Which of the following acutely ill patients is least likely to benefit from application of chest physical therapy?
a. Patient with acute lobar atelectasis
b. Patient with copious amounts of secretions
c. Patient with an acute exacerbation of COPD
d. Patient with low due to unilateral infil-trates
ANS: C
Among the acute conditions for which airway clearance therapy may be indicated are (1) acutely ill patients with copious secretions, (2) patients in acute respiratory failure with clinical signs of retained secretions (audible abnormal breath sounds, deteriorating arterial blood gases, chest ra-diographic changes), (3) patients with acute lobar atelectasis, and (4) patients with abnormalities due to lung infiltrates or consolidation.
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