A mechanically ventilated patient continues to have rhonchi after deep suctioning. The respirato-ry therapist should recommend which of the following?
a. Prone position
b. Vest Airway Clearance System
c. Prone position with the foot of the bed elevated 12 inches
d. Supine position with the foot of the bed elevated 18 inches
ANS: B
The Vest Airway Clearance System creates vibrations around the entire thorax, which helps mo-bilize secretions from all areas of the lungs. The prone position is used for patients with ARDS to assist with oxygenation and perfusion of the "good" lung areas. The head-down position may cause an increase in ICP or BP or may increase the risk of vomiting.
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