In patient care instructions, TCBD stands for which sequence of actions?

In patient care instructions, TCBD stands for which sequence of actions?

• A. Take, Cough, Deep Breath
• B. Turn, Cough, Deep Breath
• C. Turn, Cough, Deep Breathing
• D. Turn, Cough, Deep Breathes

Answer: (B)

Turn, Cough, Deep Breath is the sequence used to clear the airways and re-expand the lungs. Turning first changes the position, helping to loosen secretions and prevent mucus from pooling in dependent parts of the lungs. After repositioning, coughing helps to mobilize and expel those secretions so they don’t block airways. Finally, taking a deep breath expands the lungs, inflates any areas that may have collapsed, and improves overall ventilation. This order—move to loosen secretions, clear them with a cough, then re-expand with a deep breath—follows the standard pulmonary toilet approach.

Turn, Cough, Deep Breath is the sequence used to clear the airways and re-expand the lungs. Turning first changes the position, helping to loosen secretions and prevent mucus from pooling in dependent parts of the lungs. After repositioning, coughing helps to mobilize and expel those secretions so they don’t block airways. Finally, taking a deep breath expands the lungs, inflates any areas that may have collapsed, and improves overall ventilation. This order—move to loosen secretions, clear them with a cough, then re-expand with a deep breath—follows the standard pulmonary toilet approach.