What should a respiratory therapist recommend to assist a patient with chronic bronchitis in clearing secretions post-operatively?

• A. Switch to hypotonic saline
• B. Switch to normal saline
• C. Add Albuterol to the nebulizer treatment
• D. Discontinue therapy and notify the physician

Answer: (D)

In the case of a patient with chronic bronchitis who requires assistance in clearing secretions post-operatively, it is essential for the respiratory therapist to provide strategies that actively facilitate secretion clearance rather than stopping therapy altogether.

The most effective intervention in this situation typically includes pharmacological support, such as bronchodilators like Albuterol, which help to open the airways and aid in loosening secretions, making it easier for the patient to clear them. Additionally, the choice of nebulized solutions, such as normal saline or hypotonic saline, should be considered as part of the treatment plan rather than discontinuing therapy.

Therefore, suggesting to discontinue therapy and notify the physician is not an appropriate recommendation, as it does not align with promoting airway clearance or addressing the patient's needs post-operatively. Treatment should focus on methods that enhance secretion clearance, ultimately improving the patient's respiratory function and recovery.