Teaching the client how to perform controlled coughing-rationale: controlled coughing helps maintain a patent airway by helping to mobilize and remove secretions. a moderate fluid intake (usually 2 l or more daily) and moderate activity help liquefy and mobilize secretions. bed rest and sedatives may limit the clients ability to maintain a patent airway, causing a high risk of infection from pooled secretions.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 697.