Unit 7 Exam - II Flashcards

1
Q

In which techniques is the patient instructed to “sniff”

A

Diaphragmatic breathing

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2
Q

3 contraindications of percussion and vibration include:

A

Osteoporosis, rib fractures, metastatic cancer

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3
Q

The 4 phases of a cough include:

A

a. Irritation
b. inspiration
c. compression
d. expulsion

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4
Q

Pep therapy should achieve what expiratory pressure and I:E ratio?

A

10-20 cmH2O / 1:4

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5
Q

If your patient fails to achieve the appropriate expiratory pressures during the expiratory phase of PEP, what
should you do to correct this problem?

A

increase the resistance setting

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6
Q

Percussion should be performed for a minimum of _____ minutes?

A

3-5 mintues

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7
Q

indications for postural drainage include?

A

a. Retention of secretions
b. Atelectasis
c. Prophylactic care

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8
Q

High-Frequency Chest Wall Oscillation utilizes:

A

a. Air-pulse generator
b. inflatable vest

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9
Q

What modalities require tense shoulders and arms kept straight?

A

a. Vibrations
b. Shaking

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10
Q

Appropriate hand position for performing chest percussion includes:

A

a. relaxed wrists with hand cupped

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11
Q

What should you do if a patient has developed a contraindication to perform CPT?

A

Notify the physician to clarify if he wants you to continue CPT

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12
Q

Postural drainage utilizes positioning to utilize gravity

A
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13
Q

Three types of percussion techniques include:

A

a. cupped hands
b. electric percussor
c. pneumatic percussor

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14
Q

Items that would help you determine positioning for postural drainage include:

A

a. CXR
b. Physician’s order
c. Breath sounds

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15
Q

There are 18 pulmonary segments in both the right and left lung.

A
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16
Q

Vibration and shaking is only performed on expiration and is thought to dislodge thick retained secretions and
move them from larger to smaller airways.

17
Q

CPT and breathing instruction & retraining is used to prevent and help patients with atelectasis

18
Q

CF, Bronchiectasis, COPD, lung abscess, ARDS, and atelectasis are a few examples of specific diseases that CPT is
indicated for.

19
Q

Which device utilizes volume expansion as part of prevention and mobilization of secretions?

20
Q

HFCWO (high frequency chest-wall oscillation) is most commonly used for patients with Cystic Fibrosis.

21
Q

Forms of Bronchial Hygiene include:

A

a. PEP therapy
b. Percussion
c. Postural drainage

22
Q

Contraindications for postural drainage include:

A

a. recent food consumption
b. intracranial hypertension
c. untreated pneumothorax
d. unstable cardiac status

23
Q

Flutter therapy utilized PEP and high frequency oscillations

24
Q

A PEP device includes:

A

a. pressure monitor
b. one-way valve
c. mask or mouthpiece and nose clips
d. expiratory resistor

25
The weight of the ball in the a Flutter Valve serves as a PEP device delivering:
10-25 cmH2O at 15Hz
26
Possible hazards and complications of performing CPT may include:
a. hemorrhage b. dyspnea c. hypoxemia d. mucous plugging
27
Sequence of a normal cough includes:
a. Deep inspiration b. closure of the glottis c. contraction of the abdominal muscles d. opening of the glottis and rapid, forceful expiration
28
If PEP therapy alone is not working, adding a bronchodilator to the patients treatment regimen could help mucus clearance and airway maintenance.
29
Proventil
Albuterol, 90mcg, 2.5mg/3mLNaCL
30
Serevent
Salmeterol, 50 mcg
31
Xopenex
Levalbuterol, 45 mcg, 0.31 mg, 0.63 mg, 1.25 mg/3 mLNaCL
32
Formoterol
Performist, 20mcg, 2mL
33
Asmanex
Mometasone Furoate, 110 or 220 mcg
34
QVAR
Beclomethasone Furoate
35
Spiriva
Tiotropium bromide, 1.25 or 2.5 mcg
36
Flovent
Fluticasone propionate, 44, 110, 220 mcg, or 50, 100,250 mcg
37
Alvesco
Ciclesonide 80 mcg, 160 mcg
38
Brovana
Arformoterol, 15 mcg, 2 mL
39
Anro Ellipta
Umeclindinium/Vilanterol, 2.5 mcg, 2.5 mcg