The nurse teaches the patient controlled coughing. Which should the nurse include in patient teaching for effective coughing?
a. Cough in a low-Fowler's position hourly.
b. Inhale and cough deeply with the mouth open.
c. Self-reposition and cough every 4 hours.
d. Breathe in quickly 3 to 4 times vigorously.
B
The nurse teaches the patient to inhale deeply to mobilize pulmonary secretions and to cough deeply to expectorate the secretions. Low-Fowler's position is contraindicated for coughing be-cause it is too low to facilitate expectoration and because many patients are unable to tolerate a low position. Coughing and repositioning every 4 hours are inadequate. The patient should be taught to inhale slowly and cough with force.
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