The nurse is teaching a client to cough productively. Put the actions in proper sequence
a. Have the client flex the head and hold a pillow to the stomach.
b. Assist the client to a sitting position with feet on the floor.
c. Instruct the client to bend forward and to cough two or three times.
d. Have the client return to an upright position and take a deep breath.
e. Encourage the client to take several deep breaths.
b, a, e, c, d
When the client can tolerate it, the best position for effective coughing and secretion removal is sitting with the shoulders turned inward and the head bent slightly down while hugging a pillow. The client should take several deep breaths followed by holding the breath slightly before coughing two or three times in a row. Then the client should cough at the end of exhalation; this should be followed by taking several deep breaths.
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