What is the best method to assist a patient with mobilization and removal of secretions post-operatively?

• A. Administer tetracycline
• B. Instruction on deep breathing and coughing techniques
• C. MDI therapy with an anti-inflammatory corticosteroid
• D. Administer cromolyn sodium

Answer: (B)

The most effective method to assist a patient with mobilization and removal of secretions post-operatively is through instruction on deep breathing and coughing techniques. This approach encourages the patient to take deep breaths, which helps improve lung expansion and ventilation, thereby promoting the clearance of secretions. Coughing plays a crucial role in expectorating mucus that may accumulate, particularly after surgery, when a patient might have reduced mobility and shallow breathing due to pain or sedation.

Deep breathing exercises not only aid in preventing complications such as atelectasis (lung collapse) but also help to improve oxygenation. Encouraging patients to practice these techniques can also instill a sense of control and participation in their recovery process, which is beneficial for their overall healing.

Other methods, such as administering medications, may be indicated in specific contexts but are not directly designed for enhancing mobilization and secretions in the immediate post-operative phase.