The nurse develops a nursing diagnosis of risk for ineffective airway clearance related to excessive secretions. Which of the following goals is most appropriate?
a. Patient will maintain a clear airway.
b. Patient will have a normal breathing pattern.
c. Patient will have no cough.
d. Patient's sputum will be clear or white.
ANS: A
A clear airway is the only goal that addresses the problem. Patients need to cough to clear the airway. Clear sputum and a normal breathing pattern are desirable but do not ensure a clear airway.
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Blood in the urine is termed ________.
Fill in the blank(s) with the appropriate word(s).