For a male client with chronic obstructive pulmonary disease.. Teaching the client how to perform controlled coughing

For a male client with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway?
a.    Restricting fluid intake to 1,000 ml/day
b.    Enforcing absolute bed rest
c.    Teaching the client how to perform controlled coughing
d.    Administering prescribed sedatives regularly and in large amounts

Answer C.
Controlled coughing helps maintain a patent airway by helping to mobilize and remove secretions. A moderate fluid intake (usually 2 L or more daily) and moderate activity help liquefy and mobilize secretions. Bed rest and sedatives may limit the client’s ability to maintain a patent airway, causing a high risk of infection from pooled secretions.
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