After open heart surgery, a patient has developed bronchitis with increased secretions and atelectasis. What respiratory therapy procedure(s) should initially be recommended?

1. Chest physical therapy
2. Continuous positive airway pressure (CPAP)
3. Incentive spirometry
4. Inhaled sympathomimetic medication
a. 3
b. 2, 4
c. 1, 3
d. 1, 2, 4

C
Chest physical therapy will help to mobilize the secretions to avoid mucus plugs. Incentive spirometry will encourage the patient to inhale deeply to open up areas of atelectasis. The short-term use of CPAP may be needed if incentive spirometry is not effective. Sympathomimetic medications will not reduce secretions or treat atelectasis.