RES130 FINAL EXAM REVIEW
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| show | Passive atelectasis = Persistent breathing at small tidal volumes Resorption atelectasis = Mucus plugging present in the airways that block ventilation REF: 904
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| show | True REF: 904
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| show | False REF: 905
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| show | True REF: 905
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| ____________________ is the most physiologic form of lung expansion therapy. | show 🗑
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| An alert and cooperative 30-year-old man with no prior history of lung disease underwent knee repair surgery. His x-ray film currently is clear. Which of the following approaches to preventing atelectasis would you recommend for this patient? | show 🗑
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| show | False REF: 906
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| show | As flow-oriented or volume-oriented devices REF: 908
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| show | False REF: 908
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| show | A. “Exhale normally, then inhale as deeply as you can, then hold your breath for 5 to 10 seconds.” A, REF: 909
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| True or False: Diaphragmatic breathing at slow to moderate flows is the correct instruction technique used for teaching incentive spirometry | show 🗑
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| How long should a patient be told to sustain a breath during the performance of a sustained maximal inspiration during incentive spirometry? | show 🗑
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| show | C. Gall bladder surgery. C, Page: 904
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| show | D. I, II and IV only I. Decreased or bronchial/tubular breath sounds II. Tachypnea IV. Tachycardia when hypoxemia is present D, Page: 905
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| An increase in the __________________pressure gradient is responsible for the way lung expansion therapy works. | show 🗑
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| show | A. true A, REF: 909
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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 A, REF: 911
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| show | False,REF: 911
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| Which of the following is NOT a potential contraindication for intermittent positive-pressure breathing? | show 🗑
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| show | True, REF: 912
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| show | D,REF: 912 D. I, II, III, and IV I. hyperventilation II. air-trapping, auto-PEEP III. increased airway resistance IV. nosocomial infection
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| show | C,REF: 913 C. I, II, and III I. Improved VC II. Improved oxygenation III. Improved breath sounds
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| Which of the following are potential desirable outcomes of (IPPB) therapy? I. improved oxygenation II. increased cough and secretion clearance III. improved breath sounds IV. reduced dyspnea (subjective response) | show 🗑
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| show | D,REF: 913 D. I, II, III, and IV I. what the IPPB treatment will do II. why the physician ordered the treatment III. what the expected results are IV. how the IPPB treatment will feel
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| True or False: The semi-fowler’s position is ideal for the patient receiving an intermittent positive-pressure breathing treatment. | show 🗑
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| show | D. nose clip
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| show | B,REF: 914 B. effort required to cycle the device “on” (begin inspiration)
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| show | True,REF: 914
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| Which of the following are appropriate volume goals for intermittent positive-pressure breathing (IPPB) therapy? I. 10 to 15 ml/kg ideal body weight II. at least 30% of the inspiratory capacity (IC) | show 🗑
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| show | True, REF: 915
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| show | D,REF: 916 D. I, II, III, and IV I. recruitment of collapsed alveoli II. decreased work of breathing III. improved distribution of ventilation IV. increased efficiency of secretion removal
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| Which of the following are contraindications for continuous positive airway pressure (CPAP) therapy? I. hemodynamic instability II. hypoventilation III. facial trauma IV. low intracranial pressures | show 🗑
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| True or False: Potential complications associated with CPAP therapy usually include all of the following: barotrauma, hypoventilation, gastric distention, and hypercapnia | show 🗑
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| List the essential components of a CPAP flow system? | show 🗑
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| show | True REF: 917
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| What initial flow setting would you use when setting up a CPAP mask system for a patient with atelectasis? | show 🗑
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| show | D. II and IV II. incentive spirometry IV. positive expiratory pressure (PEP) therapy
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| show | True,REF: 922
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| True or False: A patent airway, functional mucociliary escalator, and effective cough are all necessary for normal airway clearance. | show 🗑
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| True or False: Anesthesia can provoke a cough? | show 🗑
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| Partial airway obstruction can result in all of the following except: | show 🗑
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| Match the phase of a cough on the “right” with the mechanism responsible for impairing the cough on the “left”. Answers may be used once, more than once or not at all. ____1. Abdominal muscle weakness | show 🗑
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| Match the phase of a cough on the “right” with the mechanism responsible for impairing the cough on the “left”. Answers may be used once, more than once or not at all. ____2. Anesthesia | show 🗑
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| Match the phase of a cough on the “right” with the mechanism responsible for impairing the cough on the “left”. Answers may be used once, more than once or not at all. 3. Tracheostomy tube | show 🗑
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| Match the phase of a cough on the “right” with the mechanism responsible for impairing the cough on the “left”. Answers may be used once, more than once or not at all. ____4. Pain | show 🗑
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| show | 5. D D. Expulsion
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| show | B,REF: 923 B. bronchodilators
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| Conditions that can affect airway patency and cause abnormal clearance of secretions include which of the following? I. foreign bodies II. tumors III. inflammation IV. bronchospasm | show 🗑
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| Which of the following conditions alter normal mucociliary clearance? I. bronchodilation II. cystic fibrosis (CF) III. ciliary dyskinesia | show 🗑
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| show | True,REF: 924
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| show | A,REF: 925 A. I, III, and IV I. bronchiectasis III. cystic fibrosis IV. chronic bronchitis
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| Chest physical therapy can be expected to improve airway clearance when a patient’s sputum production exceeds _____________ml/day | show 🗑
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| True or False: When assessing the potential need for postoperative bronchial hygiene for a patient, considering the number of prior surgeries is very relevant. | show 🗑
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| 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 | show 🗑
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| True or False: Lack of sputum production, development of a fever, labored breathing, and increased inspiratory and expiratory crackles are all clinical signs that indicate a patient is having a problem with retained secretions? | show 🗑
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| True or False: Incentive spirometry is considered bronchial hygiene therapy: | show 🗑
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| Postural drainage therapy uses the application of __________ to achieve specific clinical objectives in respiratory care | show 🗑
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| show | D,REF: 926 D. pulmonary barotraumas
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| show | A,REF: 928 A. prevent postural hypotension
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| show | D. when the patient has unstable spinal cord injuries REF: 928
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| In which of the following patients would you consider modifying any head-down positions used for postural drainage? | show 🗑
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| True or False: Vital signs, bedside PFTs, and auscultation are all mandatory components of the pre-assessment for postural drainage? | show 🗑
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| show | Head down (foot of bed elevated 18 inches), patient prone with a pillow under abdomen REF: 930 Figure 40-3.
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| show | Head down (foot of bed elevated 12 inches), patient half-rotated to left, right lung up REF: 930 See Figure 40-3
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