exam 3 Flashcards
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
increase cycle duration to 20 minutes with elimination of rest period
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?
counseling with pharmacological therapy
T/F: external respiration is the process of breathing air into the lungs from the environment
false
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?
patients with chronic alcohol used related complications such as jaundice
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?
increased endurance
when the diaphragm contracts, it
flattens and lowers
good aerobic exercise choices for your pulmonary rehabilitation patients could include any of the following except
all are good choices for pulmonary rehab
using gravity to assist in removing excessive secretions of specific lung segments is called
postural drainage
all of the following are precautions for postural drainage in the trendelenburg position except
hypotension
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
pain with ambulation
which of the following best describes FEV1
volume of air that can be forcefully exhaled during the 1st second of forced expiration
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
an increase in residual volume
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
breathe out twice as long as you breathe in
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
decrease accessory muscle use
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
direct air so that dominant hand rises during inspiration