What is the most effective response from a nurse to a client in pain after an emergency cesarean birth when asked to cough and deep-breathe?

The most effective response in this scenario is to encourage the client to modify their breathing strategy to something more manageable given their current state of pain. Suggesting the option of taking six very deep breaths if coughing is too painful demonstrates an understanding of the client’s limitations while still promoting an important aspect of their recovery. Deep breathing is crucial post-surgery as it helps expand the lungs and prevents complications such as pneumonia.

This response acknowledges the client's pain and offers a practical alternative to help facilitate deep breathing without causing additional distress. In a post-operative context, especially following an emergency cesarean, a client may experience significant discomfort, making standard suggestions insufficient. The encouragement to attempt a less strenuous form of breathing respects their pain while still addressing their need for respiratory function improvement.

The other options, while possibly well-intentioned, may not effectively meet the client’s immediate needs for comfort and breathing assistance. For instance, mentioning pain management or returning later might delay necessary interventions and leave the patient feeling unsupported at a critical moment.