The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. What explanation can the nurse provide that may encourage the patient to cough more effectively?
a. "If you don't deep breathe and cough, you will get pneumonia."
b. "Deep breathing and coughing will clear out the anesthesia."
c. "Coughing will not harm the incision if done correctly."
d. "You will need to cough only a few times during this shift."
C
If coughing is done correctly with proper support of the incision, it will not harm the incision. Deep breathing and coughing help to clear out mucus in the respiratory system that has been caused by the anesthesia. Although it is correct that a patient may experience atelectasis and pneumonia if deep breathing and coughing are not performed, the way this is worded sounds threatening and could be communicated in a more therapeutic manner. Deep breathing and coughing is encouraged every 2 hours while the patient is awake.
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