Author Question: Maintaining an open glottis during coughing (as with the FET) can help to minimize increases in ... (Read 17 times)

abarnes · **on:** Jul 16, 2018

Maintaining an open glottis during coughing (as with the FET) can help to minimize increases in pleural pressure and lessen the likelihood of bronchiolar collapse.

Which of the following techniques can aid the practitioner in teaching the patient this maneuver?
a. Having the patient inhale slowly through the nose
b. Having the patient phonate or huff dur-ing expiration
c. Having the patient tense the neck mus-cles while coughing
d. Telling the patient to exert effort, as in straining at stool

Question 2

What factors can hinder effective coughing? 1. Artificial airways 2. Neuromuscular disease 3. Systemic overhydration 4. Pain or fear of pain

a. 1, 2, and 4 only
b. 2 and 4 only
c. 1 and 3 only
d. 3 and 4 only

yasmina · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: B
To help keep the glottis open during an FET, the patient is taught to phonate or huff during expiration.

Answer to Question 2

ANS: A
Some patients with advanced chronic obstructive pulmonary disease or severe restrictive disor-ders (including neurologic, muscular, or skeletal abnormalities) may not be able to generate an effective spontaneous cough. Likewise, pain or fear of pain caused by coughing may limit the success of directed cough. Systemic dehydration, thick, tenacious secretions, artificial airways, or the use of central nervous system depressants can thwart efforts to implement an effective di-rected cough regimen.