A patient with pulmonary congestion needs to cough to clear secretions.The nurse instructs the patient to inhale and perform a series of coughs during exhalation.What type of cough did the nurse teach the patient?
A) Quad
B) Huff
C) Cascade
D) Splinting

Question

Quizplus · Accepted Answer

With the cascade cough a patient takes a slow,deep breath and holds it for 2 seconds while contracting expiratory muscles.He or she then opens the mouth and performs a series of coughs throughout exhalation,thereby coughing at progressively lowered lung volumes.This technique promotes airway clearance and a patent airway in patients with large volumes of sputum.A quad cough is used for patients who have a spinal cord injury and no use of their abdominal muscles.While the patient breathes out with a maximal expiratory effort,the patient or you push inward and upward on the abdominal muscles toward the diaphragm,causing the cough.A huff cough stimulates a natural cough reflex.While exhaling,a patient opens the glottis by saying the word huff.Splinting occurs when the patient supports the abdomen when coughing; it is not a type of cough.

A Patient with Pulmonary Congestion Needs to Cough to Clear