)  Postural drainage therapy
B)  Positive airway pressure therapy
C)  Directed cough
D)  Unilateral chest expansion B

Question 2

If sputum production in an optimally hydrated patient is 10 ml/day with postural drainage therapy (PDT) ,_______________

Accepted Answer

A)  PDT should be continued.
B)  the procedure is not justified.
C)  clapping should be done in conjunction with PDT.
D)  a bronchodilator should be given before PDT. B

Question 3

Postural drainage therapy is indicated for adult patients with secretion production of at least _______________

Accepted Answer

A)  10-15 ml per day.
B)  15-20 ml per day.
C)  20-25 ml per day.
D)  25-30 ml per day. D

Question 4

What type of therapy is being given by the application of positive pressure (10 to 15 cm H₂O) during active exhalation to increase functional residual capacity (FRC) following a larger than normal tidal breath?

Accepted Answer

A)  Positive expiratory pressure therapy
B)  Flutter valve therapy
C)  High frequency chest wall oscillation therapy
D)  Forced expiration technique

Question 5

Vibration is an isometric maneuver performed with the arm and hand.It is only performed on:

Accepted Answer

A)  inspiration.
B)  the posterior portion of the chest.
C)  expiration.
D)  areas of the chest not percussed.

Question 6

Which of the following is NOT a hazard or complication of a directed cough?

Accepted Answer

A)  Increased cerebral perfusion
B)  Chest pain
C)  Fatigue
D)  Headaches

Question 7

During bronchial hygiene therapy in the Trendelenburg position,the patient's SpO₂ decreases from 92% on a 35% Venturi mask to 80% during the first 5 minutes of the therapy.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

Accepted Answer

A)  Administer 100% oxygen,stop therapy immediately,return the patient to original resting position,and consult the physician.
B)  Administer 100% oxygen and consult the physician.
C)  Administer 100% oxygen and continue the therapy with the patient flat in bed.
D)  Stop therapy immediately and return patient to original resting position.

Question 8

Which technique (s) include(s) removal of retained secretions,atelectasis,and prophylaxis of pulmonary infections and as routine care for patients with cystic fibrosis?

Accepted Answer

A)  PEP therapy
B)  Flutter valve therapy
C)  High frequency chest wall oscillation therapy
D)  All of these

Question 9

What is the only absolute contraindication to a directed cough?

Accepted Answer

A)  Increased intracranial pressure
B)  Increased potential for aspiration
C)  Untreated pneumothorax
D)  There are no absolute contraindications.

Question 10

Trendelenburg position is contraindicated for ___________________.
I.Intracranial pressure (ICP) of 30-mm Hg
II.Uncontrolled airway at risk for aspiration
III.Distended abdomen
IV.Recent gross hemoptysis associated with radiation therapy

Accepted Answer

A)  I and II
B)  III and IV
C)  I,II,III,and IV
D)  I,III,and IV

Question 11

The respiratory therapy practitioner asks the patient how she feels during postural drainage therapy.The patient complains of feelings of pain,shortness of breath,and nausea.What should be done at this time?

Accepted Answer

A)  Stop the therapy,allow the patient to rest,and continue the therapy.
B)  The patient should be suctioned and then the therapy should be continued.
C)  The patient should be comforted and the therapy should be shortened slightly.
D)  A decision should be made to modify or stop therapy.

Question 12

Before initiating PEP therapy,the respiratory care practitioner verifies the physician's order for PEP therapy.Upon review of the patient's chart,it is noted that the patient has an acute sinusitis and a history of epistaxis.What should this tell the practitioner about the patient?

Accepted Answer

A)  The patient may have cystic fibrosis also and the PEP therapy should be given with a mucolytic drug.
B)  The patient should be set in the Fowler's position before the therapy is initiated.
C)  A drug with alpha effects should be given before proceeding with the therapy.
D)  The patient should be carefully evaluated before PEP therapy is initiated.

Question 13

How does the Respironics Coughassistᵀᴹ MI-E simulate a cough to help the patient?

Accepted Answer

A)  The device chatters during exhalation
B)  Increases the FRC following a larger than normal tidal breath
C)  This rapid shift from positive to negative pressure
D)  It provides the patient a breath hold and decreases intrathoracic pressure

Question 14

What bronchial hygiene technique is indicated for a patient who has poor oxygenation associated with a unilateral lung disease?

Accepted Answer

A)  Turning
B)  Postural drainage
C)  External manipulation of the thorax
D)  Suctioning

Question 15

Abnormal chest x-ray consistent with atelectasis and mucus plugging,rhonchi suggesting secretions in the airways,and excessive sputum production would establish the need for:

Accepted Answer

A)  positioning.
B)  postural drainage therapy.
C)  chest clapping.
D)  bronchodilator therapy.

