Which of the following would indicate a successful outcome for ...

[michelleunicorn]

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]

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.

[michelleunicorn]

Excellent

[bassamabas]

TYSM