A Patient with Chronic Bronchitis Is Receiving Heated Water Aerosol

question 97

Multiple Choice

A patient with chronic bronchitis is receiving heated water aerosol treatments through a jet nebulizer four times daily to aid in mobilizing retained secretions. After each treatment, you note a dramatic increase in the magnitude of coarse crackles heard on auscultation. Which of the following recommendations would you make to the physician?

• A) Discontinue the heated water aerosol treatments.
• B) Switch to a higher-density aerosol (e.g., ultrasonic).
• C) Add coughing and postural drainage to the therapy.
• D) Consider prior treatment with a bronchodilator.