The nurse is teaching a patient how to use an Acapella device. What instruction should the nurse give to the patient?
a. Take a full deep breath in and fill your lungs.
b. Hold your breath for 5 to 10 seconds after placing the mouthpiece in your mouth.
c. Cough forcefully to clear your lungs while maintaining a tight seal on the mouthpiece.
d. Exhale slowly for 3 to 4 seconds through the device while it vibrates.
D
Instruct the patient to try not to cough and to exhale slowly for 3 to 4 seconds through the device while it vibrates. The patient should be instructed to take in a breath that is larger than normal, but not to fill the lungs completely—about 75% of inspiratory capacity. Hold the breath for 2 to 3 seconds, and try not to cough.
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