The patient has been taught how to use diaphragmatic breathing. When the patient returns from surgery, however, he cannot be placed upright and must remain flat. What does the nurse tell the patient about performing the diaphragmatic exercises?
a. Diaphragmatic breathing cannot be done in this position.
b. Alternative breathing exercises need to be found.
c. Diaphragmatic breathing exercises still can be performed.
d. Diaphragmatic breathing exercises may be postponed.
C
Although performing the diaphragmatic exercises in the upright position is ideal, the patient can still benefit from performing the exercises while laying flat. The upright position is preferred because it facilitates diaphragmatic excursion by using gravity to keep abdominal contents away from the diaphragm. It prevents tension on the abdominal muscles, which allows for greater diaphragmatic excursion.
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