A client with chronic bronchitis has the following nursing diagnosis listed on the care plan: Ineffective Airway Clearance related to inadequate cough and excess mucous production
Which of the following interventions is of the least value in resolving the nursing diagnosis? 1. Check the pulse oximetry reading.
2. Increase fluid intake up to 2 liters/day.
3. Suction the client.
4. Provide chest physiotherapy.
Check the pulse oximetry reading.
Rationale: Checking the pulse oximetry reading evaluates the oxygenation status of the client but has no value in stimulation of cough or expulsion of excess mucous secretions. Adequate hydration helps to liquefy secretions. Suctioning may be necessary to clear the airway when the cough is ineffective. Chest physiotherapy assists in the mobilization of secretions.
You might also like to view...
A child weighing 44 lbs. is prescribed amoxicillin (Amoxil). The recommended amount is 25-50 mg/kg/day provided in q 8 hr or q 12 hr divided doses. What is a safe single dose that should be prescribed for this medication?
1. 500 mg q 8 hr 2. 400 mg q 6 hr 3. 400 mg q 12 hr 4. 600 mg a 12 hr
An example of a factor that would impede a patient's learning is:
a. Poverty. b. Limited health insurance. c. Being an older adult. d. Heavy sedation.
A nurse is caring for a 5-year-old child with a major burn. The health care provider has written a prescription to notify the health care provider if urine output falls to or below 2 mL/kg/hr. The child weighs 55 lb
The nurse should notify the health care provider if the milliliters of urine output is at or below _____ for an hour. Record your answer as a whole number. What will be an ideal response?
A female client admitted to a mental health facility for depression is frequently asking for help in deciding on what foods to choose for her meals, as well as which activities she should participate in. Which stage of illness is she experiencing?
a. Dependency b. Symptoms c. Recovery and rehabilitation d. Sick role