When instructing a client about the performance of postoperative exercises, a nurse tells the client to:
A. Repeat the breathing exercises twice
B. Cough two to three times and inhale between each cough
C. Place a pillow over the incisional site for splinting
D. Use the chest and shoulder muscles while inhaling during diaphragmatic breathing
C
C. If surgical incision is to be either thoracic or abdominal, teach client to place pillow over incisional area and place hands over pillow to splint incision. Assess client's ability to deep-breathe and cough by placing hand on client's abdomen, having client take a deep breath, and observing movement of shoulders, chest wall, and abdomen. Observe chest excursion during a deep breath. Ask client to cough into tissue after taking a deep breath
A. Repeat breathing exercise three to five times.
B. Inhale deeply a third time and hold breath to count of 3. Cough fully for two to three consecutive coughs without inhaling between coughs.
D. Have client take slow, deep breaths, inhaling through nose, and pushing abdomen against hands. Tell client to feel middle fingers separate as client inhales. Explain that client will feel normal downward movement of diaphragm during inspiration. Explain that abdominal organs descend as chest wall expands.
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