Res 130 Lung Expansion Therapy/Bronchial Hygiene Exam 2
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| show | A) Increased cardiac output
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| show | D) IPPB should be the single treatment modality for resorption atelectasis.
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| show | D) temperature.
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| All of the following machine performance characteristics should be monitored during intermittent positive-pressure breathing therapy except: | show 🗑
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| show | A) 2 to 3 times the patient’s minute ventilation
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| In order to eliminate leaks in an alert patient receiving intermittent positive-pressure breathing therapy, which of the following adjuncts would you first try? | show 🗑
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| show | A) I and II I. Patients with clinically diagnosed atelectasis who are not responsive to other therapies. II. Patients at high risk for atelectasis who cannot cooperate with other methods.
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| Which of the following positions is ideal for intermittent positive-pressure breathing therapy? | show 🗑
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| show | C) Sensitivity 1 to 2 cm H2O below ambient pressure (i.e. -1 to -2 cmHO); pressure 10 to 15 cm H2O; moderate flow
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| show | B) Check the circuit for leaks.
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| What is the minimum airway pressure at which the esophagus opens, allowing gas to pass directly into the stomach? | show 🗑
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| Which of the following will make an intermittent positive-pressure breathing (IPPB) device cycle off prematurely? I. Airflow obstructed II. Kinked tubing III. Occluded mouthpiece IV. Active resistance to inhalation | show 🗑
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| Which of the following is an absolute contraindication for using intermittent positive-pressure breathing? | show 🗑
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| During administration of a continuous positive airway pressure flow mask to a patient with atelectasis, you find it difficult to maintain the prescribed airway pressure. Which of the following is the most common explanation? | show 🗑
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| show | D) Neuromuscular disorders
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| show | D) I, II, III, and IV I. Improved oxygenation II. Increased cough and secretion clearance III. Improved breath sounds IV. Reduced dyspnea
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| show | D) I, II, and III I. Measurement of vital signs II. Appearance and sensorium III. Chest auscultation
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| show | C) Respiratory alkalosis
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| show | D) I, II, and III I. Results of pre- and posttreatment assessment II. Any side effects III. Succint but complete account of the treatment session.
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| Which of the following are contraindications for continuous positive airway pressure (CPAP) therapy? | show 🗑
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| show | B) I and II I. 10 to 15 ml/kg ideal body weight II. At least 30% of the inspiratory capacity (IC)
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| Prior to starting intermittent positive-pressure breathing (IPPB) on a new patient, what should the practitioner explain? | show 🗑
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| show | C) I, III, and IV I. Barotrauma III. Gastric distention IV. Hypercapnia
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| Which of the following is false about gastric distention with intermittent positive-pressure breathing (IPPB)? | show 🗑
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| Which of the following mechanisms probably contribute to the beneficial effects of continuous positive airway pressure (CPAP) in treating atelectasis? | show 🗑
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| show | A) Slow, deep breaths held at end-inspiration.
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| A patient receiving +12 cm H2O flow-mask continuous positive airway pressure, you note that the pressure drops to +6 cm H2O during inspiration, but returns to +12 cm H2O during exhalation. Which of the following would likely correct this problem? | show 🗑
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| Which of the following are essential components of a continuous positive airway pressure (CPAP) flow system? | show 🗑
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| Intermittent positive-pressure breathing is associated with a passive exhalation. | show 🗑
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| In administering intermittent positive-pressure breathing therapy, which of the following breathing patterns would be most desirable? | show 🗑
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| The "Administration" of intermittent positive-pressure breathing (IPPB) should include which of the following? | show 🗑
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| In terms of machine performance, what large negative pressure swings early in inspiration indicate? | show 🗑
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| show | C) Effort required to cycle the device “on” (begin inspiration).
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