A patient with chronic bronchitis is not responding well to the chest physiotherapy (CPT) and asks the nurse what might be done to help bring up more secretions. Which response by the nurse is most appropriate?
a. "Your healthcare provider will probably increase the number of treatments but make them a little shorter.".
b. "Your healthcare provider may try a ne-bulizer treatment 20 minutes before CPT to begin loosening the secretions.".
c. "You'll probably need to do more cough-ing exercises; I'll help you with them.".
d. "Your healthcare provider will probably order a sputum specimen to see what the problem is.".
B
Scheduling the CPT after bronchodilator enhances movement of secretions out of airways. Mak-ing the treatments shorter and more frequent won't help bring up more secretions. Coughing ex-ercises alone won't help produce more secretions. Obtaining a sputum specimen is used to iden-tify organisms and would not help the patient's toleration of the CPT.
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