All of the following clients are experiencing increased respiratory se

All of the following clients are experiencing increased respiratory secretions and require interven-tion to assist in their removal. Chest percussion is indicated and appropriate for the client experi-encing:

1. Thrombocytopenia
2. Cystic fibrosis
3. Osteoporosis
4. Spinal fracture

ANSWER

ANS: 2
Chest percussion is indicated and appropriate for the client with cystic fibrosis to assist in mobi-lizing the thick pulmonary secretions. Percussion is contraindicated in clients with bleeding dis-orders, such as the client with thrombocytopenia. Percussion is also contraindicated in the client with osteoporosis and the client with a spinal fracture or with fractured ribs.