A client with community-acquired pneumonia is receiving 0.9% normal saline (NS) at 50 mL/hr. Pulse oximetry shows 95% on nasal O2 at 3 L/min. The nurse identifies a nursing diagnosis of ineffective airway clearance. Which prescription would the nurse expect to best facilitate secretion removal?
a. Incentive spirometer every 2 hours
b. Increase 0.9% NS to 125 mL/hr
c. Increase nasal oxygen to 4 L/min
d. Place the client in semi-Fowler's position
Ans: b. Increase 0.9% NS to 125 mL/hr
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