After providing chest physiotherapy, the nurse notes the patient has loose secretions and a slight rattle with expiration. Which action should the nurse take first?
a. Administer an expectorant.
b. Suction the patient's airway.
c. Keep the patient on bedrest for 4 hours.
d. Encourage the patient to cough and deep breathe.
ANS: D
Chest physiotherapy loosens secretions. Having the patient cough and deep breathe can bring them up and out. A. An expectorant might be helpful but would not be the first action. B. Suction is only done if coughing is ineffective. C. It is not necessary to keep the patient on bedrest.
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