Soon after you initiate postural drainage in a Trendelenburg ...

[sjones]

Soon after you initiate postural drainage in a Trendelenburg position, the patient develops a vig-orous and productive cough. Which of the following actions would be appropriate at this time?
 
  a. Maintain the drainage position while carefully watching the patient.
  b. Move the patient to the sitting position until the cough subsides.
  c. Stop the treatment at once and report the incident to the nurse.
  d. Drop the head of the bed farther and en-courage more coughing.

Question 2

Which of the following responses indicate that postural drainage should be terminated? 1. Severe tachycardia 2. Complaint of discomfort 3. Irregular blood pressure 4. Severe bradycardia
 
  a. 1 and 3 only
  b. 1, 2, and 3 only
  c. 2 and 4 only
  d. 1, 3, and 4 only

[jordangronback]

Answer to Question 1

ANS: B
If the procedure causes vigorous coughing, have the patient sit up until the cough subsides.

Answer to Question 2

ANS: D
Specific outcome criteria indicating a positive response to postural drainage are listed in the AARC Clinical Practice Guideline 40-1: Postural Drainage Therapy. See CPG 43-1.

[sjones]

Excellent

[ktidd]

Thanks for the timely response, appreciate it