Deck 20: Body Positioning

Question 1

All of the following refer to bronchial hygiene techniques EXCEPT:

A) chest physical therapy.
B) tracheal tapping.
C) bronchial drainage.
D) chest physiotherapy.

Answer 1

B
Chest physical therapy,bronchial drainage,and chest physiotherapy are all bronchial hygiene.

Question 2

Vibration is applied throughout exhalation concurrent with:

A) slight compression to the chest wall.
B) mild compression to the chest wall.
C) significant compression to the chest wall.
D) maximal compression to the chest wall.

Answer 2

B

Question 3

Contraindications for postural drainage are:

A) empyema and large pleural effusions.
B) empyema, large pleural effusions, and pulmonary embolism.
C) large pleural effusions and pulmonary embolism.
D) empyema and pulmonary embolism.

Answer 3

B

Question 4

It has been suggested that exercise can replace:

A) all or part of the stored fats with muscle.
B) the need for physical therapists after cardiovascular insult.
C) the need for pulmonary inhalers.
D) all or part of a conventional chest physiotherapy routine in some patients.

Question 5

Shaking consists of a bouncing maneuver in a rhythmic fashion throughout exhalation:

A) over the xyphoid process.
B) along the sternum.
C) against the thoracic wall.
D) between the ribs.

Question 6

Exercise has many positive effects on the body; in a study by Oldenberg,exercise was shown to increase:

A) alveolar filling time.
B) mucociliary transport in patients with chronic bronchitis.
C) completion of the oxygen transport chain.
D) mucociliary dysfunction in patients with chronic bronchitis.

Question 7

Efforts aimed at mucus clearance by creating a differential airflow rate led to the development of:

A) low-frequency chest wall moderated system.
B) low-frequency chest wall oscillation system.
C) high-frequency chest wall moderated system.
D) high-frequency chest wall oscillation system.

Question 8

An antidyspnea technique based on quiet expirations in a relaxed state and without use of postural drainage positions is:

A) neurogenic drainage.
B) mechanical drainage.
C) autogenic drainage.
D) passive drainage.

Question 9

Ventilation of the alveoli is an important step in:

A) oxygen diffusion.
B) physiologic respiration.
C) airway ventilation.
D) oxygen transport chain.

Question 10

ACT is the acronym for:

A) advanced cardiac treatment.
B) avascular coronary treatment.
C) airway clearance techniques.
D) always clear trachea.

Question 11

An indication for airway clearance is:

A) nonproductive cough.
B) atelectasis.
C) respiratory muscle weakness.
D) asthma.

Question 12

What technique is used in patients with endotracheal or tracheostomy tubes?

A) Manual hyperinflation
B) Manual hypoinflation
C) Mechanical hyperinflation
D) Mechanical hypoinflation

Question 13

Given the positive benefits of performing chest percussions,some studies have demonstrated adverse effects in certain patient populations.All the following would be considered unwanted effects EXCEPT:

A) drop in PaO₂ in neonates.
B) expectoration of mucus in patients with pneumonia.
C) drop in PaO₂ in patients with cardiovascular instability.
D) drop in FEV₁ in patients with asthma.

Question 14

The oscillation of the intrapulmonary percussive ventilation device is delivered:

A) internally through a valve.
B) externally through a valve.
C) internally through a mouthpiece.
D) externally through a mouthpiece.

Question 15

Postural drainage is:

A) a passive technique in which the patient is placed in positions that allow gravity to assist with drainage secretions.
B) a passive technique in which the patient is placed on an inversion table to all gravity to assist with drainage secretions.
C) an active technique in which the patient is asked to reposition every 2 hours to facilitate gravity drainage secretions.
D) an active technique in which the therapist removes the drainage secretions.

Question 16

What is described as gentle tidal volume breathing with relaxation of the upper chest and shoulders?

A) Relaxation respiration
B) Relaxation therapy
C) Breathing control
D) Breathing therapy

Question 17

Contraindications to external manipulation of the thorax are:

A) lung contusion and osteoporosis.
B) lung contusion, osteoporosis, and coagulopathy.
C) osteoporosis and coagulopathy.
D) lung contusion and coagulopathy.

Question 18

Another name for percussion,which is a traditional approach to secretion mobilization,is:

A) rhythmic stabilization.
B) mechanical tapping.
C) chest therapy.
D) chest clapping.

Question 19

The Trendelenburg position is contraindicated for the treatment of neonates with all of the following conditions or pathologies EXCEPT:

A) recent eye or intracranial surgery.
B) acute heart failure or cor pulmonale.
C) excessive crying.
D) untreated tension pneumothorax.

Question 20

The application of positive expiratory pressure involves:

A) an adjustable level of expiratory resistance.
B) an adjustable level of inspiration resistance.
C) a fixed level of expiratory resistance.
D) a fixed level of inspiratory resistance.