Deck 22: Facilitating Airway Clearance With Coughing Techniques

Question 1

Deficiencies in glottal openings and expulsion are often related to:

A) brain injuries and coordination difficulties.
B) muscle injuries coordination difficulties.
C) skeletal injuries and movement.
D) spinal cord injuries and mobilization difficulties.

Answer 1

A

Question 2

Populations commonly in need of evaluation of swallowing are:

A) patients with pulmonary disorders.
B) patients with cardiovascular disorders.
C) patients with musculoskeletal disorders.
D) patients with neurologic disorders.

Answer 2

D

Question 3

A complete lack of glottal closure will not produce any cough or sound because:

A) pulmonary function has been compromised.
B) the vocal folds are not approximating (adducting).
C) respiratory function has been compromised.
D) the focal folds are not separating (abducting).

Answer 3

B

Question 4

_______ is one of the most commonly reported symptoms in patients with pulmonary impairments

A) Cough
B) Sneezing
C) Headache
D) Wheezing

Question 5

Inadequate force is usually heard as a higher pitched cough,often called a(n):

A) costophrenic cough.
B) self-assisted cough.
C) assisted cough.
D) throaty cough.

Question 6

An assistive cough is called the anterior chest compression assist because it compresses both the:

A) upper and lower posterior chest during the coughing maneuver.
B) upper and lower anterior chest during the coughing maneuver.
C) right and left anterior chest during the coughing maneuver.
D) right and left posterior chest during coughing maneuver.

Question 7

The most effective assistive-cough technique for the widest cross-section of patients with:

A) musculoskeletal disorders.
B) chest wall muscle weakness.
C) neurologic disorders.
D) cardiovascular disorders.

Question 8

If the cough is dry and unproductive,do not encourage frequent coughing.This is especially true for people with:

A) inflammation of the tracheobronchial tree (bronchitis).
B) acute inflammation of the lungs (pneumonia).
C) asthma and chronic obstructive pulmonary disease (COPD).
D) swallowing dysfunction (dysphagia).

Question 9

The Cough Assist Machine,previously known as the cofflator or Mechanical In-Exsufflator (MI-E)is a noninvasive machine used for:

A) airway clearance.
B) bronchial dilation.
C) teaching correct breathing techniques.
D) teaching self-assisted techniques.

Question 10

Three manually assisted techniques are:

A) anterior chest compression, long sitting, and hands-and-knees rocking.
B) anterior chest compression, counterrotation, and prone on elbows head flection.
C) costophrenic, anterior chest compression, and long sitting.
D) costophrenic, anterior chest compression, and counterrotation.

Question 11

The anterior chest compression technique is more effective than the costophrenic assist for patients with a very weak:

A) chest wall muscle.
B) immune system.
C) pectoral muscle.
D) abdominal muscle.

Question 12

What functions to clear secretions and inhaled particular matter?

A) Throat clearing
B) Mucociliary escalator
C) Cough
D) Sneeze

Question 13

One of the two assisted cough techniques is:

A) intrathoracic assisted.
B) self-assisted.
C) manually assisted.
D) intraabdominal assisted.

Question 14

Three self-assisted techniques are:

A) prone on elbows head flection, long sitting, and hands-and-knees rocking.
B) costophrenic, intraabdominal, and prone on elbows head flection.
C) long-sitting, hands-and-knees rocking, and costophrenic.
D) intraabdominal, hands-and-knees rocking, hands-and-knees rocking.

Question 15

Patients with emphysema have overdistended lungs and:

A) difficulty in exhalation.
B) difficulty in inhalation.
C) difficulty in mobilization.
D) difficulty clearing their airway.

Question 16

If the patient inspires adequately,he or she should be able to sustain:

A) five to 10 coughs per inhalatory effort.
B) two to six coughs per inhalatory effort.
C) two to six coughs per expiratory effort.
D) five to 10 coughs per expiratory effort.

Question 17

For both assisted and self-assisted coughs,initial positioning and ventilator strategies are of utmost importance to the:

A) success of insufflation technique.
B) success of exsufflation technique.
C) success of the airway clearance technique.
D) success of upper respiratory therapies.

Question 18

A clinician may pick a modified sitting position for a patient with:

A) a neurologic disorder.
B) generalized weakness.
C) musculoskeletal dysfunction.
D) generalized numbness of the extremities.

Question 19

Speech and language pathologists work with patients who have swallowing dysfunction (dysphagia)by:

A) helping them to learn techniques and procedures for safe swallowing.
B) helping them to learn proper breathing techniques to aid in swallowing.
C) helping them to learn proper airway clearing techniques to aid in swallowing.
D) working in conjunction with a physical therapist on a treatment plan.

Question 20

Patients with asthma and emphysema tend to go into an expiratory wheeze when they:

A) overexert themselves.
B) are in a prone position for too long.
C) force and prolong exhalation.
D) force and prolong inhalation.