A client has a nursing diagnosis of Ineffective airway clearance related to poor coughing. When planning this client’s care, nurse Melvin should include which intervention?
a- Increasing fluids to 2,500 ml/day
b- Teaching the client how to deep-breathe and cough
c- Improving airway clearance
d- Suctioning the client every 2 hours
Answer B.
Interventions should address the etiology of the client’s problem — poor coughing. Teaching deep breathing and coughing addresses this etiology. Increasing fluids may improve the client’s condition but doesn’t address poor coughing. Improving airway clearance is too vague. Suctioning isn’t indicated unless other measures fail to clear the airway.
b- Teaching the client how to deep-breathe and cough
c- Improving airway clearance
d- Suctioning the client every 2 hours
Answer B.
Interventions should address the etiology of the client’s problem — poor coughing. Teaching deep breathing and coughing addresses this etiology. Increasing fluids may improve the client’s condition but doesn’t address poor coughing. Improving airway clearance is too vague. Suctioning isn’t indicated unless other measures fail to clear the airway.
Labels
Psychosocial Integrity