Postural drainage with percussion and vibration is ordered twice ...

[dollx]

Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?
 
  a. Schedule the procedure 1 hour after the patient eats.
  b. Maintain the patient in the lateral position for 20 minutes.
  c. Perform percussion before assisting the patient to the drainage position.
  d. Give the ordered albuterol (Proventil) before the patient receives the therapy.

Question 2

A patient is receiving 35 oxygen via a Venturi mask. To ensure the correct amount of oxygen delivery, which action by the nurse is most important?
 
  a. Teach the patient to keep mask on at all times.
  b. Keep the air entrainment ports clean and unobstructed.
  c. Give a high enough flow rate to keep the bag from collapsing.
  d. Drain moisture condensation from the oxygen tubing every hour.

[leannegxo]

Answer to Question 1

ANS: D
Bronchodilators are administered before chest physiotherapy. Postural drainage, percussion, and vibration should be done 1 hour before or 3 hours after meals. Patients remain in each postural drainage position for 5 minutes. Percussion is done while the patient is in the postural drainage position.

Answer to Question 2

ANS: B
The air entrainment ports regulate the oxygen percentage delivered to the patient, so they must be unobstructed. A high oxygen flow rate is needed when giving oxygen by partial rebreather or non-rebreather masks. Draining oxygen tubing is necessary when caring for a patient receiving mechanical ventilation. The mask is uncomfortable and can be removed when the patient eats.

[dollx]

Thank you

[leannegxo]

Happy to help you