The nurse is teaching a client who has a spinal cord injury how to prevent respiratory problems at home. Which statement indicates that the client correctly understands the teaching?
a. "I will use my incentive spirometer every 2 hours while I'm awake."
b. "I will not drink thick fluids to prevent choking."
c. "I will take cough medicine to prevent excessive coughing."
d. "I will position myself on my right side so I don't aspirate."
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 her or his lungs more fully and prevents atelectasis. Clients should drink fluids that they can tolerate; usually thick fluids are easy to tolerate. The client should be en-couraged to cough and clear secretions. Clients should be placed in high Fowler's position to prevent aspiration.
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