A patient is recovering in the hospital from cardiac surgery. The nurse has identified the diagnosis of risk for ineffective airway clearance related to pulmonary secretions. What intervention best addresses this risk?
A) Administration of bronchodilators by nebulizer
B) Administration of inhaled corticosteroids by metered dose inhaler (MDI)
C) Patient's consistent performance of deep breathing and coughing exercises
D) Patient's active participation in the cardiac rehabilitation program
Ans: C
Feedback:
Clearance of pulmonary secretions is accomplished by frequent repositioning of the patient, suctioning, and chest physical therapy, as well as educating and encouraging the patient to breathe deeply and cough. Medications are not normally used to achieve this goal. Rehabilitation is important, but will not necessarily aid the mobilization of respiratory secretions.
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