A client with the flu is experiencing tachypnea. What interventions should the nurse use to address the diagnosis of Ineffective Breathing Pattern related to the flu?

Select all that apply.
A) Maintain adequate hydration.
B) Teach the client coughing, deep breathing, and hydration.
C) Prepare the client for the possibility of a tracheostomy tube.
D) Keep the head of the bed elevated.


Answer: A, B, D

Keeping the head of the bed elevated improves lung excursion and reduces the work of breathing. Coughing, deep breathing, and, hydration are essential for achieving airway clearance. Insertion of a tracheostomy and oxygen are not primary treatments for ineffective airway clearance.

Nursing

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