bronchial hygiene quiz

Which of the following is/are necessary for normal airway clearance?

I.	patent airway
II.	functional mucociliary escalator
III.	effective cough

I, II, III

Which of the following can provoke a cough?

I.	anesthesia
II.	foreign bodies
III.	infection
IV.	irritating gases

II, III, and IV

Partial airway obstruction can result in all of the following except:

Group of answer choices

increased work of breathing

air-trapping or overdistention

increased expiratory flows

ventilation/perfusion ratio V/Q imbalances

increased expiratory flows

Postural drainage should be considered in all of the following situations except:

Group of answer choices

in patients with chronic obstructive lung disease

in patients who expectorate more than 25 to 30 ml sputum per day

in the presence of atelectasis caused by mucus plugging

in patients with cystic fibrosis or bronchiectasis

in patients with chronic obstructive lung disease

Percussion should NOT be performed over which of the following areas?

I.	surgery sites
II.	bony prominences
III.	fractured ribs

Group of answer choices

III

I and II

II and III

I, II, and III

I, II, and III

A physician orders positive expiratory pressure therapy for a 14-year-old child with cystic fibrosis. All of the following responses should be monitored on this patient except:

Group of answer choices

peak flow or forced expiratory volume in 1 second (FEV₁) per forced vital capacity percentage

patient’s minute volume

quantity and character of sputum

breath sounds

patient’s minute volume

In theory, how does positive expiratory pressure (PEP) help to move secretions into the larger airways?

I.	filling underaerated segments through collateral ventilation
II.	preventing airway collapse during expiration
III.	causing bronchodilation during inspiration

I and II

Proper instructions for positive expiratory pressure include all of the following except:

Group of answer choices

Take in a breath that is larger than normal, but do not fill lungs completely.

Exhale forcefully and maintain an expiratory pressure of 10 to 20 cm H₂O.

After 10 to 20 breaths, take two or three “huff”’ coughs, and rest as needed.

Repeat the cycle 4 to 8 times, not to exceed 20 minutes.

Exhale forcefully and maintain an expiratory pressure of 10 to 20 cm H₂O.

Patients can control a flutter valve’s pressure by changing what?

Group of answer choices

their inspiratory flow

the angle of the device

their expiratory flow

the expired volume

their expiratory flow

Which of the following is not an advantage of the Acapella over the flutter?

Group of answer choices

It can customize frequency.

It can be used in any posture.

It is more portable.

It can customize flow resistance

It is more portable.