A client has a nursing diagnosis of Ineffective Airway Clearance. Which of the following would the nurse include in the client's plan of care? Select all that apply
A) Encouraging increased fluid intake
B) Assisting the client in taking deep, diaphragmatic breaths
C) Discouraging client movement
D) Instructing the client to avoid coughing
E) Encouraging the client to change positions
Ans: A, B, E
Feedback:
Clients should be encouraged to change positions frequently, breathe deeply, and increase fluid intake to aid in effectively clearing the airway of sputum. Coughing helps to move mucus.
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