A nurse is caring for a client with pneumonia. What should be included in the client's nursing care plan?
A) Instruct the client to take shallow and timely breaths.
B) Restrict the client's fluid intake to juices with vitamin C.
C) Encourage the client to lie in the supine position a few hours a day.
D) Maintain orthopneic position when possible.
D
Feedback:
Maintaining the orthopneic position (sitting or semisitting) helps the client to be more comfortable and breathe more easily. The nurse should not instruct the client to take shallow and timely breaths; instead, the client should be instructed to breathe deeply, because it helps to expand the lungs as much as possible. The nurse should provide small amounts of fluids frequently to the client instead of restricting the fluid intake to juices with vitamin C. The nurse should not encourage the client to lie in the supine position a few hours a day; instead, the nurse should encourage the client to use a pillow lengthwise under the back, which helps in fuller chest expansion.
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