When providing teaching to a patient,which action is important to help the patient in performing controlled coughing?

A) Repeat the breathing exercises twice.
B) Cough 2 to 3 times and inhale between coughs.
C) Place a pillow over the incisional site for splinting.
D) Use the chest and shoulder muscles while inhaling during diaphragmatic breathing.

If the surgical incision is to be thoracic or abdominal,teach the patient to place a pillow over the incisional area and to place his hands over the pillow to splint the incision.The patient should begin by taking two or three slow,deep breaths inhaling through the nose and exhaling through the mouth.On the third inhale he should hold the breath to a count of 3.The patient will then cough fully for two to three consecutive coughs without inhaling between coughs.Teach the patient to avoid using chest and shoulder muscles while inhaling.The patient will do this 2 to 3 times every hour he is awake.