A client with terminal cancer of the lung complains of being short of breath with bilateral crackles and wheezes, despite oxygen at 4 Lpm via nasal cannula and diuretic therapy. What nursing interventions are appropriate for this client?
(Select all that apply.)
1. Move the client to a room closer to the nurse's desk for closer observation.
2. Help the client assume a position lying on the right side.
3. Place a fan in the room to move air around the client.
4. Change the client's oxygen therapy to a nonrebreathing mask.
5. Elevate the head of the client's bed to a Fowler's position.
6. Consider use of a prn morphine sulfate order.
Correct Answer: 3, 5, 6
Rationale : Placement of a fan to circulate air, elevating the head of the bed, and use of morphine sulfate may relieve shortness of breath. Moving the client who is short of breath is not advisable. Lateral positions are appropriate for unconscious clients, but this client is conscious. Conscious clients who are short of breath do not tolerate oxygen therapy by mask.
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