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1. When checking a patient's inter- check the circuit for leaks
mittent positive-pressure breath-
ing(IPPB) breathing 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?
2. Atelectasis Maybe the result of A. Lung Compression
which of the following. B. Thoracic or abdominal surgery
C. Low Tidal Breathing from sedation are pain meds
D. Airway obstruction
3. Correct instruction in the technique Diaphragmatic Breathing at slow to moderate flows
of Incentive Spirometry should in-
clude which of the following?
4. Clinical signs and symptoms associ- 1. dyspnea
ated with atelectasis. 2. absence or diminished breath sounds
Choose as many as are correct. 3. dullness or percussion
4. fever, unrelated to infection
5. Atelectasis will result in which of the a more white x-ray
following x-ray finding
6. Which of the following patient 1. Patients with clinically diagnosed atelectasis who
groups should be considered for are not responsive to other therapies
lung expansion therapy using inter- 2. patients at high risk for atelectasis who cannot
mittent positive-pressure breathing cooperate with other methods
(IPPB)?
7. A significant Atelectasis results in A. V/Q mismatch
which of the following. B. lung volume loss
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C. Superimposed infections
D. Hypoxemia
8. Successful application of Incen- the effectiveness of patient teaching
tive Spirometry depends mainly on
what?
9. Which of the following is false about They have proved less effective than volumetric sys-
flow-oriented Incentive Spirometry tems
devices?
10. A significant typical absorption At- towards the affected lung
electasis may result in a mediastinal
shift:
11. Methods used for lung expansion I. Incentive Spirometry - IS therapy
therapy include which of the follow- III. CPAP - Continuous Positive Airway Pressure
ing. IV. PEP - Positive Expiratory Pressure
I. Incentive Spirometry - IS therapy
II. Aerogen vibrating mesh nebuliz-
er
III. CPAP - Continuous Positive Air-
way Pressure
IV. PEP - Positive Expiratory Pressure
12. Ideally, Incentive Spirometry should 10X per hour
be performed how often, minimally?
13. Treatment of atelectasis may include a. mechanical insufflation-explaination
which of the following. b. intrapulmonary percussive ventilation
Choose as many as are correct. c. deep breathing and assisted cough
d. chest physiotherarpy
e. intermittent positive pressure breathing
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14. A post-op patient receiving lung in- hyperventilation
flation therapy complains of dizzi-
ness and numbness around the
mouth after therapy sessions. What
is the most likely cause of these
symptoms?
15. In teaching a patient to perform the D."Exhale normally, then inhale as deeply as you can,
sustained maximal inspiration (SMI) then hold your breath for 5 to 10 seconds
maneuver during IS, what would
you say?
16. Compression atelectasis may results True
when fluid is in the pleural space col-
lapsing the lung.
True or False
17. Lack of surfactant will result in at- True
electasis in newborns and prema-
ture infants.
True or False
18. A complete or partial collapse of the Atelectasis
entire lung or area (lobe) of the lung
Most correctly defines which of the
following
19. Proper diaphragmatic breathing C. decrease the work of breathing
should do which of the following.
A. increase the work of breathing
B. increase oxygen consumption
C. decrease the work of breathing