Author Question: Which of the following would indicate a successful outcome for postural drainage therapy? 1. ... (Read 31 times)

michelleunicorn · **on:** Jul 16, 2018

Which of the following would indicate a successful outcome for postural drainage therapy? 1. Decreased sputum production 2. Normalization in ABGs 3. Improved breath sounds 4. Improvement in chest radiograph

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

Question 2

Why is strenuous patient coughing during postural drainage in a head-down position contraindi-cated?

a. It can impair the mucociliary clearance mechanism.
b. It can increase expiratory airway resistance (Raw).
c. It can cause air trapping and pulmonary distension.
d. It can markedly increase intracranial pres-sure (ICP).

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

Answer to Question 1

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. Excerpts appear on pp. 959.

Answer to Question 2

ANS: D
When using the head-down position, the patient should avoid strenuous coughing, because this will markedly raise ICP.