exam 3 Flashcards

1
Q

by week two of 3 day per week pulmonary rehab program, a patient with moderate chronic obstructive pulmonary dysfunction is performing 15 minutes of cycling exercises with 1-minute rest period at the 7 minute time point. the patient’s perceived dyspnea rating during cycling exercise was 2. what is the best way to progress this patient’s exercise program for week 3

A

increase cycle duration to 20 minutes with elimination of rest period

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2
Q

what smoking cessation program is most appropriate for a 56 year old female with asthma whose subjective assessment reveals that she is suffering from depression and started smoking 5 years ago following the death of her husband?

A

counseling with pharmacological therapy

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3
Q

T/F: external respiration is the process of breathing air into the lungs from the environment

A

false

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4
Q

patients with three large diagnostic groups are at risk for airway clearance dysfunction. which one of the following is not a group that is at risk for airway clearance techniques?

A

patients with chronic alcohol used related complications such as jaundice

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5
Q

people with chronic lung disease are commonly not able to be very active and spend a great amount of time seated. this can result in multiple issues including all but which of the following?

A

increased endurance

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6
Q

when the diaphragm contracts, it

A

flattens and lowers

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7
Q

good aerobic exercise choices for your pulmonary rehabilitation patients could include any of the following except

A

all are good choices for pulmonary rehab

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8
Q

using gravity to assist in removing excessive secretions of specific lung segments is called

A

postural drainage

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9
Q

all of the following are precautions for postural drainage in the trendelenburg position except

A

hypotension

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10
Q

patients with chronic pulmonary disease are educated to recognize signs of exacerbation of their disease. which of the following would not be a sign of disease exacerbation

A

pain with ambulation

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11
Q

which of the following best describes FEV1

A

volume of air that can be forcefully exhaled during the 1st second of forced expiration

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12
Q

the change in lung volumes in a patient who has chronic obstructive pulmonary disease as compared to those of a patient with a healthy pulmonary system is most likely to exhibit

A

an increase in residual volume

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13
Q

a PTA initiates an exercise program with a patient diagnosed with COPD. in order to assist the patient to improve the efficiency of respiration, the PTA instructs the patient in pursed lip breathing. which of the following instructions would be the most beneficial for the patient

A

breathe out twice as long as you breathe in

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14
Q

a pta treats a patient with emphysema. as a part of the treatment session, the PTA teaches the patient to perform diaphragmatic breathing exercises. one of the primary goals for diaphragmatic breathing is to

A

decrease accessory muscle use

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15
Q

a pta is instructing a patient in diaphragmatic breathing exercises. instructions are given to the patient to place his dominant hand over the mid-rectus abdominus area and his nondominant hand over the midsternal area. as the patient slowly inhales through the nose, the physical therapist assistant encourages the patient to

A

direct air so that dominant hand rises during inspiration

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16
Q

a PTA positions a patient in prone with two pillows under hips in preparation for bronchial drainage. if a pta’s goals is to perform bronchial drainage to superior segments of lower lobes, where should force be directed

A

over middle of back at tip of scapulae on each side

17
Q

a 64 year old patient diagnosed with chronic bronchitis was admitted to the hospital three days ago after experiencing an acute exacerbation. while assessing the patient’s vital signs, the PTA determines the respiratory rate is 28 breathes per minute. which breathing technique would be the most appropriate to correct patient’s respiratory rate

A

pursed lip breathing

18
Q

a patient who recently underwent surgery for a hip fracture has been taking coumadin has been given an order for chest pt. she has a history of multiple compression fractures of thoracic vertebrae. the greatest amount of caution should be taken in administration of

A

therapeutic compression