A patient with chronic obstructive pulmonary disease (COPD) is receiving heated water aerosol treatments through a jet nebulizer four times daily as a supplement to other bronchial hygiene measures designed to aid in mobilizing retained secretions.
After each session, you notice the presence of moderate wheezing. Which of the following rec-ommendations would you make to the physician?
a. Discontinue the heated water aerosol treatments.
b. Consider prior treatment with a broncho-dilator.
c. Switch to a higher-density aerosol (e.g., ultrasonic).
d. Discontinue the other bronchial hygiene measures.
Question 2
A neonatologist is concerned about the possibility of hearing damage occurring to a premature infant receiving bland water aerosol delivered via air-entrainment nebulizers inside an incubator or isolette.
Which of the following would you recommend as the best way to overcome this problem?
a. Use a heated passover humidifier instead.
b. Use an ultrasonic nebulizer system instead.
c. Place sound baffles in the aerosol tubing.
d. Place earplugs in the infant's outer ears.
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