Which of the following would indicate a successful outcome for postural drainage therapy? 1. Decreased sputum production 2. Normalization in ABGs 3. Improved breath sounds 4. Improvement in chest radiograph
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only
Q. 2 Why is strenuous patient coughing during postural drainage in a head-down position contraindi-cated?
a. It can impair the mucociliary clearance mechanism.
b. It can increase expiratory airway resistance (Raw).
c. It can cause air trapping and pulmonary distension.
d. It can markedly increase intracranial pres-sure (ICP).
Q. 3 Soon after you initiate postural drainage in a Trendelenburg position, the patient develops a vig-orous and productive cough. Which of the following actions would be appropriate at this time?
a. Maintain the drainage position while carefully watching the patient.
b. Move the patient to the sitting position until the cough subsides.
c. Stop the treatment at once and report the incident to the nurse.
d. Drop the head of the bed farther and en-courage more coughing.
Q. 4 Which of the following responses indicate that postural drainage should be terminated? 1. Severe tachycardia 2. Complaint of discomfort 3. Irregular blood pressure 4. Severe bradycardia
a. 1 and 3 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 3, and 4 only
Q. 5 While reviewing the chart of a patient receiving postural drainage therapy, you notice that the patient tends to undergo mild desaturation during therapy (a drop in SpO2 from 93 to 89 to 90).
Which of the following would you recommend to manage this problem?
a. Increase the patient's FiO2 during therapy.
b. Discontinue the postural drainage therapy entirely.
c. Discontinue the percussion and vibration only.
d. Decrease the frequency of treatments.
Q. 6 A physician orders postural drainage for a patient with aspiration pneumonia in the superior seg-ments of the left lower lobe. Which of the following positions would you recommend for this patient?
a. Patient prone with a pillow under abdo-men, bed flat
b. Head down, patient prone with a pillow under abdomen
c. Head down, patient supine with a pillow under knees
d. Patient supine with a pillow under knees, bed flat
Q. 7 If tolerated, a specified postural drainage position should be maintained for at least how long?
a. 1 to 2 min
b. 10 to 20 min
c. 20 to 30 min
d. 3 to 15 min
Q. 8 A physician orders postural drainage for a patient with aspiration pneumonia in the anterior seg-ments of the upper lobes. Which of the following positions would you recommend for this pa-tient?
a. Head down, patient prone with a pillow under abdomen
b. Patient supine with a pillow under knees, bed flat
c. Head down, patient supine with a pillow under knees
d. Patient prone with a pillow under abdo-men, bed flat
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