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tameeka314 tameeka314
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Posts: 482
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6 years ago
Which of the following is the only absolute contraindication to turning?
 
  a. When the patient cannot or will not change body position
  b. When poor oxygenation is associated with unilateral lung disease
  c. When the patient has or is at high risk for atelectasis
  d. When the patient has unstable spinal cord injuries



Q. 2  Which of the following are true of postural drainage?
 
  1. It is most effective in disorders causing excessive sputum.
  2. It is most effective in head-down positions greater than 25 degrees.
  3. It requires adequate systemic hydration to be effective.
  4. It improves mucociliary clearance in normal subjects.
  a. 2 and 4 only
  b. 1, 2, and 3 only
  c. 3 and 4 only
  d. 1, 2, and 4 only



Q. 3  Which of the following are considered airway clearance therapies? 1. Postural drainage and percussion 2. Incentive spirometry 3. Positive airway pressure 4. Percussion, vibration, and oscillation
 
  a. 1 and 3 only
  b. 1, 2, and 3 only
  c. 2, 3, and 4 only
  d. 2 and 4 only



Q. 4  The application of gravity to achieve specific clinical objectives in respiratory care best describes which of the following?
 
  a. Breathing exercises
  b. Postural drainage therapy
  c. Hyperinflation therapy
  d. Directed coughing
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Replies
wrote...
6 years ago
(Answer to Q. 1)  ANS: D
There are only two absolute contraindications to turning: unstable spinal cord injuries and traction of arm abductors.

(Answer to Q. 2)  ANS: B
Postural drainage is most effective in conditions characterized by excessive sputum production (>25 to 30 ml/day). For maximum effect, head-down positions should exceed 25 degrees below horizontal. Postural drainage is not likely to succeed unless and until adequate systemic and air-way hydration is ensured.

(Answer to Q. 3)  ANS: B
There are five general approaches to airway clearance therapy, which can be used alone or in combination. These approaches include (1) postural drainage therapy (including turning, percus-sion, and vibration), (2) coughing and related expulsion techniques, (3) positive airway pressure (PAP) adjuncts (positive expiratory pressure PEP, continuous PAP CPAP, expiratory PAP EPAP), (4) high-frequency compression/oscillation methods, and (5) mobilization and exercise.

(Answer to Q. 4)  ANS: B
Postural drainage therapy involves the use of gravity.
tameeka314 Author
wrote...
6 years ago
thanks for your help
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