For which of the following patients directed coughing might be contraindicated?
1) Patient with poor coronary artery perfusion
2) Postoperative upper-abdominal surgery patient
3) Long-term care patient with retained secretions
4) Patient with an acute unstable spinal injury

Question

Quizplus · Accepted Answer

Directed coughing may be contraindicated in patients with poor coronary artery perfusion as it may increase cardiac workload and lead to myocardial ischemia. It may also be contraindicated in patients with an acute unstable spinal injury as it may put strain on the injury and worsen the condition. However, postoperative upper-abdominal surgery patients and long-term care patients with retained secretions may still benefit from directed coughing as long as it is done safely and with proper technique.

For Which of the Following Patients Directed Coughing Might Be