Question 16

The patient vomits and aspirates in the flat,supine position.A therapeutic bronchoscopy is performed and confirms that the patient has aspirated into the superior segments of both lower lobes.The physician orders postural drainage for these segments.How should this be performed?

Accepted Answer

A)  Position the patient prone with the head of the bed flat.
B)  Position the patient on the left side with the foot of the bed elevated 18 to 20 inches,and on the right side with the foot of the bed elevated 18 to 20 inches.
C)  Position the patient supine with the foot of the bed elevated 18 to 20 inches.
D)  Position the patient prone with the foot of the bed elevated 18 to 20 inches.

Question 17

A patient with cystic fibrosis is going to be sent home.The physician wants the practitioner to recommend bronchial hygiene at home.The patient has an active lifestyle and both parents have arthritis and cannot perform percussion and postural drainage (PPD)on the patient.What should be recommended for the patient?

Accepted Answer

A percussion vest would allow the patien...

Question 18

After postural drainage therapy,the patient's pulse increases from 80/min to 90/min and the respiratory rate increases from 18/min to 22/min after 15 minutes of therapy.The patient expectorates an average of 20 ml of therapy after each therapy which is given BID.What should be recommended at this time?

Accepted Answer

A)  Continuation of the therapy
B)  Add a mucolytic before therapy.
C)  Discontinue therapy because of intolerance.
D)  Perform the therapy with the patient in a modified position.

Question 19

How would you drain the medial and lateral segments of the right middle lobe?

Accepted Answer

A)  The foot of the bed elevated 12 inches with the patient rotated one-quarter turn from supine,left side up
B)  The foot of the bed elevated 18 to 20 inches and the patient directly lying of the left side
C)  The foot of the bed elevated 12 inches with the patient rotated one-quarter turn from supine,right side up
D)  The foot of the bed elevated 18 to 20 inches and the patient lying supine

Question 20

What is the ideal breathing pattern for PEP therapy?

Accepted Answer

A)  The patient should take a larger than normal tidal breath (but not to TL
C)  ,and then exhale forcefully against the resistance to FRC.The patient should cough after each PEP breath.
B)  The patient should take a larger than normal tidal breath (but not to TL
C)  ,and then exhale actively,but not forcefully,against the resistance to FRC.The patient should be relaxed,and diaphragmatic breathing should be emphasized.The patient should take between 10 and 20 PEP breaths and then cough.
C)  The patient should take normal tidal breath and then exhale actively,but not forcefully,against the resistance to RV.The patient should be relaxed,and diaphragmatic breathing should be emphasized.The patient should take between 10 and 20 PEP breaths and then cough.
D)  The patient should take a deep breath to TLC,and then exhale forcefully against the resistance to FRC.The patient should be relaxed,and diaphragmatic breathing should be emphasized.The patient should take between 10 and 20 PEP breaths and rest.The patient should cough only if necessary.

Exam 16: Bronchial Hygiene Therapy

Which one of the following therapies would be best used to reduce air trapping in asthma and COPD?

Correct Answer
verified
B

If sputum production in an optimally hydrated patient is 10 ml/day with postural drainage therapy (PDT) ,_______________

Correct Answer
verified
B

Postural drainage therapy is indicated for adult patients with secretion production of at least _______________

Correct Answer
verified
D

What type of therapy is being given by the application of positive pressure (10 to 15 cm H₂O) during active exhalation to increase functional residual capacity (FRC) following a larger than normal tidal breath?

Correct Answer
verified

Vibration is an isometric maneuver performed with the arm and hand.It is only performed on:

Correct Answer
verified

Which of the following is NOT a hazard or complication of a directed cough?

Correct Answer
verified

During bronchial hygiene therapy in the Trendelenburg position,the patient's SpO₂ decreases from 92% on a 35% Venturi mask to 80% during the first 5 minutes of the therapy.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

Correct Answer
verified

Which technique (s) include(s) removal of retained secretions,atelectasis,and prophylaxis of pulmonary infections and as routine care for patients with cystic fibrosis?

Correct Answer
verified

What is the only absolute contraindication to a directed cough?

Correct Answer
verified

Trendelenburg position is contraindicated for ___________________. I.Intracranial pressure (ICP) of 30-mm Hg II.Uncontrolled airway at risk for aspiration III.Distended abdomen IV.Recent gross hemoptysis associated with radiation therapy

Correct Answer
verified

The respiratory therapy practitioner asks the patient how she feels during postural drainage therapy.The patient complains of feelings of pain,shortness of breath,and nausea.What should be done at this time?

