Difficulty: Medium

Average Score: 72%

Which of the following should be included when a client is coughing and deep breathing?

Rationale

Help the client to support the incision after coughing.

Supporting the incision while coughing aids in preventing pain and potential strain on the surgical site, which is crucial for patient comfort and recovery. This practice is particularly important for clients who have undergone abdominal or thoracic surgeries, where incisional support minimizes discomfort and helps maintain stability during deep breathing exercises.

A (Ask the client to inhale and hold the breath for 5 seconds.) YOUR ANSWER

While inhaling and holding the breath can be beneficial for expanding lung capacity, it does not directly address the need for incision support during coughing. This technique might lead to discomfort or strain in clients who have recently undergone surgery, making it less appropriate in this context.

C (Ask the client to inhale through the nose.) YOUR ANSWER

Inhaling through the nose can be a useful technique for promoting relaxation and deeper breaths. However, this option does not specifically address the important need for incision support during coughing, which is critical for maintaining patient comfort and preventing complications.

D (Help the client lie in the prone position.) YOUR ANSWER

Lying in the prone position may not be suitable for all clients, especially those recovering from surgeries involving the chest or abdomen. This position might cause additional strain or discomfort, whereas supporting the incision provides a more effective and immediate benefit during coughing and deep breathing exercises.

Conclusion

When assisting a client who is coughing and deep breathing, the most appropriate action is to help them support the incision. This practice not only improves comfort but also safeguards the surgical site from undue stress. While other options can be beneficial in certain contexts, they do not directly address the essential need for incision support, which is vital for patient recovery and safety.

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