CRNE Exam Prep

Category - Changes in Health

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A client with persistent cough is complaining of severe pain when coughing. The nurse would instruct the client to do which of the following comfort measures?

Elevate the head of bed to 15 to 30-degrees
Restrict fluid consumption
Hold in coughing
Splint the chest wall with a pillow

Explanation

Answer: D - Splinting the chest wall with a pillow decreases discomfort. The head of the bed must be elevated to at least 45-degrees to allow lung expansion. Restricting fluid consumption can thicken and immobilize the secretions, and holding in the cough can cause more pain; therefore, these instructions are inappropriate.

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