Author Question: After open heart surgery, a patient has developed bronchitis with increased secretions and ... (Read 220 times)

nramada · **on:** Jul 16, 2018

After open heart surgery, a patient has developed bronchitis with increased secretions and atelectasis. What respiratory therapy procedure(s) should initially be recommended?

1. Chest physical therapy
2. Continuous positive airway pressure (CPAP)
3. Incentive spirometry
4. Inhaled sympathomimetic medication
a. 3
b. 2, 4
c. 1, 3
d. 1, 2, 4

Question 2

As pulmonary edema progressively worsens, the fluid moves in which of the following sequences?

a. Peribronchial interstitial spaces, bronchi, trachea
b. Alveoli , bronchioles, bronchi
c. Bronchioles, bronchi, trachea
d. Pulmonary capillaries, alveoli, bronchioles

huda · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

C
Chest physical therapy will help to mobilize the secretions to avoid mucus plugs. Incentive spirometry will encourage the patient to inhale deeply to open up areas of atelectasis. The short-term use of CPAP may be needed if incentive spirometry is not effective. Sympathomimetic medications will not reduce secretions or treat atelectasis.

Answer to Question 2

B
With severe pulmonary edema, the fluid would move progressively from the pulmonary vascular system (pulmonary capillaries), to the perivascular and peribronchial interstitial spaces, to the alveoli and bronchi, where the patient may cough it out.