Which of the following secretion clearance methods could be considered for a home care patient who lives alone?

1. Forced expiratory technique
2. Positive end expiratory pressure mask therapy
3. Active cycle of breathing
4. Postural drainage, percussion, and vibration
a. 1 and 3 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only

ANS: B
Patients can be taught to independently apply coughing, forced exhalation, active cycle of breathing, and autogenic drainage methods. Caregiver assistance will be required with traditional postural drainage, percussion and vibration, and directed or assisted cough.