What is the priority nursing intervention for a client with kyphosis and muscle atrophy?

For a client with kyphosis and muscle atrophy, the priority nursing intervention centers around promoting effective coughing and deep breathing. Individuals with kyphosis, which is characterized by an exaggerated curvature of the spine, may experience compromised lung expansion and respiratory mechanics. This can lead to issues such as reduced lung capacity, difficulty clearing secretions, and an increased risk of respiratory infections.

Effective coughing and deep breathing exercises are crucial for enhancing ventilation, facilitating mucus clearance, and maintaining adequate oxygenation. These interventions help prevent respiratory complications, which are particularly important in patients with limited mobility or altered body mechanics due to muscle atrophy. Regular practice of these techniques can significantly improve lung function and reduce the risk of pneumonia or other respiratory issues.

While infection prevention, monitoring for confusion, and assisting with nutrition are all important aspects of patient care, they do not address the immediate respiratory concerns stemming from the client’s kyphosis and muscle atrophy. Therefore, focusing on respiratory interventions takes precedence in ensuring the client’s overall health and well-being.