The nurse instructs a patient with chronic obstructive pulmonary disease (COPD) on the huff cough technique. Which observations indicate that teaching has been effective?
Select all that apply.
1. The patient coughs twice.
2. The patient leans forward.
3. The patient makes a huff sound when exhaling.
4. The patient inhales through the nose with the mouth closed.
5. The patient places one hand on the abdomen and the other on the chest.
Correct Answer: 2, 3
For huff coughing, the patient should be instructed to inhale deeply while leaning forward and to exhale sharply with a "huff" sound, to help keep airways open while mobilizing secretions. Coughing twice is part of the controlled coughing technique. Inhaling through the nose with the mouth closed is part of the pursed-lip technique. Placing one hand on the abdomen and the other on the chest is part of the diaphragmatic breathing technique.
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