A patient who had a C7 spinal cord injury a week ago has a weak cough effort and audible rhonchi.The initial intervention by the nurse should be to

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Because the cough effort is poor,the initial action should be to use assisted coughing techniques to improve the ability to mobilize secretions.Administration of oxygen will improve oxygenation,but the data do not indicate hypoxemia.The use of the spirometer may improve respiratory status,but the patient's ability to take deep breaths is limited by the loss of intercostal muscle function.Suctioning may be needed if the patient is unable to expel secretions by coughing but should not be the nurse's first action.

A Patient Who Had a C7 Spinal Cord Injury a Week