Exam 24: Performing Chest Physiotherapy

The nurse is teaching family members how to perform postural drainage at home for a patient with chronic bronchitis.What instruction should the nurse provide?

A patient who is very frail and thin with osteoporosis has just undergone abdominal surgery.The nurse anticipates that which technique will be used to control respiratory secretions in this patient?

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

The nurse receives orders on several patients for chest percussion, vibration, and shaking.The nurse is aware that chest physiotherapy maneuvers are indicated for which patient?

The nurse receives orders for an Acapella device on several patients.The nurse should question the order on the patient with which condition?

The nurse is teaching a patient how to use an Acapella device.What instruction should the nurse give to the patient?

A patient has retained secretions in the right and left lower lobe superior bronchi.A nurse is demonstrating to family members how to perform percussion and vibration.Which action by the nurse is appropriate?

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

A patient has received instructions on the use of an Acapella device.Which action by the patient indicates an understanding of the teaching?

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 _____________.

The nurse is teaching the family of a patient with cystic fibrosis how to use a high-frequency chest wall oscillation (HFCWO) vest.The nurse informs the family that this device will do which of the following? (Select all that apply.)

The nurse is reviewing medical records on several patients.Which findings reported in the chart indicate the need for postural drainage? (Select all that apply.)

Percussion and vibration is ordered on a patient with retained pulmonary secretions.Which action by the student nurse should the nursing instructor question?

The nurse is planning to perform postural drainage on a patient who is receiving continuous tube feedings.What should the nurse do before performing the treatment? (Select all that apply.)

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.

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

The nurse receives orders for postural drainage using Trendelenburg's position.On which patients should the nurse question the order? (Select all that apply.)

The health care provider orders percussion on a patient to help clear airway secretions.Which action by the nurse is appropriate?

The nurse positions the patient flat on the back with a small pillow under the knees to drain the right and left _____________________.

The nurse auscultates the patients' lung fields and notes congestion in several patients.The nurse anticipates that postural drainage may be used for the patient with which condition?