The health care provider orders percussion on a patient to help clear airway secretions. Which action by the nurse is appropriate?
a. Performing percussion over the ribs, while avoiding the clavicles and sternum
b. Administering pain medication before performing the percussion because the vibrations will be painful
c. Performing percussion during exhalation only with the flat part of the palm
d. Creating a rocking motion by slightly leaning on the patient's chest
A
Percussion is performed by clapping the chest wall with cupped hands over the ribs only. The clavicles, breast tissue, sternum, spine, waist, and abdomen should not be used. If done correctly, percussion painlessly sets up vibrations in the chest to dislodge retained secretions. Vibration is done during exhalation only with the flat part of the palm. Shaking requires the caregiver to slightly lean on a patient's chest and create a rocking motion.
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