A patient recovering from abdominal surgery is having difficulty developing an effective cough. Which of the following actions would you recommend to aid this patient in generating a more effective cough?
1. Coordinating coughing with pain medication
2. Using the forced expiration technique (FET)
3. Supplying manual epigastric compression
4. "Splinting" the operative site
a. 1, 2, and 4 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 2, 3, and 4 only
ANS: A
The postoperative regimen can be enhanced by coordinating the coughing sessions with pre-scribed pain medication and assisting the patient in splinting the operative site. This may initially be accomplished by the clinician, using his/her hands to support the area of incision. Eventually, the patient can learn to use a pillow to splint the incision site. The FET may also be of value in these patients.
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