Correct Answer
verified

Before initiating PEP therapy,the respiratory care practitioner verifies the physician's order for PEP therapy.Upon review of the patient's chart,it is noted that the patient has an acute sinusitis and a history of epistaxis.What should this tell the practitioner about the patient?

Correct Answer
verified

How does the Respironics Coughassistᵀᴹ MI-E simulate a cough to help the patient?

Correct Answer
verified

What bronchial hygiene technique is indicated for a patient who has poor oxygenation associated with a unilateral lung disease?

Correct Answer
verified

Abnormal chest x-ray consistent with atelectasis and mucus plugging,rhonchi suggesting secretions in the airways,and excessive sputum production would establish the need for:

Correct Answer
verified

The patient vomits and aspirates in the flat,supine position.A therapeutic bronchoscopy is performed and confirms that the patient has aspirated into the superior segments of both lower lobes.The physician orders postural drainage for these segments.How should this be performed?

Correct Answer
verified

Correct Answer
verified
A percussion vest would allow the patien...
View Answer

Correct Answer
verified

How would you drain the medial and lateral segments of the right middle lobe?

Correct Answer
verified

What is the ideal breathing pattern for PEP therapy?

Correct Answer
verified

Exam 16: Bronchial Hygiene Therapy

Which one of the following therapies would be best used to reduce air trapping in asthma and COPD?

Correct AnswerverifiedB

If sputum production in an optimally hydrated patient is 10 ml/day with postural drainage therapy (PDT) ,_______________

Correct AnswerverifiedB

Postural drainage therapy is indicated for adult patients with secretion production of at least _______________

Correct AnswerverifiedD

What type of therapy is being given by the application of positive pressure (10 to 15 cm H₂O) during active exhalation to increase functional residual capacity (FRC) following a larger than normal tidal breath?

Correct AnswerverifiedShow Answer

Vibration is an isometric maneuver performed with the arm and hand.It is only performed on:

Correct AnswerverifiedShow Answer

Which of the following is NOT a hazard or complication of a directed cough?

Correct AnswerverifiedShow Answer

During bronchial hygiene therapy in the Trendelenburg position,the patient's SpO₂ decreases from 92% on a 35% Venturi mask to 80% during the first 5 minutes of the therapy.What intervention would be the most correct for the Respiratory Care Practitioner to take at this time?

Correct AnswerverifiedShow Answer

Which technique (s) include(s) removal of retained secretions,atelectasis,and prophylaxis of pulmonary infections and as routine care for patients with cystic fibrosis?

Correct AnswerverifiedShow Answer

What is the only absolute contraindication to a directed cough?

Correct AnswerverifiedShow Answer

Trendelenburg position is contraindicated for ___________________. I.Intracranial pressure (ICP) of 30-mm Hg II.Uncontrolled airway at risk for aspiration III.Distended abdomen IV.Recent gross hemoptysis associated with radiation therapy

Correct AnswerverifiedShow Answer

The respiratory therapy practitioner asks the patient how she feels during postural drainage therapy.The patient complains of feelings of pain,shortness of breath,and nausea.What should be done at this time?

Correct AnswerverifiedShow Answer

Before initiating PEP therapy,the respiratory care practitioner verifies the physician's order for PEP therapy.Upon review of the patient's chart,it is noted that the patient has an acute sinusitis and a history of epistaxis.What should this tell the practitioner about the patient?

Correct AnswerverifiedShow Answer

How does the Respironics Coughassistᵀᴹ MI-E simulate a cough to help the patient?

Correct AnswerverifiedShow Answer

What bronchial hygiene technique is indicated for a patient who has poor oxygenation associated with a unilateral lung disease?

Correct AnswerverifiedShow Answer

Abnormal chest x-ray consistent with atelectasis and mucus plugging,rhonchi suggesting secretions in the airways,and excessive sputum production would establish the need for:

Correct AnswerverifiedShow Answer

The patient vomits and aspirates in the flat,supine position.A therapeutic bronchoscopy is performed and confirms that the patient has aspirated into the superior segments of both lower lobes.The physician orders postural drainage for these segments.How should this be performed?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedA percussion vest would allow the patien...View AnswerShow Answer

Correct AnswerverifiedShow Answer

How would you drain the medial and lateral segments of the right middle lobe?

Correct AnswerverifiedShow Answer

What is the ideal breathing pattern for PEP therapy?

Correct AnswerverifiedShow Answer

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verified
B

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B

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D

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Correct Answer
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Correct Answer
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Correct Answer
verified
A percussion vest would allow the patien...
View Answer

Correct Answer
verified

Correct Answer
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Correct Answer
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