A client with terminal lung cancer is experiencing shortness of breath. The nurse notes bilateral crackles and wheezes, despite oxygen at 4 liters per minute via nasal cannula and diuretic therapy
What nursing interventions are most appropriate for this client?
Select all that apply.
A) Elevate the head of the client's bed to a Fowler's position.
B) Change the client's oxygen therapy to a nonrebreathing mask.
C) Administer morphine sulfate per physician order.
D) Move the client to a room closer to the nurse's desk for closer observation.
E) Place a fan in the room to move air around the client.
Answer: A, C, E
Placing a fan to circulate air, elevating the head of the bed, and using morphine sulfate may relieve the client's 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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