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.

A
17
Q

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

A
18
Q

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

A
19
Q

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

A

MetaNeb

20
Q

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

A
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

A
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
Q

The weight of the ball in the a Flutter Valve serves as a PEP device delivering:

A

10-25 cmH2O at 15Hz

26
Q

Possible hazards and complications of performing CPT may include:

A

a. hemorrhage
b. dyspnea
c. hypoxemia
d. mucous plugging

27
Q

Sequence of a normal cough includes:

A

a. Deep inspiration
b. closure of the glottis
c. contraction of the abdominal muscles
d. opening of the glottis and rapid, forceful expiration

28
Q

If PEP therapy alone is not working, adding a bronchodilator to the patients treatment regimen could help
mucus clearance and airway maintenance.

A
29
Q

Proventil

A

Albuterol, 90mcg, 2.5mg/3mLNaCL

30
Q

Serevent

A

Salmeterol, 50 mcg

31
Q

Xopenex

A

Levalbuterol, 45 mcg, 0.31 mg, 0.63 mg, 1.25 mg/3 mLNaCL

32
Q

Formoterol

A

Performist, 20mcg, 2mL

33
Q

Asmanex

A

Mometasone Furoate, 110 or 220 mcg

34
Q

QVAR

A

Beclomethasone Furoate

35
Q

Spiriva

A

Tiotropium bromide, 1.25 or 2.5 mcg

36
Q

Flovent

A

Fluticasone propionate, 44, 110, 220 mcg, or 50, 100,250 mcg

37
Q

Alvesco

A

Ciclesonide 80 mcg, 160 mcg

38
Q

Brovana

A

Arformoterol, 15 mcg, 2 mL

39
Q

Anro Ellipta

A

Umeclindinium/Vilanterol, 2.5 mcg, 2.5 mcg