MrsLois Has a Nursing Diagnosis of Ineffective Airway Clearance Related

question 21

Multiple Choice

Mrs.Lois has a nursing diagnosis of ineffective airway clearance related to inadequate chest expansion and poor cough effort related to pain secondary to trauma.What is an appropriate nursing order to help her achieve the outcome of a patent airway?

• A)Provide uninterrupted periods of sleep
• B)Teach the rationale for her clear fluid diet
• C)Assess for cyanosis and clubbing of the fingers
• D)Encourage and assist with frequent position changes

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