When checking a patient's intermittent positive-pressure breathing (IPPB) circuit before use, you notice that the device will not cycle off, even when you occlude the mouthpiece. What would be the most appropriate action in this case?
a. Secure a new IPPB ventilator.
b. Check the circuit for leaks.
c. Decrease the flow setting.
d. Increase the pressure setting.
Q. 2 Prior to starting intermittent positive-pressure breathing (IPPB) on a new patient, what should the practitioner explain?
1. Why the physician ordered the treatment.
2. What the IPPB treatment will do.
3. How the IPPB treatment will feel.
4. What the expected results are.
a. 1, 2, 3, and 4
b. 2 and 4
c. 2, 3, and 4
d. 1, 3, and 4
Q. 3 Which of the following is not a potential hazard of intermittent positive-pressure breathing?
a. Increased cardiac output
b. Respiratory alkalosis
c. Pulmonary barotrauma
d. Gastric distention
Q. 4 Which of the following are potential hazards of intermittent positive-pressure breathing (IPPB)? 1. Air trapping, auto-PEEP 2. Hyperventilation 3. Nosocomial infection 4. Increased airway resistance
a. 1, 2, 3, and 4
b. 2 and 4 only
c. 2, 3, and 4 only
d. 3 and 4 only
Q. 5 Preliminary planning for intermittent positive-pressure breathing (IPPB) should include which of the following?
1. Evaluating alternative approaches to the patient's problem
2. Setting specific, individual clinical goals or objectives
3. Conducting a baseline assessment of the patient
4. Taking a chest x-ray
a. 1 and 3 only
b. 1 and 4 only
c. 1, 2, and 3 only
d. 2 and 4 only
Q. 6 Which of the following are potential desirable outcomes of intermittent positive-pressure breath-ing (IPPB) therapy?
1. Improved oxygenation
2. Increased cough and secretion clearance
3. Improved breath sounds
4. Reduced pulmonary compliance
a. 3 and 4 only
b. 1, 2, and 4 only
c. 3 and 4 only
d. 1, 2, and 3 only
Q. 7 Which of the following are true about gastric distention with intermittent positive-pressure breathing (IPPB)?
1. Gastric distention is uncommon in alert and cooperative patients.
2. Gastric distention is most likely at high airway pressures.
3. Gastric distention is a significant risk in obtunded patients.
4. Gastric distention is a relatively harmless effect of IPPB.
a. 1 and 3 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 2, 3, and 4
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