After teaching a client with a spinal cord injury, the nurse assesses the client's understanding. Which client statement indicates a correct understanding of how to prevent respiratory problems at home?
a. "I'll use my incentive spirometer every 2 hours while I'm awake."
b. "I'll drink thinned fluids to prevent choking."
c. "I'll take cough medicine to prevent excessive coughing."
d. "I'll position myself on my right side so I don't aspirate."
ANS: A
Often, the person with a spinal cord injury will have weak intercostal muscles and is at higher risk for developing atelectasis and stasis pneumonia. Using an incentive spirometer every 2 hours helps the client expand the lungs more fully and prevents atelectasis. Clients should drink fluids that they can tolerate; usually thick fluids are easier to tolerate. The client should be encouraged to cough and clear secretions. Clients should be placed in high-Fowler's position to prevent aspiration.
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