The appropriate procedure for percussion, vibration, and rib shaking is for the nurse to:
A. Perform percussion for 3 to 5 minutes for each position
B. Use the back and shoulders to create the pressure for the cupping
C. Perform vibration and shaking between cascade coughs
D. Hold the hand loosely over the chest wall, with the fingers and thumb apart
A
A. Perform percussion for 3 to 5 minutes in each posture as tolerated.
B. Use good body mechanics when clapping: elevate bed to comfortable working height, and stand close to bed with arms directly in front and knees slightly bent. Avoid bending over.
C. Instruct client to relax by using one of these techniques: take slow, deep breaths, and exhale; use abdominal, diaphragmatic, or pursed-lip breathing.
D. Place hands side by side on chest wall over area to be drained. Hands should be cupped with fingers and thumbs held tightly together. Make sure that entire outer portion of hand makes contact with chest wall to avoid air leaks.
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