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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Definitions:

V1

Also known as the primary visual cortex, it's the region of the brain responsible for processing visual information.

Eye Movements

The deliberate or automatic shifting of eye position to gather, focus on, and follow visual targets.

Visually Guided Grasping

The coordination of eye and hand movements to reach and grasp objects based on visual input.

Lip

The soft, outer part of the mouth that marks the entrance to the digestive tract and plays a key role in articulation and facial expression.