After positioning the client upright, which action should the nurse take to assist with ineffective coughing?

Choice A reason: Huff coughing is a technique that helps mobilize and clear secretions without causing airway collapse. It is especially effective for clients with weak cough reflexes or obstructive lung conditions. Coaching the client through this method promotes airway clearance and improves ventilation. Choice B reason: Nebulizer treatments may be helpful if the client has bronchospasm or thick secretions, but they are not the first-line intervention after repositioning for ineffective cough. They require a provider’s order and are more appropriate when pharmacologic therapy is indicated. Choice C reason: Humidification can help loosen secretions over time, but it is not an immediate action to improve coughing effectiveness. It supports long-term airway maintenance rather than acute clearance. Choice D reason: Pulse oximetry assesses oxygenation but does not directly address the mechanical issue of ineffective coughing. It is useful for monitoring but not a therapeutic intervention in this context.