Author Question: A physician orders positive expiratory pressure therapy for a 14-year-old child with cystic ... (Read 73 times)

D2AR0N · **on:** Jul 16, 2018

A physician orders positive expiratory pressure therapy for a 14-year-old child with cystic fibro-sis. Which of the following responses should be monitored on this patient?

1. Peak flow or forced expiratory volume in 1 sec (FEV1) per forced vital capacity percentage
2. Patient's minute volume
3. Quantity and character of sputum
4. Breath sounds
a. 1 and 3 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 3, and 4 only

Question 2

Proper instructions for positive expiratory pressure include which of the following?

1. Take in a breath that is larger than normal, but do not fill lungs completely.
2. Exhale forcefully and maintain an expiratory pressure of 10 to 20 cm H2O.
3. After 10 to 20 breaths, take two or three huff' coughs, and rest as needed.
4. Repeat the cycle 8 to 10 times, not to exceed 30 min.
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only

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

Answer to Question 1

ANS: D
The AARC has published Clinical Practice Guideline: Use of PAP Adjuncts to Airway Clearance Therapy. See CPG 43-3.

Answer to Question 2

ANS: A