A nurse is writing a care plan for a client hospitalized with lung cancer. Her priority nursing diagnosis is ineffective airway clearance. Which intervention should the nurse include?
1. Administration of the pneumococcal vaccine
2. Smoking cessation education
3. Limit fluid intake
4. Chest percussion
4. Chest percussion
Rationale:
Chest percussion can help clear secretions. Administering the pneumococcal vaccine and educating the client on smoking cessation are important in treating a client with pneumonia, but they would be aligned with a different nursing diagnosis. Clients with pneumonia are encouraged to increase fluid intake, not limit it.
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